Concentration-Response Relationship Between PM and Daily Respiratory Deaths in China: A Systematic Review and Metaregression Analysis of Time-Series Studies

Overview

Journal Biomed Res Int

Publisher Wiley

Specialties Biomedical Engineering
Biotechnology
General Medicine

Date 2017 Nov 11

PMID 29124065

Citations 12

Authors

Mengying Ren

Xin Fang

Mei Li

Sun Sun

Lu Pei

Qun Xu

Xiaofei Ye

Yang Cao

Affiliations

Soon will be listed here.

Abstract

The association between the particulate matters with aerodynamic diameter ≤ 2.5 m (PM) and daily respiratory deaths, particularly the concentration-response pattern, has not been fully examined and established in China. We conducted a systematic review of time-series studies to compile information on the associations between PM concentration and respiratory deaths and used metaregression to assess the concentration-response relationship. Out of 1,957 studies screened, eleven articles in English and two articles in Chinese met the eligibility criteria. For single-day lags, per 10 g/m increase in PM concentration was associated with 0.30 [95% confidence interval (CI): 0.10, 0.50] percent increase in daily respiratory deaths; for multiday lags, the corresponding increase in respiratory deaths was 0.69 (95% CI: 0.55, 0.83) percent. Difference in the effects was observed between the northern cities and the south cities in China. No statistically significant concentration-response relationship between PM concentrations and their effects was found. With increasingly wider location coverage for PM data, it is crucial to further investigate the concentration-response pattern of PM effects on respiratory and other cause-specific mortality for the refinement and adaptation of global and national air quality guidelines and targets.

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