Years of life lost due to premature deaths associated with air pollution: an ecological time-series study
São Paulo med. j
; 139(6): 591-597, Nov.-Dec. 2021. tab, graf
Artigo
em Inglês
| LILACS
| ID: biblio-1352300
Biblioteca responsável:
BR1.1
ABSTRACT
ABSTRACT BACKGROUND:
Exposure to air pollutants is associated with hospital admissions due to cardiovascular diseases and premature deaths.OBJECTIVE:
To estimate years of life lost (YLL) due to premature deaths and their financial costs. DESIGN ANDSETTING:
Ecological time-series study carried out in São José dos Campos, Brazil, in 2016.METHODS:
Data on deaths among residents of this city in 2016 were assessed to estimate the financial cost of premature deaths associated with air pollution. The diagnoses studied were ischemic heart disease, congestive heart failure and cerebrovascular disease, according to YLL. The fractions attributable to deaths associated with air pollutant exposure and to each potential year of life lost were calculated using negative binomial regression with lags of 0-7 days between exposure and outcome. Nitrogen dioxide, particulate matter (PM10) and ozone concentrations were included in the model and adjusted for temperature, humidity and seasonality.RESULTS:
Exposure to particulate matter was significant at lag 3 days. There were 2177 hospitalizations over the study period, with 201 deaths (9.2%). Premature deaths led to 2035.69 years of life lost. A 10 μg/m3 increase in PM10 concentrations was correlated with 8.0% of the hospitalizations, which corresponded to 152.67 YLL (81.67 for males and 71.00 for females). The cost generated was approximately US$ 9.1 million in 2016.CONCLUSION:
In this first study conducted in a medium-sized Brazilian city, using the YLL methodology, we identified an excess expense attributable to air pollution.
Texto completo:
Disponível
Coleções:
Bases de dados internacionais
Base de dados:
LILACS
Assunto principal:
Poluentes Atmosféricos
/
Poluição do Ar
Tipo de estudo:
Fatores de risco
Aspecto:
Preferência do paciente
Limite:
Feminino
/
Humanos
/
Masculino
Idioma:
Inglês
Revista:
São Paulo med. j
Assunto da revista:
Cirurgia Geral
/
Cincia
/
Ginecologia
/
Medicina
/
Medicina Interna
/
Obstetr¡cia
/
Pediatria
/
Sa£de Mental
/
Sa£de P£blica
Ano de publicação:
2021
Tipo de documento:
Artigo
País de afiliação:
Brasil
Instituição/País de afiliação:
Universidade Estadual de São Paulo/BR