The burden of air pollution on years of life lost in Beijing, China, 2004-08: retrospective regression analysis of daily deaths

Guo, Yuming, Li, Shanshan, Tian, Zhaoxing, Pan, Xiaochuan, Zhang, Jinliang and Williams, Gail (2013) The burden of air pollution on years of life lost in Beijing, China, 2004-08: retrospective regression analysis of daily deaths. BMJ, 347 f7139: 1-10. doi:10.1136/bmj.f7139


Author Guo, Yuming
Li, Shanshan
Tian, Zhaoxing
Pan, Xiaochuan
Zhang, Jinliang
Williams, Gail
Title The burden of air pollution on years of life lost in Beijing, China, 2004-08: retrospective regression analysis of daily deaths
Journal name BMJ
ISSN 0959-535X
1756-1833
Publication date 2013-12-09
Sub-type Article (original research)
DOI 10.1136/bmj.f7139
Open Access Status DOI
Volume 347
Issue f7139
Start page 1
End page 10
Total pages 10
Place of publication London, United Kingdom
Publisher B M J Group
Collection year 2014
Language eng
Formatted abstract
Objectives To better understand the burden of air pollution on deaths, we examined the effects of air pollutants on years of life lost (YLL) in Beijing, China.

Design Retrospective regression analysis using daily time series.

Setting 8 urban districts in Beijing, China.

Participants 80 515 deaths (48 802 male, 31 713 female) recorded by the Beijing death classification system during 2004-08.

Main outcome measures Associations between daily YLL and ambient air pollutants (particulate matter with aerodynamic diameter <2.5 µm (PM2.5), PM10, SO2, and NO2), after adjusting for long term trends, seasonality, day of the week, and weather conditions. We also examined mortality risk related to air pollutants.

Results Mean concentrations of daily PM2.5, PM10, SO2 and NO2 were 105.1 μg/m3, 144.6 μg/m3, 48.6 μg/m3, and 64.2 μg/m3, respectively. All air pollutants had significant effects on years of life lost when we used single pollutant models. An interquartile range (IQR) increase in PM2.5, PM10, SO2, and NO2 was related to YLL increases of 15.8, 15.8, 16.2, and 15.1 years, respectively. The effects of air pollutants on YLL appeared acutely and lasted for two days (lag 0-1); these effects associated with an IQR increase in PM2.5 were greater in women than men (11.1 (95% confidence interval 4.7 to 17.5) v 4.7 (−2.9 to 12.3) YLL) and in people aged up to 65 years than those older than 65 years (12.0 (2.9 to 21) v 3.8 (−0.9 to 8.6) YLL). The mortality risk associated with an IQR increase in PM2.5 was greater for people older than 65 years (2.5% (95% confidence interval 0.6% to 4.5%) increase of mortality) than those aged up to 65 years (0.7% (−0.8% to 2.2%)).

Conclusions YLL provides a complementary measure for examining the effect of air pollutants on mortality. Increased YLL are associated with increased air pollution. This study highlights the need to reduce air pollution in Beijing, China, to protect the health of the population.
Keyword Air pollution
Years of life lost
Mortality
PM2.5
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2014 Collection
School of Public Health Publications
 
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Created: Tue, 10 Dec 2013, 10:55:22 EST by Yuming Guo on behalf of School of Public Health