上西里西亚城市群因空气质量导致的门诊呼吸系统疾病评估
The assessment of respiratory diseases in ambulatory care attributable to air quality in the Upper Silesian agglomeration.
文献信息
| PMID | 42960997 |
|---|---|
| 原文 | 在 PubMed 查看原文 ↗ |
| 发表日期 | 2026 |
| 作者 | Joanna Kobza |
| 作者单位 | Medical University of Silesia in Katowice, Bytom, Poland (Faculty of Public Health, Department of Public Health). |
| 期刊 | International journal of occupational medicine and environmental health |
| SCI 分区 | Q3 |
| IF | 2 |
| 研究类型 | 临床研究 · 临床 |
| 所属专科 | 咽喉科 |
中文摘要
目的： 空气污染仍是现代社会面临的重大公共卫生威胁，其中二氧化硫（SO2）带来显著的呼吸系统风险。本研究调查了上西里西亚城市群在5年期间标准空气污染物（细颗粒物2.5 [PM2.5]、可吸入颗粒物10 [PM10]、SO2、氮氧化物 [NOx]、铅和苯）与特定呼吸系统疾病患病率之间的关系。
材料与方法： 针对目标疾病（包括急性咽炎、急性扁桃体炎、急性喉气管炎、肺炎、支气管炎和哮喘）的门诊就诊数据，依据相应的国际疾病分类（ICD）编码（J02、J03、J04、J13、J39、J40、J46）从国家健康基金（Narodowy Fundusz Zdrowia - NFZ）获取。采用Spearman和Kendall相关系数评估约50个地区监测站点的空气污染物日均浓度与NFZ报告的疾病发病率之间的关联。尽管上西里西亚省划分为8个区域，分析仍显示出显著的地理差异。
结果： 在第7和第8区域，SO2水平与呼吸系统疾病发病率增加之间存在非常强的相关性（τ = 0.99，ρ = 0.9），第1和第4区域也存在强相关性（ρ = 0.78）。
结论： 这些发现凸显了低水平SO2对健康影响研究不足的问题，并强调需要进一步调查这些区域健康差异的潜在驱动因素。Int J Occup Med Environ Health. 2026;39(5).
英文摘要
OBJECTIVES: Air pollution remains a critical public health threat in modern societies, with sulfur dioxide (SO2) driving significant respiratory risks. This study investigated the relationship between criteria air pollutants (particulate matter 2.5 [PM2.5], particulate matter 10 [PM10], SO2, nitrogen oxides [NOx], Pb, and benzene) and the prevalence of selected respiratory diseases in the Upper Silesian agglomeration over a 5-year period.
MATERIAL AND METHODS: Outpatient admission data for targeted conditions - including acute pharyngitis, acute tonsillitis, acute laryngotracheitis, pneumonia, bronchitis, and asthma - were obtained from the National Health Fund (Narodowy Fundusz Zdrowia - NFZ) based on the corresponding International Classification of Diseases (ICD) codes (J02, J03, J04, J13, J39, J40, J46). Spearman's and Kendall's correlation coefficients were used to evaluate the associations between average daily concentrations of air pollutants across approx. 50 regional monitoring stations and NFZ-reported disease incidence rates. Although the Upper Silesian Voivodeship is divided into 8 regions, the analysis revealed striking geographic variations.
RESULTS: A very strong correlation emerged between SO2 levels and increased respiratory disease incidence in regions 7 and 8 (τ = 0.99, ρ = 0.9), alongside a strong correlation in regions 1 and 4 (ρ = 0.78).
CONCLUSIONS: These findings highlight the under-examined health impacts of low-level SO2 and underscore the need for further investigations into the underlying drivers of these regional health disparities. Int J Occup Med Environ Health. 2026;39(5).