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(Reference retrieved automatically from SciELO through information on FAPESP grant and its corresponding number as mentioned in the publication by the authors.)

Years of life lost due to premature deaths associated with air pollution: an ecological time-series study

Full text
Author(s):
Luiz Fernando Costa Nascimento [1] ; Luciana Cristina Pompeo Ferreira Vieira [2]
Total Authors: 2
Affiliation:
[1] Universidade Estadual de São Paulo. Department of Energy. Postgraduate Program on Mechanical Engineering - Brasil
[2] Universidade Estadual de São Paulo. Department of Energy. Postgraduate Program on Mechanical Engineering - Brasil
Total Affiliations: 2
Document type: Journal article
Source: São Paulo Medical Journal; v. 139, n. 6, p. 591-597, 2021-10-29.
Abstract

ABSTRACT BACKGROUND: Exposure to air pollutants is associated with hospital admissions due to cardiovascular diseases and premature deaths. OBJECTIVE: To estimate years of life lost (YLL) due to premature deaths and their financial costs. DESIGN AND SETTING: Ecological time-series study carried out in São José dos Campos, Brazil, in 2016. METHODS: Data on deaths among residents of this city in 2016 were assessed to estimate the financial cost of premature deaths associated with air pollution. The diagnoses studied were ischemic heart disease, congestive heart failure and cerebrovascular disease, according to YLL. The fractions attributable to deaths associated with air pollutant exposure and to each potential year of life lost were calculated using negative binomial regression with lags of 0-7 days between exposure and outcome. Nitrogen dioxide, particulate matter (PM10) and ozone concentrations were included in the model and adjusted for temperature, humidity and seasonality. RESULTS: Exposure to particulate matter was significant at lag 3 days. There were 2177 hospitalizations over the study period, with 201 deaths (9.2%). Premature deaths led to 2035.69 years of life lost. A 10 μg/m3 increase in PM10 concentrations was correlated with 8.0% of the hospitalizations, which corresponded to 152.67 YLL (81.67 for males and 71.00 for females). The cost generated was approximately US$ 9.1 million in 2016. CONCLUSION: In this first study conducted in a medium-sized Brazilian city, using the YLL methodology, we identified an excess expense attributable to air pollution. (AU)

FAPESP's process: 19/12928-4 - Cost of premature death due to cardiovascular diseases associated with air pollution in the metropolitan region of the Paraíba Valley
Grantee:Luiz Fernando Costa Nascimento
Support Opportunities: Regular Research Grants