北京大学学报(医学版)2024,Vol.56Issue(4) :700-707.DOI:10.19723/j.issn.1671-167X.2024.04.025

天津与上海35岁以上人群氮氧化物个体暴露水平及其影响因素

Personal nitrogen oxides exposure levels and related influencing factors in adults over 35 years old in Tianjin and Shanghai

庞博 郭桐君 陈曦 郭华棋 石嘉章 陈娟 王欣梅 李耀妍 单安琪 余恒意 黄婧 汤乃军 王艳 郭新彪 李国星 吴少伟
北京大学学报(医学版)2024,Vol.56Issue(4) :700-707.DOI:10.19723/j.issn.1671-167X.2024.04.025

天津与上海35岁以上人群氮氧化物个体暴露水平及其影响因素

Personal nitrogen oxides exposure levels and related influencing factors in adults over 35 years old in Tianjin and Shanghai

庞博 1郭桐君 1陈曦 2郭华棋 3石嘉章 1陈娟 1王欣梅 1李耀妍 2单安琪 2余恒意 3黄婧 1汤乃军 2王艳 4郭新彪 1李国星 1吴少伟5
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作者信息

  • 1. 北京大学公共卫生学院劳动卫生与环境卫生学系,北京 100191
  • 2. 天津医科大学公共卫生学院劳动卫生与环境卫生学系,天津市环境营养与人群健康重点实验室,天津 300070
  • 3. 上海交通大学公共卫生学院食品安全与毒理学系,上海 200020
  • 4. 上海交通大学医学院附属第九人民医院,上海 200011
  • 5. 西安交通大学医学部公共卫生学院劳动卫生与环境卫生学系,西安 710061
  • 折叠

摘要

目的:对天津和上海35岁以上人群氮氧化物(nitrogen oxides,NOx)与二氧化氮(nitrogen dioxide,NO2)个体暴露水平进行测量,并探讨研究对象基线特征、居住环境情况及日常活动模式等因素对其影响.方法:采用定组研究,在天津和上海招募91名年龄35岁以上的研究对象,分别在夏季和冬季各进行3次随访(上海冬季因新型冠状病毒肺炎疫情影响只进行了 1次随访),每两次随访之间间隔至少为2个星期,有27名研究对象参与了两个季节的研究.每次随访使用Ogawa被动式采样器测量个体24 h NOx与NO2暴露浓度,通过问卷和日志收集日常活动模式信息.采用混合线性效应模型分析不同因素对NOx与NO2个体暴露水平的影响.结果:两地人群共完成349人次有效的24 h内NO2与NOX个体暴露监测,天津夏季NO2与NOx个体暴露日均值(体积分数)分别为18.0×10-9和26.2 × 10-9,天津冬季分别为31.0 × 10-9和54.9 × 10-9,上海夏季分别为38.7 × 10-9和100.0 × 10-9,上海冬季分别为45.5 × 10-9和139.2 ×10-9.单因素回归分析结果显示NOX与NO2个体暴露水平与城市、季节、性别、日均做饭次数以及监测站大气NO2浓度显著相关.除以上因素外,NOx个体暴露水平还与教育水平有显著关联,NO2个体暴露水平还与是否被动吸烟、日均居家时间、烹饪燃料类型、住宅与交通主干道距离、是否使用抽油烟机存在显著关联.多因素回归分析显示,NO2与NOX个体暴露水平天津显著低于上海,夏季显著低于冬季,男性NOx个体暴露水平显著高于女性.监测站NO2浓度与NO2和NOX个体暴露水平呈显著正向关联;日均做饭次数与NO2个体暴露水平之间呈显著正向关联,日均居家时间与NO2个体暴露水平之间呈显著负向关联.大气NO2浓度每升高1个四分位间距(interquartile range,IQR),即12.7 × 10-9,NO2个体暴露水平上升27.5%[95%置信区间(confidence interval,CI):17.0%~38.9%],NOX 个体暴露水平上升 16.1%(95%CI:7.1%~25.8%).结论:不同季节、城市和大气NO2浓度均可以影响NO2与NOx的个体暴露水平,同时NO2个体暴露水平还受到生活习惯等因素的影响.

Abstract

Objective:To investigate personal exposures to nitrogen oxides(NOX)and nitrogen di-oxide(NO2)and the influence of baseline personal characteristics,living environment and daily activity patterns of the participants on the exposures among adults over 35 in Tianjin and Shanghai.Methods:In this panel study,91 healthy nonsmoking adults aged over 35 from Tianjin and Shanghai participated in our study.The study was conducted in summer and winter.The participants were followed for three times with an interval of at least two weeks.Only participants in Shanghai were followed once in winter because of the COVID-19 pandemic.Twenty-seven participants completed follow-up visits in both seasons.We measured their 24 h personal exposures to NOX and NO2and collected their baseline and time-activity in-formation through questionnaire/diary.The linear mixed model was used to analyze the associations be-tween potential influencing factors and personal NOX and NO2 exposure levels.Results:There were 349 follow-up visits with valid 24 h personal NO2 and NOX exposure measurements in the two cities.The ave-rage 24 h personal exposures to NO2 and NOX(volume fraction)in Tianjin participants were 18.0 x 10-9 and 26.2 × 10-9 in summer,and 31.0 x 10-9 and 54.9 x 10-9in winter,respectively;and the average 24 h personal exposures to NO2 and NOX in Shanghai participants were 38.7 x 10-9and 100.0x10-9in summer,and 45.5 x10-9 and 139.2 x 10-9 in winter,respectively.The results of univariate regression analysis showed that their personal NOX exposure levels were significantly associated with city,season,gender,average daily cooking times,and ambient NO2 concentrations measured at fixed-site monitoring stations.In addition to the above factors,the personal NOX exposure levels were also significantly associ-ated with educational level and the personal NO2 exposure levels were also significantly associated with passive smoking,average daily home time,cooking energy type,residential distance from main traffic road,and use of kitchen ventilators.Multivariate regression analysis showed that the personal exposure levels of NO2 and NOX were significantly lower in Tianjin than that in Shanghai,were significantly lower in summer than that in winter,and were significantly and positively associated with ambient NO2 concen-trations measured at fixed-site monitoring stations.In addition,personal NOX exposure levels were signifi-cantly lower in females than in males,and personal NO2 exposure levels were significantly positively asso-ciated with average daily cooking times and significantly inversely associated with average daily home time.For every interquartile range(IQR)increase(12.7 × 10-9)in ambient NO2,the personal NO2 exposure levels increased by 27.5%(95%CI:17.0%-38.9%),and personal NOX exposure levels in-creased by 16.1%(95%CI:7.1%-25.8%).Conclusion:Season,city and ambient NO2 concentra-tions are significant influencing factors of personal exposure levels of NO2and NOX At the same time,the personal exposures levels of NO2 are also affected by lifestyle factors.Our study provides scientific evi-dence for making precise air pollution control decisions and reducing the exposure levels of NOX in the population.

关键词

空气污染/氮氧化物/个体暴露/危险因素

Key words

Air pollution/Nitrogen oxides/Personal exposure/Risk factors

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基金项目

国家重点研发计划(2017YFC0211600)

国家重点研发计划(2017YFC0211601)

出版年

2024
北京大学学报(医学版)
北京大学

北京大学学报(医学版)

CSTPCDCSCD北大核心
影响因子:1.681
ISSN:1671-167X
参考文献量29
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