Influence of BC, PM2.5, temperature and their synergy on mortality of cardiovascular diseases in Xi'an
OU Yi-han1,2, ZHANG Xiao-ling1,2,3, ZHANG Ying1,2, KANG ping1,2
1. School of Atmospheric Sciences, Chengdu University of Information Technology, Chengdu 610225, China; 2. Key Laboratory of Plateau Atmosphere and Environment of Sichuan Province, Chengdu 610225, China; 3. Chengdu Plain Urban Meteorology and Environment Scientific Observation and Research Station of Sichuan Province, Chengdu 610225, China
Abstract:Daily death data of cardiovascular diseases during 2014~2015, daily average of BC(black carbon) and PM2.5 and meteorological data during the same period in Xi'an were collected. Three semi-parametric Generalized Additive Models (GAMs) based on the time series, including an independent model, a non-parametric bivariate response surface model, and a temperature stratification model, were adopted to this study. The results showed that BC and PM2.5 had a lag effect on the daily mortality of cardiovascular diseases in Xi'an. With the optimal lag period, when concentrations of BC and PM2.5 increased by interquartile range (IQR), the excess risk of cardiovascular diseases increased by 3.53%(95%CI:1.86, 5.23) and 2.01% (95%CI:1.06, 2.97), respectively. The exposure-response relationship between ambient temperature and mortality of cardiovascular diseases both exhibited "V" type and the most comfortable temperature was 26℃. Low temperature and high pollutant concentration had a synergistic strengthening effect on cardiovascular diseases. When the temperature lower 26℃, the modulating effects of temperature on BC-mortality relationship became more pronounced than that on PM2.5-mortality relationships with temperature cutoff increasing. For cardiovascular diseases, different susceptibility showed in different subgroups, and female groups was more sensitive to the health risks of BC and PM2.5. When BC and PM2.5 were included in one or more other gaseous pollutants at the same time, the excess risk had no major impact. The adverse effect of BC on human health should not be neglected in the future. BC may be used as an important air quality indicator to assess the health risks of air pollutants.
欧奕含, 张小玲, 张莹, 康平. 西安BC、PM2.5与气温协同对心脑血管疾病死亡的影响[J]. 中国环境科学, 2021, 41(9): 4415-4425.
OU Yi-han, ZHANG Xiao-ling, ZHANG Ying, KANG ping. Influence of BC, PM2.5, temperature and their synergy on mortality of cardiovascular diseases in Xi'an. CHINA ENVIRONMENTAL SCIENCECE, 2021, 41(9): 4415-4425.
王珊,修天阳,孙扬,等.1960~2012年西安地区雾霾日数与气象因素变化规律分析[J]. 环境科学学报, 2014,34(1):19-26.Wang S, Xiu T, Sun Y, et al. The changes of mist and haze days and meteorological element during 1960~2012 in Xi'an[J]. Acta Scientiae Circumstantiae, 2014,34(1):19-26.
[2]
李会霞,史兴民.西安市PM2.5时空分布特征及气象成因[J]. 生态环境学报, 2016,25(2):266-271.Li H X, Shi X M. Temporal and spatial distribution, meteorological factors of PM2.5 in Xi'an City[J]. Ecology and Environmental Sciences, 2016,25(2):266-271.
[3]
Wang Y, Zhang R Y, Saravanan R. Asian pollution climatically modulates mid-latitude cyclones following hierarchical modelling and observational analysis[J]. Nature Communications, 2014,5(1):3098-3104.
[4]
Huang R J, Zhang Y L, Bozzetti C, et al. High secondary aerosol contribution to particulate pollution during haze events in China[J]. Nature, 2014,514(7521):218-222.
[5]
陈仁杰,陈秉衡,阚海东.我国113个城市大气颗粒物污染的健康经济学评价[J]. 中国环境科学, 2010,30(3):410-415.Chen R J, Chen B H, Kan H D. Health economic evaluation of air particulate pollution in 113cities in China[J]. China Environmental Science, 2010,30(3):410-415.
[6]
Rd P C. Epidemiology of fine particulate air pollution and human health:biologic mechanisms and who's at risk?[J]. Environmental Health Perspectives Supplements, 2000,108:713-723.
[7]
Miller M R, Shaw C A, Langrish J P. From particles to patients:oxidative stress and the cardiovascular effects of air pollution[J]. Future cardiology, 2012,8(4):577-602.
[8]
Chin M T. Basic mechanisms for adverse cardiovascular events associated with air pollution[J]. Heart, 2015,101(4):253-256.
[9]
Thurston G D, Kipen H, Annesi-Maesano I, et al. A joint ERS/ATS policy statement:what constitutes an adverse health effect of air pollution? An analytical framework[J]. The European respiratory journal, 2016,49(1):1600419.
[10]
Han L, Sun Z B, He J, et al. Seasonal variation in health impacts associated with visibility in Beijing, China[J]. Science of the Total Environment, 2020,730:139149.
[11]
Han L, Sun Z B, Gong T Y, et al. Assessment of the short-term mortality effect of the national action plan on air pollution in Beijing, China[J]. Environmental Research Letters, 2020,15:034052.
[12]
Zhang Y, Wang S G, Fan X G, et al. Temperature modulation of the health effects of particulate matter in Beijing, China[J]. Environmental Science and Pollution Research, 2018,25(11):10857.
[13]
Hua J, Yin Y, Peng L, et al. Acute effects of black carbon and PM2.5 on children asthma admissions:A time-series study in a Chinese city[J]. Science of the Total Environment, 2014,481:433-438.
[14]
Urszula M, Stella B P, Szadkowska-Stańczyk I. Worker exposure to ultrafine particles during carbon black treatment[J]. Medycyna Pracy, 2015,66(3):317-326.
[15]
Schreiber N, Ströbele M, Kopf J, et al. Lung alterations following single or multiple low-dose carbon black nanoparticle aspirations in mice[J]. Journal of Toxicology & Environmental Health Part A, 2013,76(24):1317-1332.
[16]
Smith K R, Jerrett M, Anderson H R, et al. Public health benefits of strategies to reduce greenhouse-gas emissions:health implications of short-lived greenhouse pollutants[J]. The Lancet, 2010,374(9707):2091-2103.
[17]
Gold D R, Litonjua A A, et al. Air pollution and ST-segment depression in elderly subjects[J]. Environmental Health Perspectives, 2005,113(7):883-887.
[18]
Henneberger A, Zareba W, Ibald-Mulli A, et al. Repolarization changes induced by air pollution in ischemic heart disease patients[J]. Environmental Health Perspectives, 2005,113(4):440-446.
[19]
Ostro B, Tobias A, Karanasiou A, et al. The risks of acute exposure to black carbon in Southern Europe:results from the MED-PARTICLES proiect[J]. Occupational and Environmental Medicine, 2015,72(2):123-129.
[20]
Qiao L P, Cai J, Wang H L, et al. PM2.5constituents and hospital emergency-room visits in Shanghai, China[J]. Environmental Science and Technology, 2014,48(17):10406-10414.
[21]
Tolbert P E, Klein M, Metzger K B, et al. Interim results of the study of particulates and health in Atlanta (SOPHIA)[J]. Journal of Exposure Analysis and Environmental Epidemiology, 2000,10(5):446-460.
[22]
Wang Y Y, Shi Z H, Shen F Z, et al. Associations of daily mortality with short-term exposure to PM2.5 and its constituents in Shanghai, China[J]. Chemosphere, 2019,233:879-887.
[23]
Roger D, Peng, Michelle L, et al. Emergency admissions for cardiovascular and respiratory diseases and the chemical composition of fine particle air pollution[J]. Environmental health perspectives, 2009,117(6):957-963.
[24]
Liang F C, Tian L, Guo Q, et al. Associations of PM2.5 and black carbon with hospital emergency room visits during heavy haze events:A case study in Beijing, China[J]. International Journal of Environmental Research and Public Health, 2017,14(7):725.
[25]
Lin W W, Huang W, Zhu T, et al. Acute respiratory inflammation in children and black carbon in ambient air before and during the 2008Beijing Olympics[J]. Environt Health Perspect, 2011,119(10):1507-1512.
[26]
张莹,辛金元,张小玲等.北京市气温与黑碳和PM2.5对疾病死亡影响的交互效应[J]. 中国环境科学, 2020,40(7):3179-3187.Zhang Y, Xin J Y, Zhang X L, et al. Interaction effects between ambient temperature and black carbon and PM2.5 on mortality in Beijing[J]. China Environmental Science, 2020,40(7):3179-3187.
[27]
Gong T Y, Sun Z B, Zhang X L, et al. Associations of black carbon and PM2.5 with daily cardiovascular mortality in Beijing, China[J]. Atmospheric Environment, 2019,214:116876
[28]
Geng F H, Hua J, Mu Z, et al. Differentiating the associations of black carbon and fine particle with daily mortality in a Chinese city[J]. Environmental Research, 2013,120:27-32..
[29]
Zhang R, Dai Y F, Zhang X, et al. Reduced pulmonary function and increased pro-inflame matory cytokines in nanoscale carbon black exposed workers[J]. Particle and Fibre Toxicology, 2014,11(1):73-87.
[30]
Lin W W, Dai J J, Liu R, et al. Integrated assessment of health risk and climate effects of black carbon in the Pearl River Delta region, China[J]. Environmental Research, 2019,176.
[31]
Han L, Sun Z B, He J, et al. Estimating the mortality burden attributable to temperature and PM2.5 from the perspective of atmospheric flow[J]. Environmental Research Letters, 2020,15(12):124059.
[32]
Xing Q, Sun Z B, Tao Y, et al. Impacts of urbanization on the temperature-cardiovascular mortality relationship in Beijing, China[J]. Environmental Research, 2020,191:110234.
[33]
Ebi K L, Exuzides K A, Lau E, et al. Weather changes associated with hospitalizations for cardiovascular diseases and stroke in California, 1983-1998[J]. International Journal of Biometeorology, 2004,49(1):48-58.
[34]
Roberts S. Interactions between particulate air pollution and temperature in air pollution mortality time series studies[J]. Environmental Research, 2004,96(3):328-337.
[35]
Ren C, Tong S. Temperature modifies the health effects of particulate matter in Brisbane, Australia[J]. International Journal of Biometeorology, 2006,51(2):87-96.
[36]
Ren C, Williams G M, Mengersen K, et al. Does temperature modify short-term effects of ozone on total mortality in 60large eastern US communities?-An assessment using the NMMAPS data[J]. Environment International, 2008,34(4):451-458.
[37]
Zhang Y, Wang S G, Zhang X L, et al. Temperature modulation of the adverse consequences on human mortality due to exposure to fine particulates:A study of multiple cities in China[J]. Environmental Research, 2020,185:109353.
[38]
Xia M, Zhang Y, Zhao Z, et al. Temperature modifies the acute effect of particulate air pollution on mortality in eight Chinese cities[J]. Science of The Total Environment, 2012,435-436(2012):215-221.
[39]
张莹,王式功,贾地伟,等.气温与PM2.5协同作用对疾病急诊就诊人数的影响[J]. 中国环境科学, 2017,37(8):3175-3182.Zhang Y, Wang S G, Jia D W, et al. Synergetic effect of mean temperature and PM2.5 on emergency room visits for different diseases[J]. China Environmental Science, 2017,37(8):3175-3182.
[40]
GB 3095-2012国家环境空气质量标准[S].GB 3095-2012 National ambient air quality standard[S].
[41]
Gasparrini A, Guo Y, Hashizume M, et al. Mortality risk attributable to high and low ambient temperature:a multicountry observational study[J]. The Lancet, 2015,6736(14):369-375.
[42]
Xu Q, Wang S, Guo Y M, et al. Acute exposure to fine particulate matter and cardiovascular hospital emergency room visits in Beijing, China[J]. Environmental Pollution, 2017,220:317-327.
[43]
Ren T, Tong S. Temperature modifies the short-term effects of particulate matter on cardiovascular diseases in Brisbane Australia[J]. International Journal of Biometeorology, 2006,51(2):87-96.
[44]
Sarnat S E, Winquist A, Schauer J J, et al. Fine particulate matter components and emergency department visits for cardiovascular and respiratory diseases in the St. Louis, Missouri-Illinois, metropolitan area[J]. Environmental health perspectives, 2015,123(5):437-444.
[45]
Dockery D W, Muller J E, Peters A, et al. Increased particulate air pollution and the triggering of myocardial infarction[J]. Circulation, 2001,103(23):2810-2815.
[46]
Roger D, Peng, Michelle L, et al. Emergency admissions for cardiovascular and respiratory diseases and the chemical composition of fine particle air pollution[J]. Environmental Health Perspectives, 2009,117(6):957-963.
[47]
Darrow L A, Klein M, Flanders W D, et al. Air pollution and acute respiratory infections among Children 0-4years of age:an 18-year time-series study[J]. American journal of epidemiology, 2014, 180(10):968977.
[48]
Liang F C, Tian L, Guo Q, et al. Associations of PM2.5 and black carbon with hospital emergency room visits during heavy haze events:A case study in Beijing, China[J]. International Journal of Environmental Research and Public Health, 2017,14(7):725-737.
[49]
Kim S Y, Peel J L, Hannigan M P, et al. The temporal lag structure of short-term associations of fine particulate matter chemical constituents and cardiovascular and respiratory hospitalizations[J]. Environmental Health Perspectives, 2012,120(8):1094-1099.
[50]
Lall R, Thurston I G D. Distributed lag analyses of daily hospital admissions and source-apportioned fine particle air pollution[J]. Environmental Health Perspectives, 2011,119(4):455-460.
[51]
Janssen N A H, Hoek G, Simic-Lawson M, et al. Black carbon as an additional indicator of the adverse health effects of airborne particles compared with PM10 and PM2.5[J]. Environmental Health Perspectives, 2011,119(12):1691-1699.
[52]
WHO Regional Office for Europe. Health effects of black carbon[R/OL]. (2013-1-28)[2018-1-28]. http://www.euro.who.int.data/assets/pdffile/0004/162535/e96541.pdf.
[53]
Thomas J L, Jennifer L N, Steven J D, et al. A systematic review of cardiovascular emergency department visits, hospital admissions and mortality associated with ambient black carbon[J]. Environment International, 2017,107:154-162.
[54]
Zanobetti A, Coull B A, Gryparis A, et al. Associations between arrhythmia episodes and temporally and spatially resolved black carbon and particulate matter in elderly patients[J]. Occupational & Environmental Medicine, 2014,71(3):201-207.
[55]
Wang X, Chen R, Meng X, et al. Associations between fine particle, coarse particle, black carbon and hospital visits in a Chinese city[J]. Science of The Total Environment, 2013:458-460.
[56]
Schwartz J, Spix C, Touloumi G, et al. Methodological issues in studies of air pollution and daily counts of deaths or hospital admissions[J]. Journal of Epidemiology & Community Health, 1996, 50.
[57]
Huang W, Cao J J, Tao Y B, et al. Seasonal variation of chemical species associated with short-term mortality effects of PM2.5 in Xi'an, a central city in China[J]. American Journal of Epidemiology, 2012,175(6):556-566.
[58]
Marco Z, Paolo L, Martin G, et al. Effects of mixing state on optical and radiative properties of black carbon in the European Arctic[J]. Atmospheric Chemistry and Physics, 2018,18(19):1-33.
[59]
Clougherty J E, Rossi C A, Lawrence J, et al. Chronic social stress and susceptibility to concentrated ambient fine particles in rats[J]. Environmental Health Perspectives, 2010,118(6):769-775.
[60]
Zhang Y, Fan X G, Zhang X L, et al. Moderately cold temperature associates with high cardiovascular disease mortality in China[J]. Air Quality, Atmosphere and Health, 2019,12(10):1225-1235.
[61]
Magali Hurtado-Díaz, Cruz J C, José L, et al. Texcalac-Sangrador, et al.Short-term effects of ambient temperature on non-external and cardiovascular mortality among older adults of metropolitan areas of Mexico[J]. International Journal of Biometeorology, 2019,(63):12.
[62]
Stafoggia M, Schwartz J, Forastiere F, et al. Perucci the SISTI Group. Does temperature modify the association between air pollution and mortality? A multicity ase-crossover analysis in Italy[J]. American Journal of Epidemiology, 2008,167(12):1476-1485.
[63]
Lippmann M, Ito K, Nádas A, et al. Association of particulate matter components with daily mortality and morbidity in urban populations[J]. Research Report, 2000,95(95):73-82.