The impact of air pollution on death from type 2 diabetes in Guangzhou
CHEN Su-juan1, HUANG Lin1, DONG Hang2, LIN Guo-zhen2, WANG Bo-guang1, YANG Jun3
1. Institute for Environmental and Climate Research, Jinan University, Guangzhou, 511443, China; 2. Guangzhou Center for Disease Control and Prevention, Guangzhou, 5104403; 3. School of Public Health, Guangzhou Medical University, Guangzhou 511436, China
Abstract：To investigate the associations between air pollution and the type 2 diabetes, daily data on air pollution, deaths from type 2diabetes, and meteorological conditions from 2013 to 2018 in Guangzhou were collected. Then, generalized additive models (GAM) was applied to examine effects of air pollutants (PM2.5, NO2, O3, PM10, SO2 and CO) on deaths from type 2diabetes. Stratification analysis was further conducted by age group (0~64 years old, 65+ years old), sex, and seasons (cold season: November to the following April; warm season: May to October). This study found that the effects of air pollutants were generally acute, which usually lasted for three days. Each inter-quantile range (IQR) increase in the concentrations of PM2.5, NO2, PM10, O3, SO2, and CO was respectively associated with increments in deaths from type 2 diabetes of 6.3% (RR=1.063; 95%CI: 1.017, 1.112), 4.7% (RR=1.047; 95%CI: 1.008, 1.088), 6.7% (RR=1.067; 95%CI: 1.020, 1.116), 0.5% (RR=1.005; 95%CI: 0.956, 1.058), 5.6% (RR=1.056; 95%CI: 1.007, 1.107) and 4.5% (RR=1.045; 95%CI: 1.007, 1.085) at the lag 0~2 days. Moreover, the elderly and females were more vulnerable to air pollutants. And higher effect estimates of air pollutants were observed in cold season than in warm season. Although air quality has been greatly improved in China, this study still observed statistically significant associations between various air pollutants and deaths from type 2 diabetes. Therefore, more stringent measures are recommended to manage the level of air pollution and improve the awareness of protecting diabetes patients from the adverse effect of air pollution.
陈素娟, 黄琳, 董航, 林国帧, 王伯光, 杨军. 广州市大气污染物对2型糖尿病人群死亡的影响[J]. 中国环境科学, 2023, 43(2): 973-980.
CHEN Su-juan, HUANG Lin, DONG Hang, LIN Guo-zhen, WANG Bo-guang, YANG Jun. The impact of air pollution on death from type 2 diabetes in Guangzhou. CHINA ENVIRONMENTAL SCIENCECE, 2023, 43(2): 973-980.
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