Secular trends in type 2 diabetes mellitus attributable to PM_2.5 exposure in China from 1990 to 2019: an age-period-cohort analysis.

IF 2.2 4区医学 Q3 ENVIRONMENTAL SCIENCES International Journal of Environmental Health Research Pub Date : 2024-10-01 Epub Date: 2024-02-07 DOI:10.1080/09603123.2024.2314639

Haobiao Liu, Xue Lin, Lichun Qiao, Mian Liu, Zhenbo Bai, Jing Han

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Abstract

Secular trends of mortality and disability-adjusted life years (DALY) in type 2 diabetes mellitus (T2DM) attributable to PM_2.5 exposure in China remain unclear. This study applied the joinpoint regression analysis and age-period-cohort model to assess the secular trends. There was a slight alternation in age-standardized rate of mortality and DALY in the total population, while the changes were increased in males and decreased in females from 1990 to 2019. Meanwhile, the changes attributable to ambient particular matter pollution exposure (APE) increased significantly and reduced household air pollution from solid fuels exposure (HPE). Longitudinal age curves showed that T2DM mortality and DALY increased with age. Period rate ratios (RR) attributable to APE increased but fell to HPE. Similar trends were observed in the cohort RR. PM_2.5 exposure is more harmful to males and older people. The type of air pollution responsible for T2DM has changed from HPE to APE.

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1990-2019年中国PM2.5暴露导致的2型糖尿病的长期趋势：年龄段队列分析。

在中国，PM2.5暴露导致的2型糖尿病（T2DM）死亡率和残疾调整生命年（DALY）的长期趋势仍不明确。本研究采用连接点回归分析和年龄-时期-队列模型来评估其世俗趋势。结果表明，从1990年到2019年，总人口的年龄标准化死亡率和残疾调整寿命年数出现了轻微的交替变化，男性有所增加，女性有所减少。同时，环境特定物质污染暴露（APE）导致的变化显著增加，而固体燃料导致的家庭空气污染暴露（HPE）则有所减少。纵向年龄曲线显示，T2DM死亡率和DALY随年龄增长而增加。可归因于 APE 的期间比率（RR）增加，但归因于 HPE 的期间比率（RR）下降。在队列比率中也观察到类似的趋势。PM2.5 暴露对男性和老年人的危害更大。导致 T2DM 的空气污染类型已从 HPE 变为 APE。

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来源期刊

International Journal of Environmental Health Research 医学-公共卫生、环境卫生与职业卫生

CiteScore

6.70

自引率

3.10%

发文量

134

审稿时长

>12 weeks

期刊介绍： International Journal of Environmental Health Research ( IJEHR ) is devoted to the rapid publication of research in environmental health, acting as a link between the diverse research communities and practitioners in environmental health. Published articles encompass original research papers, technical notes and review articles. IJEHR publishes articles on all aspects of the interaction between the environment and human health. This interaction can broadly be divided into three areas: the natural environment and health – health implications and monitoring of air, water and soil pollutants and pollution and health improvements and air, water and soil quality standards; the built environment and health – occupational health and safety, exposure limits, monitoring and control of pollutants in the workplace, and standards of health; and communicable diseases – disease spread, control and prevention, food hygiene and control, and health aspects of rodents and insects. IJEHR is published in association with the International Federation of Environmental Health and includes news from the Federation of international meetings, courses and environmental health issues.