首页|Changes on Stroke Burden Attributable to Ambient Fine Particulate Matter in China

Changes on Stroke Burden Attributable to Ambient Fine Particulate Matter in China

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Objective In recent decades,China has implemented a series of policies to address air pollution.We aimed to assess the health effects of these policies on stroke burden attributable to ambient fine particulate matter(PM2.5).Methods Joinpoint regression was applied to explore the temporal tendency of stroke burden based on data from the Global Burden of Disease 2019 study.Results The age-standardized rates of disability-adjusted life year(DALY)for stroke attributable to ambient PM2.5 in China,increased dramatically during 1990-2012,subsequently decreased at an annual percentage change(APC)of-1.98[95%confidence interval(CI):-2.26,-1.71]during 2012-2019.For ischemic stroke(IS),the age-standardized DALY rates doubled from 1990 to 2014,and decreased at an APC of-0.83(95%CI:-1.33,-0.33)during 2014-2019.Intracerebral hemorrhage(ICH)showed a substantial increase in age-standardized DALY rates from 1990 to 2003,followed by declining trends,with APCs of-1.46(95%CI:-2.74,-0.16)during 2003-2007 and-3.33(95%CI:-3.61,-3.06)during 2011-2019,respectively.Conversely,the age-standardized DALY rates for subarachnoid hemorrhage(SAH)generally declined during 1990-2019.Conclusion Our results clarified the dynamic changes of the ambient PM2.5-attributable stroke burden in China during 1990-2019,highlighting the health effects of air quality improvement policies.

Ambient fine particulate matterStrokeDisease burdenTemporal trendPolicy

Jingyu Wang、Yan Wang、Xiaohua Liang、Keyong Huang、Fangchao Liu、Shufeng Chen、Xiangfeng Lu、Jianxin Li

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Department of Epidemiology,Fuwai Hospital,National Center for Cardiovascular Diseases,Chinese Academy of Medical Sciences and Peking Union Medical College,Beijing 100037,China

Key Laboratory of Cardiovascular Epidemiology,Chinese Academy of Medical Sciences,Beijing 100037,China

Department of Clinical Epidemiology and Biostatistics,Children's Hospital of Chongqing Medical University,National Clinical Research Center for Child Health and Disorders,Ministry of Education Key Laboratory of Child Development and Disorders,Chongqing Key Laboratory of Pediatric Metabolism and Inflammatory Disease,Chongqing 400016,China

National Key Research and Development Program of ChinaNational Key Research and Development Program of ChinaNational Key Research and Development Program of ChinaChinese Academy of Medical Sciences(CAMS)Innovation Fund for Medical SciencesNational Natural Science Foundation of ChinaNational Natural Science Foundation of ChinaNational High Level Hospital Clinical Research FundingNational High Level Hospital Clinical Research FundingResearch Unit of Prospective Cohort of Cardiovascular Diseases and Cancers,CAMSNational Clinical Research Center for Cardiovascular Diseases,Fuwai Hospital,CAMS

2018YFE01153002022YFC36008002017YFC02117062021-I2M-1-01082073658820704732022-GSP-GG-12022-GSP-GG-22019RU038NCRC2020006

2024

10.3967/bes2024.083

生物医学与环境科学(英文版)
中国疾病预防控制中心

生物医学与环境科学(英文版)

CSTPCD
影响因子：0.76
ISSN：0895-3988
年,卷(期)：2024.37(8)
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