Acute effects of air pollution on mortality among residents in Jiading District, Shanghai, in 1994 - 2024
10.3969/j.issn.1006-2483.2026.03.006
- VernacularTitle:1994—2024年上海市嘉定区大气污染对居民死亡的急性影响
- Author:
Dongyue MIAO
1
;
Menghao WANG
2
;
Renjie CHEN
2
;
Dongni LIANG
1
;
Yaqing JIN
1
;
Yunjie REN
1
;
Hongjie YU
1
Author Information
1. Jiading District Center for Disease Control and Prevention, Shanghai 201801, China
2. School of Public Health, Fudan University, Shanghai 200032, China
- Publication Type:Journal Article
- Keywords:
Air pollutants;
All-cause mortality;
Lag effect;
Distributed lag nonlinear model
- From:
Journal of Public Health and Preventive Medicine
2026;37(3):29-33
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the exposure-response relationships and lag effects between air pollutants (PM2.5, PM10, O3, and NO2) and mortality in Jiading District, Shanghai, and to provide a scientific basis for the formulation of environmental health policies. Methods Using an individual-level time-stratified case-crossover design, conditional logistic regression models in conjunction with a distributed lag nonlinear model (DLNM) were employed to analyze the exposure-response relationship and temporal lag patterns of ambient air pollution on resident mortality in Jiading District (1994–2024). Results A total of 59 048 death cases were collected, including 18,701 deaths from cardiovascular diseases and 11 731 deaths from respiratory diseases. PM2.5 and NO2 had a significant impact on all-cause mortality, cardiovascular disease mortality, and respiratory disease mortality, with the most significant effects observed within a lag of 0–3 days. PM10 also had some impact on these three types of mortality, but its effect was generally weaker than that of PM2.5 and NO2. The exposure-response curves showed that the risk of death increased rapidly with increasing concentrations of PM2.5 and PM10, while the effect of NO2 plateaued at higher levels. No significant differences were found across age or gender subgroups. Conclusion Short-term exposure to PM2.5, PM10, and NO2 significantly increases all-cause mortality risk in Jiading District, with effects persisting up to 7 days, highlighting the need for enhanced air pollution control measures, particularly targeting fine particulate matter.