Global, regional, and national burden of ischemic heart disease attributable to ambient PM2.5 from 1990 to 2019: An analysis for the global burden of disease study 2019

Li Hao Guo, Li Zi Lin, Yang Zhou, Bin Jalaludin, Lidia Morawska, Shyamali C. Dharmage, Luke D. Knibbs, Guo Feng Huang, Duo Hong Chen, Huimin Ma, Meng Gao, Joachim Heinrich, Peien Zhou, Zhao Huan Gui, Chu Chu, Ru Qing Liu, Guang Hui Dong*

*Corresponding author for this work

Research output: Contribution to journalJournal articlepeer-review

Abstract

Information on the spatio-temporal patterns of the burden of ischemic heart disease (IHD) caused by ambient ambient fine particulate matter (PM2.5) in the global level is needed to prioritize the control of ambient air pollution and prevent the burden of IHD. The Global Burden of Disease Study (GBD) 2019 provides data on IHD attributable to ambient PM2.5. The IHD burden and mortality attributable to ambient PM2.5 were analyzed by year, age, gender, socio-demographic index (SDI) level, geographical region and country. Estimated annual percentage change (EAPC) was calculated to estimate the temporal trends of age-standardized mortality rate (ASMR) and age-standardized disability-adjusted life years rate (ASDR) from 1990 to 2019. Globally, the ASMR and ASDR for ambient PM2.5-related IHD tended to level off generally, with EAPC of −0.03 (95% CI: −0.06, 0.12) and 0.3 (95% CI: 0.22, 0.37), respectively. In the past 30 years, there were obvious differences in the trend of burden change among different regions. A highest increased burden was estimated in low-middle SDI region (EAPC of ASMR: 3.73 [95% CI: 3.56, 3.9], EAPC of ASDR: 3.83 [95% CI: 3.64, 4.02]). In contrast, the burden in high SDI region (EAPC of ASMR: −4.48 [95% CI: −4.6, −4.35], EAPC of ASDR: −3.98 [95% CI: −4.12, −3.85]) has declined most significantly. Moreover, this burden was higher among men and older populations. EAPCs of the ASMR (R = −0.776, p < 0.001) and ASDR (R = −0.781, p < 0.001) of this burden had significant negative correlations with the countries’ SDI level. In summary, although trends in the global burden of IHD attributable to ambient PM2.5 are stabilizing, but this burden has shifted from high SDI countries to middle and low SDI countries, especially among men and elderly populations. To reduce this burden, the air pollution management prevention need to be further strengthened, especially among males, older populations, and middle and low SDI countries.

Original languageEnglish
Article number117635
JournalEnvironmental Research
Volume241
Early online date14 Nov 2023
DOIs
Publication statusPublished - 15 Jan 2024

Scopus Subject Areas

  • Environmental Science(all)
  • Biochemistry

User-Defined Keywords

  • Air pollution
  • Ambient PM2.5
  • Death
  • Disability-adjusted life years
  • Global burden
  • IHD
  • Ambient PM

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