Mortality Burden Due to Short-term Exposure to Fine Particulate Matter in Korea

OBJECTIVES: Excess mortality associated with long-term exposure to fine particulate matter (PM2.5) has been documented. However, research on the disease burden following short-term exposure is scarce. We investigated the cause-specific mortality burden of short-term exposure to PM2.5 by considering the potential non-linear concentration-response relationship in Korea.

METHODS: Daily cause-specific mortality rates and PM2.5 exposure levels from 2010 to 2019 were collected for 8 Korean cities and 9 provinces. A generalized additive mixed model was employed to estimate the non-linear relationship between PM2.5 exposure and cause-specific mortality levels. We assumed no detrimental health effects of PM2.5 concentrations below 15 μg/m3. Overall deaths attributable to short-term PM2.5 exposure were estimated by summing the daily numbers of excess deaths associated with ambient PM2.5 exposure.

RESULTS: Of the 2 749 704 recorded deaths, 2 453 686 (89.2%) were non-accidental, 591 267 (21.5%) were cardiovascular, and 141 066 (5.1%) were respiratory in nature. A non-linear relationship was observed between all-cause mortality and exposure to PM2.5 at lag0, whereas linear associations were evident for cause-specific mortalities. Overall, 10 814 all-cause, 7855 non-accidental, 1642 cardiovascular, and 708 respiratory deaths were attributed to short-term exposure to PM2.5. The estimated number of all-cause excess deaths due to short-term PM2.5 exposure in 2019 was 1039 (95% confidence interval, 604 to 1472).

CONCLUSIONS: Our findings indicate an association between short-term PM2.5 exposure and various mortality rates (all-cause, non-accidental, cardiovascular, and respiratory) in Korea over the period from 2010 to 2019. Consequently, action plans should be developed to reduce deaths attributable to short-term exposure to PM2.5.

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - volume:57

Enthalten in:

Journal of preventive medicine and public health = Yebang Uihakhoe chi - 57(2024), 2 vom: 04. März, Seite 185-196

Sprache:

Englisch

Beteiligte Personen:

Oh, Jongmin [VerfasserIn]
Lim, Youn-Hee [VerfasserIn]
Han, Changwoo [VerfasserIn]
Lee, Dong-Wook [VerfasserIn]
Myung, Jisun [VerfasserIn]
Hong, Yun-Chul [VerfasserIn]
Kim, Soontae [VerfasserIn]
Bae, Hyun-Joo [VerfasserIn]

Links:

Volltext

Themen:

Air Pollutants
Burden of disease
Health impact assessment
Journal Article
Particulate Matter
Particulate matter
Premature death
Republic of Korea

Anmerkungen:

Date Completed 08.04.2024

Date Revised 10.04.2024

published: Print-Electronic

Citation Status MEDLINE

doi:

10.3961/jpmph.23.514

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM370656210