학술논문

Fine particles exposure and cardiopulmonary morbidity in Jeddah: A time-series analysis.
Document Type
Article
Source
Science of the Total Environment. Jan2019, Vol. 647, p1314-1322. 9p.
Subject
Language
ISSN
0048-9697
Abstract
Abstract Health effects linked to PM 2.5 , have been extensively studied in developed countries of Europe and N. America. However, little has been done in Saudi Arabia and the Middle East. This study evaluated the morbidity risk for cardiovascular (CVD) and respiratory (RD) diseases, associated with PM 2.5 exposure in Jeddah, Saudi Arabia. 24-h PM 2.5 sampling was conducted at 3 sites for 6 weeks quarterly from Apr 8th, 2013–Feb 18th, 2014 with simultaneous hospital data collection. The relative risks (RRs) for cardiopulmonary morbidity at different moving averages (MAs) of lagged exposures were estimated using a generalized linear time-series model. Elevated risks for RD were associated with recent PM 2.5 exposures (0–2 days). RD prevalence was highest in children 0–14 years. Overall, RD morbidity risk ranged from 1.081 (CI: 1.005–1.162) to 1.096 (CI: 1.023–1.173) at MAs_2–4; male, 1.081 (CI: 1.019–1.146) to 1.087 (CI: 1.020–1.159) at MAs_2–3, and female, 1.086 (CI: 1.007–1.172) to 1.093 (CI: 1.017–1.175) at MAs_2–4. Generally, females 0–14 years were the most at risk for RDs with RR = 1.097 (CI: 1.025–1.174) to 1.148 (CI: 1.049–1.257). CVD morbidity risk was highest in ER visits with overall RR = 1.057 (CI: 1.005–1.111) to 1.137 (CI: 1.065–1.213) across all MAs; male, 1.060 (CI: 1.007–1.204) to 1.131 (CI: 1.060–1.208); female, 1.065 (CI: 1.008–1.125) to 1.116 (CI: 1.045–1.192). PM 2.5 exposure showed significantly increased cardiopulmonary morbidity risk, accentuating the severe health effects associated with elevated PM 2.5 in Jeddah. Overall, females (0–14 years) were more at risk for RD morbidity than males. CVD morbidity risk was relatively higher in males than females, with highest risk observed in age-groups above 40 years. Graphical abstract Unlabelled Image Highlights • First study to assess fine particulate air pollution exposure on cardiopulmonary health in Jeddah. • Females (0–14 years) were more at risk for RD morbidity than males. • CVD risk was highest in males aged >40 years. • Results will provide the basis for policy implementation. [ABSTRACT FROM AUTHOR]