ارتباط سنجی تغییرات آلودگی هوای شهری با میزان مرگ بیماران قلبی عروقی و تنفسی «مطالعه موردی شهر اهواز دربازه زمانی 1387 لغایت 1396»

نوع مقاله : مقاله پژوهشی

نویسندگان

گروه محیط زیست، واحد اهواز، دانشگاه آزاد اسلامی اهواز، اهواز، ایران

10.22118/jsmj.2020.255524.2274

چکیده

زمینه و هدف: این مطالعه با هدف بررسی ارتباط بین تعداد مرگ بیماران قلبی – عروقی و بیماران تنفسی با میانگین غلظت شاخص های عمده کیفیت آلودگی هوا "”AQI شامل NO2 ، SO2 ، CO ،O3 وPM10 در دوره زمانی 10ساله از 1387 لغایت 1396 در شهر اهواز صورت پذیرفته است.
روش بررسی: ین مطالعه تحلیلی در سال 1398 بر اساس اطلاعات 10 ساله در شهر اهواز انجام شد. داده های مربوط به مراجعه کنندگان و تعداد مرگ ومیر بیماران قلبی و تنفسی، از طریق سیستم HIS (Hospital Information System) بیمارستانی و داده های مربوط به آلاینده های هوا از ایستگاههای سنجش و پایش کیفیت هوای شهر اهواز در شهر اهواز اخذ گردیده است. برای ارزیابی اثرات هر آلاینده و میزان مراجعه ومرگ بیماران قلبی و تنفسی، داده ها توسط نسخه چهار نرم افزار SPSS و به روش رگرسیون با توزیع پواسون مورد بررسی و تحلیل قرار گرفتند. فاصله اطمینان در سطح 95% و سطح معنی داری در این مطالعه 5% در نظر گرفته شده است.
یافته ها: براساس نتایج حاصل از تحلیل رگرسیون پواسون، بین میانگین غلظت آلاینده های NO2 وCO وSO2 با میزان مرگ بیماران با تشخیص مشکلات تنفسی ارتباط معنی دار مشاهده گردید. همچنین بین میانگین غلظت آلاینده های NO2 و COوPM با میزان مرگ بیماران با تشخیص مشکلات قلبی عروقی نیز ارتباط معنی دار مشاهده گردید.
نتیجه گیری: از این مطالعه چنین نتیجه گیری میشود که آلاینده های هوا سبب افزایشرمیزان مرگ بیماران با تشخیص مشکلات قلبی عروقی و تنفسی می شوند.

کلیدواژه‌ها


1-Linn WS, Szlachcic Y, Gong Jr H,Kinney PL, Berhane KT. Air Pollution and daily hospital admissions in metropolitan Los Angeles.  Environmental Health Perspectives.  2000;108(5):47-434.
2-WHO. (2014). Burden of disease from ambient and house hold air pollution
3-Loomis, D., Grosse, Y., Lauby-Secretan, B., El Ghissassi, F., Bouvard, V., Benbrahim- Tallaa, L., ... Straif, K. (2013). The carcinogenicity of outdoor air pollution. The lancet oncology, 14(13), 1262-1263
4-World Health Organization. Health aspects of air pollution: results from the WHO project” Systematic review of health aspects off air pollution in Europe”. 2004 Available from http://www.euro.who.int/__data/assets/pdf_file/003/74730/E83080.pdf-en_pdf
5-WHO.  (2014).  Burden of disease from ambient and household air pollution.
6-Dominici F, Peng RD, Bell ML, Pham L, McDermott A, Zeger SL, et al. fine particulate air pollution and hospital admission for cardiovascular and respiratory diseases. JAMA. 2006; 295(10):1127-34
7-Ren C, Tong S Health effects of ambient air pollution_recent research development and contemporary methodological challenges. Environmental Health. 2008;7(1):56.
8-Katsouyanni K, Touloumi G, Samoli E, Gryparis  A, Le Tertre  A, Monopolis Y, et al. Confounding and effect modification in the short-term effects of ambient particles on total mortality: resuits from 29 European cities within the APHEA2 project. Epidemiology.2001;12(5):521-31.
9-Braunwald E. (2005), Approach to the Patient with Cardiovascular Disease. In: Kasper DL, Branwald E, Favci AS, Havser SL, Longo DL, Jameson JL. Harrison's Principles of Internal Medicine. McGraw-Hill. New York, 1301-412
10-Minz D. Guideline for reporting of daily air quality:  air quality index (AQI):  US Environmental protection Agency, Office of Air Quality Planning and Standards,2006.
11-World Health Organization. Air quality guidelines for Europe, 2nd Edition, Copenhagen: World Health organization, Regional Office for Europe, 2000 (WHO Regional Publications, European Series No.91.
12-Dockery DW, Pope C A. Acute respiratory effects of particulate air pollution. Annu. Rev. Public Health1994; 15: 107-32
13-Bart DO, Susan H, Michael J, et al. Air Pollution and Daily Mortality in the Coachella Valley, California: A Study of PM10 Dominated by Coarse Particles. Environmental Research Section A 1999; 81: 231-8.
14-Samet JM, Dominici F, Curriero FC, et al. Fine particulate air pollution and mortality in 20 US cities, 1987–1994. New England J Med 2000; 343: 1742–9.
15-Goldberg MS, Burnett RT, Brook J, et al. Associations between daily cause-specific mortality and concentrations of ground-level ozone in Montreal, Quebec. Am J Epidemiol 2001; 154: 817-26.
16-Arian MA, Blair R, Finkelstein N, et al. The use of wind fields in a land use regression model to predict air pollution concentrations for health exposure studies. Int J Environ Heal Res 2007; 41: 3453- 64.
17-Naddafi K, Hassanvand MS, Yunesian M, Momeniha F, Nabizadeh R, Faridi S, et al. Health impact assessment of air pollution in megacity of Tehran, Iran.  Iranian Journal of Environmental Health Science & Engineering. 2012; 9(1):28.
18-Dehghani M, Zamanian Z, Azadbakht P, Pakizehkho R, Hashemi H. The Correlation of Shiraz Air Pollutants on the Hospital Admission Due to the Cardiopulmonary Disease in Shiraz Selective Educational Hospitals. J Health Syst Res 2013; 9(8)
19-Omidvar K, Shahaeian S, Amiri Esfandegheh M. Relation between Concentration of Pollutants and Some Climatic Parameters on Cardiovascular and Respiratory Disease Mortality in Shiraz. JSSU. 2020; 28 (3) :2467-2478
20-Naddafi K, Hassanvand M, Faridi S. Review of studies on air quality status and its health effects in Iran. ijhe. 2019; 12 (1) :151-172
21-Dehghani M, Anushiravani A, Hashemi H, Shamsedini N. Survey on air pollution and cardiopulmonary mortality in Shiraz from 2011 to 2012: an analytical-descriptive study. Int J Prev Med 2014; 5(6):734-40.
22-International Classification of Disease:  World Health Organization; 2015.  Available  from: http://apps. Who.int/classifications/icd10/browse/2015/en.
23-Idani E, Geravandi S, Akhzari M, Goudarzi G, Alavi N, Yari AR, Mehrpour M, Khavasi M, Bahmaei J, Bostan H, Dobaradaran S. Characteristics, sources, and health risks of atmospheric PM10-bound heavy metals in a populated middle eastern city. Toxin reviews. 2020 Jul 2;39(3):266-74.
24-Krzyzanowski M, Cohen A, Anderson R, W. H. O. Working Group. Quantification of health effects of exposure to air pollution. Occup Environ Med.2002;59(12): 791–3.
25-World Health Organization. WRFE. Air Quality Guidelines for Europe 2nd ed. Copenhagen: WHO Regional Publications; 2000
26-Kliment V, Kubínová R, Kazmarová H, Kratzer K, Sisma P, Ruprich J. Five years of the system of monitoring the environmental impact on population health of the Czech Republic. Cent Eur J Public Health. 2000; 8:198–205. 
27-Campbell-Lendrum D, Corvalán C. Climate change and developing-country cities: Implications for environmental health and equity. J Urban Health. 2007; 84:109–17. 
28-Reziaee S, Nuri K, Kazemnezhad A. The effects of CO of air pollution on pregnancy. Babol J Med Sci. 2004; 7:19–22
29-Ebrahimi SJ, Ebrahimzadeh L, Eslami A, Bidarpoor F. Effect of dust storm events on emergency admissions for cardiovascular and respiratory diseases in Sanandaj, Iran. Jornal of Environmental Health science and Engineering. 2014; 12(1):110.
30-World Health Organization, Europe WHOROF. Air quality guidelines:  global update 2005: particulate matter, ozone,nitrogen dioxide, and sulfur dioxide, Copenhagen  World  Health  organization, Regional  Office  for Europe  2006.
31-Goudarzi GR, Geravandi S, Salmanzadeh S, Mohammadi MJ. An estimation of respiratory deaths and COPD related to SO2 pollutant in Tabriz, northwest of Iran (2011). Razi Journal of Medical Sciences. 2015 May 10;22(131):44-50.
32-Goudarzi G, Geravandi S, Mohammadi MJ, Vosoughi M, Angali KA, Zallaghi E, Neisi AK, Saeidimehr S, Mohammadi B. Total number of deaths and respiratory mortality attributed to particulate matter (PM 10) in Ahvaz, Iran during 2009. International Journal of Environmental Health Engineering. 2015 Jan 1;4(1):33.
33-Ghorani-Azam A, Riahi-Zanjani B, Balali-Mood M. Effects of air pollution on human health and practical measures for prevention in Iran. Journal of research in medical sciences: the official journal of Isfahan University of Medical Sciences. 2016;21.
34-Lippmann M, Schlesinger RB. Toxicological bases for the setting of health-related air pollution standards. Annual review of public health. 2000 May;21(1):309-33.
35-Mokhtari M, Miri M, Mohammadi A, Khorsandi H, Hajizadeh Y, Abdolahnejad A. Assessment of Air Quality Index and Health Impact of PM10, PM2.5 and SO2 in Yazd, Iran. J Mazandaran Univ Med Sci.2015; 25(131) :14-23
36-Kermani M, Azarshab K, Dowlati M, Mansour G. A Survey of Air Quality Index and Quantification of Cardiovascular Mortality due to Exposure to Particulate Matter Smaller than 2.5 Micron in Boukan in 2015 . jehe. 2017; 4 (4) :269-278
37-Mohammadi H. The effect of climatic elements and air pollutants in Tehran on asthma during 1995-1999. Journal of the Faculty of Literature and Humanities. 2002; 163(23): 153-172.