Abstract:
Objective To investigate dose-response relationship between daily concentration of particulate matter <2.5 microm in aerodynamic diameter (PM
2.5) and daily mortality rate and to provide a scientific basis for evaluating health impact of severe fog and haze.
Methods Domestic epidemiological studies on PM
2.5 and mortality were collected with systematically searching through China National Knowledge Infrastructure (CNKI),PubMed Database and Elsevier Science Direct Database.Stata 12.0 software was adopted to conduct a meta-analysis on short-time impact of PM
2.5 on mortality using inverse variance (I-V) weighting method.
Results A total of 11 literatures (one published in Chinese and 10 in English) were finally extracted,including 13 studies in six cities (Shanghai,Xi'an,Beijing,Shenyang,Guangzhou,and Chongqing).The results of meta-analysis show that a 10 μg/m
3 increase in daily PM
2.5 concentration is related to a 0.37% (95% confidence interval95%
CI:0.26%-0.48%) increase in daily mortality rate.Subgroup analyses show that a 10 μg/m
3 increase in daily PM
2.5 is related to a 0.33%(95%
CI=0.20%-0.46%) increase in daily mortality rate under the condition of relative higher average daily PM
2.5 ≥75 μg/m
3;while under the average daily PM
2.5 concentration of <75 μg/m
3,a 10 μg/m
3 PM
2.5 increase is related to a 0.50%(95%
CI=0.36%-0.63%)daily mortality rate increase. The results of subgroup analysis also show that under a relative higher ambient temperature (in Southern China),a 10 μg/m
3 PM
2.5 increase is related to a 0.51%(95%
CI=0.32%-0.69%) daily mortality rate increase,but the same increase in PM
2.5 is related to a 0.35%(95%
CI=0.23%-0.47%)increase in daily mortality rate under a relative lower ambient temperature (in Northern China).
Conclusion Increase in PM
2.5 concentration may relate to short-term increase in daily mortality rate among urban populations.