气候变化领域集成服务门户(CCPortal): Cigarette smoking increases deaths associated with air pollution in Hong Kong

CCPortal

DOI	10.1016/j.atmosenv.2020.117266
	Cigarette smoking increases deaths associated with air pollution in Hong Kong
	Sun S.; Cao W.; Chan K.-P.; Ran J.; Ge Y.; Zhang Y.; Feng Y.; Zeng Q.; Lee R.S.-Y.; Wong C.-M.; Tian L.; Lei Y.
发表日期	2020
ISSN	1352-2310
卷号	223
英文摘要	Background: Ambient air pollution and cigarette smoking are two significant risk factors for mortality; however, less is known about their interaction. Objectives: We aimed to examine effect modification of cigarette smoking on the association between short-term exposure to air pollution and mortality in the Chinese Elderly Health Service Cohort in Hong Kong. Methods: We included 16,290 Chinese elders aged 65 years or older who died between 1 July 1998 and 31 December 2011. Smoking history was collected through face-to-face interviews by registered nurses or doctors using a standardized structured questionnaire when they were recruited into the cohort. We used a time-stratified case-crossover approach to estimate the percent excess risk (ER%) of all-natural mortality per 10 μg/m3 increase in fine particulate matter (PM2.5), respirable particulate matter (PM10), and nitrogen dioxide (NO2) among current-, ex-, and never-smokers, and to estimate the additional percent excess risk (ΔER%) for current- and ex-smokers relative to never-smokers. We performed secondary analysis to assess whether the estimated additional risks varied by personal characteristics. Results: There were greater ERs % associated with air pollutants among current- and ex-smokers relative to never-smokers. We found ΔER% per 10 μg/m3 increase in air pollutants was statistically significant for PM2.5 among ex-smokers [2.63% (95% CI: 0.39%, 4.88%) at 1 day prior to death (lag1)], and PM10 among current-smokers [2.21% (95% CI: 0.08%, 4.33%) at lag1] and ex-smokers [1.96% (95% CI: 0.26%, 3.65%) at lag1]. The increased risks associated with cigarette smoking were more pronounced among males, overweight or obese elders, elders with three or more comorbidities, or elders received primary or lower education. Conclusion: Ever-smokers were more susceptible to excess mortality risk associated with daily air pollution, especially for males, overweight or obese elders, and those with poor health conditions or received lower educational attainment. Tobacco control can reduce the health burdens attributable to air pollution. © 2020
关键词	Air pollution Case-crossover study Cigarette smoking Interaction Mortality
语种	英语
scopus关键词	Air pollution; Health; Health risks; Nitrogen oxides; Particles (particulate matter); Risk assessment; Risk perception; Smoke; Surveys; Tobacco; Case crossovers; Cigarette smoking; Educational attainments; Fine particulate matter (PM2.5); Interaction; Mortality; Personal characteristics; Respirable particulate matters; Air pollution control; nitrogen dioxide; atmospheric pollution; elderly population; health risk; mortality; pollution exposure; smoking; aged; air pollutant; air pollution; Article; cigarette smoking; cohort analysis; comorbidity; death; disease burden; education; environmental exposure; female; gender; Hong Kong; human; major clinical study; male; mortality risk; never smoker; obesity; particulate matter; priority journal; risk factor; structured questionnaire; susceptible population; tobacco consumption; very elderly; weather; China; Hong Kong; Nicotiana tabacum
来源期刊	ATMOSPHERIC ENVIRONMENT
文献类型	期刊论文
条目标识符	http://gcip.llas.ac.cn/handle/2XKMVOVA/249363
作者单位	School of Public Health, The University of Hong Kong, Hong Kong SAR, China; Department of Epidemiology, Brown University School of Public Health, Providence, RI 02912, United States; Department of Environmental Health, Boston University School of Public Health, 715 Albany Street, Boston, MA 02118, United States; Center for Evidence Synthesis in Health, Brown University School of Public Health, Providence, RI 02912, United States; School of Public Health, Department of Epidemiology and Biostatistics, University of Georgia, United States; Hubei Providence Key Laboratory of Occupational Hazard Identification and Control, School of Public Health, Wuhan University of Science and Technology, Wuhan, 430065, China; Department of Preventive Medicine, School of Health Sciences, Wuhan University, Wuhan, 430071, China; University of Michigan Medical School, Ann Arbor, MI, United States; Department of Occupational and Environmental Health, School of Public Health, Tongji Medical College, Huazhong University of Scie...
推荐引用方式 GB/T 7714	Sun S.,Cao W.,Chan K.-P.,et al. Cigarette smoking increases deaths associated with air pollution in Hong Kong[J],2020,223.
APA	Sun S..,Cao W..,Chan K.-P..,Ran J..,Ge Y..,...&Lei Y..(2020).Cigarette smoking increases deaths associated with air pollution in Hong Kong.ATMOSPHERIC ENVIRONMENT,223.
MLA	Sun S.,et al."Cigarette smoking increases deaths associated with air pollution in Hong Kong".ATMOSPHERIC ENVIRONMENT 223(2020).