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タイトル: | Japanese Nationwide Study on the Association between Short-term Exposure to Particulate Matter and Mortality |
著者: | Michikawa, Takehiro Ueda, Kayo https://orcid.org/0000-0002-2104-1384 (unconfirmed) Takami, Akinori Sugata, Seiji Yoshino, Ayako Nitta, Hiroshi Yamazaki, Shin |
著者名の別形: | 上田, 佳代 |
キーワード: | fine particulate matter coarse particle mortality case-crossover Japanese |
発行日: | 5-Dec-2019 |
出版者: | Japan Epidemiological Association |
誌名: | Journal of Epidemiology |
巻: | 29 |
号: | 12 |
開始ページ: | 471 |
終了ページ: | 477 |
抄録: | Background: From around 2012, the use of automated equipment for fine particulate matter (PM₂.₅) measurement with equivalence to a reference method has become popular nationwide in Japan. This enabled us to perform a national health effect assessment employing PM₂.₅ concentrations based on the standardized measurement method. We evaluated the association between non-accidental mortality and short-term exposure to PM₂.₅ and coarse particulate matter (PM), with the latter estimated as the difference between suspended particulate matter and PM₂.₅, for the fiscal years 2012–2014. Methods: This was a time-stratified case-crossover study in 100 highly-populated Japanese cities. Mortality data was obtained from the Ministry of Health, Labour and Welfare. City-specific estimates of PM-mortality association were calculated by applying a conditional logistic regression analysis, and combined with a random-effects meta-analysis. Results: The respective averages of daily mean concentration were 14.6 µg/m³ for PM₂.₅ and 6.4 µg/m³ for coarse PM. A 10 µg/m³ increase in PM₂.₅ concentrations for the average of the day of death and the previous day was associated with an increase of 1.3% (95% confidence interval (CI), 0.9–1.6%) in total non-accidental mortality. For cause-specific mortality, PM₂.₅ was positively associated with cardiovascular and respiratory mortality. After adjustment for PM₂.₅, we observed a 1.4% (95% CI, 0.2–2.6%) increase in total mortality with a 10 µg/m³ increase in coarse PM. Conclusion: The study revealed that short-term exposure to PM₂.₅ had adverse effects on total non-accidental, cardiovascular, and respiratory mortality in Japan. Coarse PM exposure also increased the risk of total mortality. |
著作権等: | © 2018 Takehiro Michikawa et al. This is an open access article distributed under the terms of Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. |
URI: | http://hdl.handle.net/2433/246197 |
DOI(出版社版): | 10.2188/jea.JE20180122 |
PubMed ID: | 30369511 |
出現コレクション: | 学術雑誌掲載論文等 |
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