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Temporal trend of cause-specific mortality burden attributable to ambient PM 2.5 from different sectors and fuel types across Chinese provinces during 2015-2022.

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Název: Temporal trend of cause-specific mortality burden attributable to ambient PM 2.5 from different sectors and fuel types across Chinese provinces during 2015-2022.
Autoři: Chen J; Department of Epidemiology, School of Public Health, Sun Yat-sen University, Guangzhou, 510080, China., Zheng D; Department of Epidemiology, School of Public Health, Sun Yat-sen University, Guangzhou, 510080, China., Wen W; Department of Epidemiology, School of Public Health, Sun Yat-sen University, Guangzhou, 510080, China., Wieser L; International Institute for Applied Systems Analysis (IIASA), Schlossplatz 1, Laxenburg, 2361, Austria., Kiesewetter G; International Institute for Applied Systems Analysis (IIASA), Schlossplatz 1, Laxenburg, 2361, Austria., Wang C; Department of Epidemiology and Biostatistics, College of Public Health, Zhengzhou University, Zhengzhou, 450001, China., Zhang S; International Institute for Applied Systems Analysis (IIASA), Schlossplatz 1, Laxenburg, 2361, Austria. Electronic address: shaohui.zhang@iiasa.ac.at., Lin H; Department of Epidemiology, School of Public Health, Sun Yat-sen University, Guangzhou, 510080, China. Electronic address: linhualiang@mail.sysu.edu.cn.
Zdroj: Environmental research [Environ Res] 2025 Nov 15; Vol. 285 (Pt 3), pp. 122507. Date of Electronic Publication: 2025 Aug 06.
Způsob vydávání: Journal Article
Jazyk: English
Informace o časopise: Publisher: Elsevier Country of Publication: Netherlands NLM ID: 0147621 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1096-0953 (Electronic) Linking ISSN: 00139351 NLM ISO Abbreviation: Environ Res Subsets: MEDLINE
Imprint Name(s): Publication: <2000- > : Amsterdam : Elsevier
Original Publication: New York, Academic Press.
Výrazy ze slovníku MeSH: Particulate Matter*/analysis , Particulate Matter*/adverse effects , Air Pollutants*/analysis , Air Pollutants*/adverse effects , Environmental Exposure*/adverse effects , Air Pollution*/adverse effects , Air Pollution*/statistics & numerical data , Mortality*/trends , Cardiovascular Diseases*/mortality, China/epidemiology ; Humans ; Cause of Death/trends
Abstrakt: Competing Interests: Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.
Background: To estimate the disease-specific mortality burden attributable to fine particulate matter (PM 2.5 ) pollution in China across multiple sectors and fuel types during 2015-2022.
Methods: The Greenhouse Gas-Air Pollution Interactions and Synergies (GAINS) model was used to estimate PM 2.5 concentrations in Chinese provinces from seven sectors and five fuel types. The relative risks (RR) of seven diseases were assessed using the Integrated Exposure-Response (IER) model. The number of deaths attributable to PM 2.5 pollution (DAPP) and the attributable fraction (AF), representing the proportion of total deaths caused by PM 2.5 exposure, were estimated by province, sector, and fuel type, then compared across the years 2015, 2019, 2021, and 2022.
Results: Ambient PM 2.5 concentrations in China exhibited a gradual decline, the most substantial reductions were observed in household, industry, and agriculture. There were 1,440,000 PM 2.5 -related deaths and 13.8 % AF for China in 2022, with a reduction of 290,000 compared with 2015. The largest reductions among 31 provinces were observed in Henan, followed by Hebei and Shandong, with 27,000, 26,000, and 25,000 decreases, respectively. Additionally, DAPP decreased most in stroke and ischemic heart disease (IHD). For different sectors, agriculture, household and industry sectors demonstrated the greatest reductions in DAPP from 2015 to 2022, accounting for 131,000, 130,000, and 72,000, respectively. In 2022, DAPP attributable to coal combustion decreased by 190,000, with the most substantial reduction observed in the household sector. However, DAPP increased by 23,000 in 2022 compared to 2021, despite a continued decline in AF.
Conclusion: The findings highlight the substantial public health benefits of emission control measures implemented across multiple sectors in China, including industry, agriculture, and transport. To alleviate the health burden of an aging population, it is necessary and feasible to implement further PM 2.5 control efforts and develop targeted policies for different regions, diseases, and industries in China.
(Copyright © 2025 Elsevier Inc. All rights reserved.)
Contributed Indexing: Keywords: Attributable mortality; Emission control; Emission sector; Fine particulate matter; Fuel type
Substance Nomenclature: 0 (Particulate Matter)
0 (Air Pollutants)
Entry Date(s): Date Created: 20250804 Date Completed: 20251017 Latest Revision: 20251017
Update Code: 20251018
DOI: 10.1016/j.envres.2025.122507
PMID: 40759238
Databáze: MEDLINE
Popis
Abstrakt:Competing Interests: Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.<br />Background: To estimate the disease-specific mortality burden attributable to fine particulate matter (PM <subscript>2.5</subscript> ) pollution in China across multiple sectors and fuel types during 2015-2022.<br />Methods: The Greenhouse Gas-Air Pollution Interactions and Synergies (GAINS) model was used to estimate PM <subscript>2.5</subscript> concentrations in Chinese provinces from seven sectors and five fuel types. The relative risks (RR) of seven diseases were assessed using the Integrated Exposure-Response (IER) model. The number of deaths attributable to PM <subscript>2.5</subscript> pollution (DAPP) and the attributable fraction (AF), representing the proportion of total deaths caused by PM <subscript>2.5</subscript> exposure, were estimated by province, sector, and fuel type, then compared across the years 2015, 2019, 2021, and 2022.<br />Results: Ambient PM <subscript>2.5</subscript> concentrations in China exhibited a gradual decline, the most substantial reductions were observed in household, industry, and agriculture. There were 1,440,000 PM <subscript>2.5</subscript> -related deaths and 13.8 % AF for China in 2022, with a reduction of 290,000 compared with 2015. The largest reductions among 31 provinces were observed in Henan, followed by Hebei and Shandong, with 27,000, 26,000, and 25,000 decreases, respectively. Additionally, DAPP decreased most in stroke and ischemic heart disease (IHD). For different sectors, agriculture, household and industry sectors demonstrated the greatest reductions in DAPP from 2015 to 2022, accounting for 131,000, 130,000, and 72,000, respectively. In 2022, DAPP attributable to coal combustion decreased by 190,000, with the most substantial reduction observed in the household sector. However, DAPP increased by 23,000 in 2022 compared to 2021, despite a continued decline in AF.<br />Conclusion: The findings highlight the substantial public health benefits of emission control measures implemented across multiple sectors in China, including industry, agriculture, and transport. To alleviate the health burden of an aging population, it is necessary and feasible to implement further PM <subscript>2.5</subscript> control efforts and develop targeted policies for different regions, diseases, and industries in China.<br /> (Copyright © 2025 Elsevier Inc. All rights reserved.)
ISSN:1096-0953
DOI:10.1016/j.envres.2025.122507