Coleção de Artigos Acadêmicos
URI permanente para esta coleçãohttps://repositorio.insper.edu.br/handle/11224/3227
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4 resultados
Resultados da Pesquisa
Artigo Científico Wildfire-sourced fine particulate matter and preterm birth risks in Brazil: A nationwide population-based cohort study(2024) Zhang, Yiwen; Huang, Wenzhong; Xu, Rongbin; Ye, Tingting; Chen, Gongbo; Yue, Xu; Coêl , Micheline de Sousa Zanotti Stagliorio; Saldiva, Paulo Hilario Nascimento; Song, Jiangning; Guo, Yuming; Li, ShanshanWildfire-specific particulate matter with diameters ≤ 2.5 µm (PM2.5) is the key component of wildfire smoke, with potentially higher toxicity than PM2.5 from other sources. In this nationwide population-based cohort study, we included 22,163,195 births from Brazil during 2010–2019. Daily wildfire-specific PM2.5 was estimated through the chemical transport model. Time-varying Cox proportional hazards models were used to characterize the exposure-time-response (E-T-R) relationship between weekly wildfire-specific PM2.5 exposure and preterm birth (PTB) risks, followed by subgroup analyses. A 10 µg/m3 increment in wildfire-specific PM2.5 was associated with a hazard ratio of 1.047 (95 % confidence interval [CI]: 1.032–1.063) for PTB. Stronger associations between wildfire-specific PM2.5 and PTB were observed during earlier pregnancy, among female infants, and pregnant women < 18 years old, in ethnic minorities, with a length of education ≥ 11 years, from low-income or high temperature municipalities, and residing in North/Northeast regions. An estimated 1.47 % (95 % CI: 1.01 %–1.94 %) of PTBs were attributable to wildfire-specific PM2.5 in Brazil, increasing from 2010 to 2019. The PTBs attributable to wildfire-specific PM2.5 surpassed those attributed to non-wildfire PM2.5 (0.31 %, 95% CI: 0.09 %–0.57 %). Wildfire emerged as a critical source contributing to the PM2.5-linked PTBs. Prioritized fire management and emission control strategies are warranted for PTB prevention.Artigo Científico Ambient PM2.5 and productivity-adjusted life years lost in Brazil: a national population-based study(2024) Wen, Bo; Ademi, Zanfina; Wu, Yao; Xu, Rongbin; Yu, Pei; Ye, Tingting; Coêlho, Micheline de Sousa Zanotti Stagliorio; Saldiva, Paulo Hilario Nascimento; Guo, Yuming; Li, ShanshanEnormous health burden has been associated with air pollution and its effects continue to grow. However, the impact of air pollution on labour productivity at the population level is still unknown. This study assessed the association between premature death due to PM2.5 exposure and the loss of productivity-adjusted life years (PALYs), in Brazil. We applied a novel variant of the difference-in-difference (DID) approach to assess the association. Daily all-cause mortality data in Brazil were collected from 2000–2019. The PALYs lost increased by 5.11% (95% CI: 4.10–6.13%), for every 10 µg/m3 increase in the 2-day moving average of PM2.5. A total of 9,219,995 (95% CI: 7,491,634–10,921,141) PALYs lost and US$ 268.05 (95% CI: 217.82–317.50) billion economic costs were attributed to PM2.5 exposure, corresponding to 7.37% (95% CI: 5.99–8.73%) of the total PALYs lost due to premature death. This study also found that 5,005,306 PALYs could be avoided if the World Health Organization (WHO) air quality guideline (AQG) level was met. In conclusion, this study demonstrates that ambient PM2.5 exposure is associated with a considerable labour productivity burden relating to premature death in Brazil, while over half of the burden could be prevented if the WHO AQG was met. The findings highlight the need to reduce ambient PM2.5 levels and provide strong evidence for the development of strategies to mitigate the economic impacts of air pollution.Artigo Científico Wildfire-related PM2.5 and cardiovascular mortality: A difference-in-differences analysis in Brazil(2024) Gao, Yuan; Huang, Wenzhong; Yu, Pei; Xu, Rongbin; Gasevic, Danijela; Yue, Xu; Coêlho, Micheline de Sousa Zanotti Stagliorio; Saldiva, Paulo Hilario Nascimento; Guo, Yuming; Li, ShanshanBrazil has experienced unprecedented wildfires recently. We aimed to investigate the association of wildfire-related fine particulate matter (PM2.5) with cause-specific cardiovascular mortality, and to estimate the attributable mortality burden. Exposure to wildfire-related PM2.5 was defined as exposure to annual mean wildfire-related PM2.5 concentrations in the 1-year prior to death. The variant difference-in-differences method was employed to explore the wildfire-related PM2.5-cardiovascular mortality association. We found that, in Brazil, compared with the population in the first quartile (Q1: ≤1.82 μg/m3) of wildfire-related PM2.5 exposure, those in the fourth quartile (Q4: 4.22–17.12 μg/m3) of wildfire-related PM2.5 exposure had a 2.2% (RR: 1.022, 95% CI: 1.013–1.032) higher risk for total cardiovascular mortality, 3.1% (RR: 1.031, 95% CI: 1.014–1.048) for ischaemic heart disease mortality, and 2.0% (RR: 1.020, 95% CI: 1.002–1.038) for stroke mortality. From 2010 to 2018, an estimation of 35,847 (95% CI: 22,424–49,177) cardiovascular deaths, representing 17.77 (95% CI: 11.12–24.38) per 100,000 population, were attributable to wildfire-related PM2.5 exposure. Targeted health promotion strategies should be developed for local governments to protect the public from the risk of wildfire-related cardiovascular premature deaths.Artigo Científico All-cause, cardiovascular, and respiratory mortality and wildfire-related ozone: a multicountry two-stage time series analysis(2024) Chen, Gongbo; Guo, Yuming; Yue, Xu; Xu, Rongbin; Yu, Wenhua; Ye, Tingting; Tong, Shilu; Gasparrini, Antonio; Bell, Michelle L; Armstrong, Ben; Schwartz, Joel; Jaakkola , Jouni J K; Lavigne , Eric; Saldiva, Paulo Hilario Nascimento; Kan, Haidong; Royé, Dominic; Urban, Aleš; Vicedo-Cabrera, Ana Maria; Tobias, Aurelio; Forsberg, Bertil; Sera, Francesco; Lei, Yadong; Abramson, Michael J; Li, Shanshan