TitleLong-term ambient ozone exposure and incident cardiovascular diseases: National cohort evidence in China
AuthorsZhu, Lifeng
Fang, Jiaying
Yao, Yao
Yang, Zhiming
Wu, Jing
Ma, Zongwei
Liu, Riyang
Zhan, Yu
Ding, Zan
Zhang, Yunquan
AffiliationWuhan Univ Sci & Technol, Inst Social Dev & Hlth Management, Sch Publ Hlth, Hubei Prov Key Lab Occupat Hazard Identificat & Co, Wuhan 430065, Peoples R China
Huadu Dist Peoples Hosp Guangzhou, Guangzhou 510800, Peoples R China
Peking Univ, China Ctr Hlth Dev Studies, Beijing 100871, Peoples R China
Univ Sci & Technol Beijing, Sch Econ & Management, Beijing 100083, Peoples R China
Nanjing Univ, Sch Environm, State Key Lab Pollut Control & Resource Reuse, Nanjing 210023, Peoples R China
Sichuan Univ, Dept Environm Sci & Engn, Chengdu 610065, Peoples R China
Baoan Cent Hosp Shenzhen, Shenzhen 518102, Peoples R China
Wuhan Univ Sci & Technol, Sch Publ Hlth, Wuhan 430065, Peoples R China
KeywordsAIR-POLLUTION
GLOBAL BURDEN
MORTALITY
PREVALENCE
TRENDS
PM2.5
Issue DateJun-2024
PublisherJOURNAL OF HAZARDOUS MATERIALS
AbstractBackground: Long-term ozone (O3) exposure has been associated with cardiovascular disease (CVD) mortality in mounting cohort evidence, yet its relationship with incident CVD was poorly understood, especially in low- and middle-income countries (LMICs) experiencing high ambient air pollution. Methods: We carried out a nationwide perspective cohort study from 2010 through 2018 by dynamically enrolling 36948 participants across Chinese mainland. Warm-season (April-September) O3 concentrations were estimated using satellite-based machine-learning models with national coverage. Cox proportional hazards model with time-varying exposures was employed to evaluate the association of long-term O3 exposure with incident CVD (overall CVD, hypertension, stroke, and coronary heart disease [CHD]). Assuming causality, a
URIhttp://hdl.handle.net/20.500.11897/712268
ISSN0304-3894
DOI10.1016/j.jhazmat.2024.134158
IndexedSCI(E)
Appears in Collections:国家发展研究院

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