Daily mortality and air pollution in the Netherlands

被引:111
作者
Hoek, G [1 ]
Brunekreef, B
Verhoeff, A
van Wijnen, J
Fischer, P
机构
[1] Univ Utrecht, Environm & Occupat Hlth Grp, Utrecht, Netherlands
[2] Municipal Hlth Serv Amsterdam, Dept Epidemiol, Amsterdam, Netherlands
[3] Municipal Hlth Serv Amsterdam, Dept Environm Med, Amsterdam, Netherlands
[4] Natl Inst Publ Hlth & Environm, Lab Exposure Assessment & Environm Epidemiol, NL-3720 BA Bilthoven, Netherlands
关键词
D O I
10.1080/10473289.2000.10464182
中图分类号
X [环境科学、安全科学];
学科分类号
08 ; 0830 ;
摘要
We studied the association of daily mortality with short-term variations in the ambient concentrations of major gaseous pollutants and PM in the Netherlands. The magnitude of the association in the four major urban areas was compared with that in the remainder of the country. Daily cause-specific mortality counts, air quality, temperature, relative humidity, and influenza data were obtained from 1986 to 1994. The relationship between daily mortality and air pollution was modeled using Poisson regression analysis. We adjusted for potential confounding due to long-term and seasonal trends, influenza epidemics, ambient temperature and relative humidity, day of the week, and holidays, using generalized additive models. Influenza episodes were associated with increased mortality up to 3 weeks later. Daily mortality was significantly associated with the concentration of all air pollutants. An increase in the PM,, concentration by 100 mu g/m(3) was associated with a relative risk (RR) of 1.02 for total mortality. The largest RRs were found for pneumonia deaths. Ozone had the most consistent, independent association with mortality. Particulate air pollution (e.g., PM10, black smoke [BS]) was not more consistently associated with mortality than were the gaseous pollutants SO2 and NO2. Aerosol SO4-2, NO3-, and BS were more consistently associated with total mortality than was PM10. The RRs for all pollutants were substantially larger in the summer months than in the winter months. The RR of total mortality for PM10 was 1.10 for the summer and 1.03 for the winter. There was no consistent difference between RRs in the four major urban areas and the more rural areas.
引用
收藏
页码:1380 / 1389
页数:10
相关论文
共 29 条
[1]   Air pollution and daily admissions for chronic obstructive pulmonary disease in 6 European cities: Results from the APHEA project [J].
Anderson, HR ;
Spix, C ;
Medina, S ;
Schouten, JP ;
Castellsague, J ;
Rossi, G ;
Zmirou, D ;
Touloumi, G ;
Wojtyniak, B ;
Ponka, A ;
Bacharova, L ;
Schwartz, J ;
Katsouyanni, K .
EUROPEAN RESPIRATORY JOURNAL, 1997, 10 (05) :1064-1071
[2]   Air pollution and mortality in Valencia, Spain: A study using the APHEA methodology [J].
Ballester, F ;
Corella, D ;
PerezHoyos, S ;
Hervas, A .
JOURNAL OF EPIDEMIOLOGY AND COMMUNITY HEALTH, 1996, 50 (05) :527-533
[3]  
Bascom R, 1996, AM J RESP CRIT CARE, V153, P477, DOI 10.1164/ajrccm.153.2.8564086
[4]  
Bascom R, 1996, AM J RESP CRIT CARE, V153, P3, DOI 10.1164/ajrccm.153.1.8542133
[5]   Short term associations between outdoor air pollution and mortality in London 1992-4 [J].
Bremner, SA ;
Anderson, HR ;
Atkinson, RW ;
McMichael, AJ ;
Strachan, DP ;
Bland, JM ;
Bower, JS .
OCCUPATIONAL AND ENVIRONMENTAL MEDICINE, 1999, 56 (04) :237-244
[6]   EPIDEMIOLOGIC STUDIES ON SHORT-TERM EFFECTS OF LOW-LEVELS OF MAJOR AMBIENT AIR-POLLUTION COMPONENTS [J].
BRUNEKREEF, B ;
DOCKERY, DW ;
KRZYZANOWSKI, M .
ENVIRONMENTAL HEALTH PERSPECTIVES, 1995, 103 :3-13
[7]   ACUTE RESPIRATORY EFFECTS OF PARTICULATE AIR-POLLUTION [J].
DOCKERY, DW ;
POPE, CA .
ANNUAL REVIEW OF PUBLIC HEALTH, 1994, 15 :107-132
[8]  
Hastie T., 1990, Generalized additive model
[9]   Effects of ambient particulate matter and ozone on daily mortality in Rotterdam, the Netherlands [J].
Hoek, G ;
Schwartz, JD ;
Groot, B ;
Eilers, P .
ARCHIVES OF ENVIRONMENTAL HEALTH, 1997, 52 (06) :455-463
[10]   Short term effects of ambient sulphur dioxide and particulate matter on mortality in 12 European cities: Results from time series data from the APHEA project [J].
Katsouyanni, K ;
Touloumi, G ;
Spix, C ;
Schwartz, J ;
Balducci, F ;
Medina, S ;
Rossi, G ;
Wojtyniak, B ;
Sunyer, J ;
Bacharova, L ;
Schouten, JP ;
Ponka, A ;
Anderson, HR .
BMJ-BRITISH MEDICAL JOURNAL, 1997, 314 (7095) :1658-1663