Potential Drivers for the Spatiotemporal Patterns of the Global Burden of Chronic Obstructive Pulmonary Disease Attributable to Ambient Ozone, 1990-2019

• Auteurs principaux: Ning Wang (Auteur), Jian Cheng (Auteur), Zhiwei Xu (Auteur), Shuai Wang (Auteur), Qiutong Wang (Auteur), Xuefei Feng (Auteur), Wenbiao Hu (Auteur), Baohua Wang (Auteur)
• Format: Livre
• Publié: Frontiers Media S.A., 2024-07-01T00:00:00Z.
• Sujets: article
• Accès en ligne: Connect to this object online.

Résumé

ObjectivesTo identify the long-term spatiotemporal trend of ozone-related chronic obstructive pulmonary disease (COPD) burden by sex and country and to explore potential drivers.MethodsWe retrieved data of ozone-related COPD death and disability adjusted life year (DALY) from the Global Burden of Disease 2019. We used a linear regression of natural logarithms of age-standardized rates (ASRs) with calendar year to examine the trends in ASRs and a panel regression to identify country-level factors associated with the trends.ResultsGlobal ozone-attributable COPD deaths increased from 117,114 to 208,342 among men and from 90,265 to 156,880 among women between 1990 and 2019. Although ASRs of ozone-related COPD death and DALY declined globally, they increased in low and low-middle Socio-demographic Index (SDI) regions, with faster rise in women. Elevated average maximum temperature was associated with higher ozone-attributable COPD burden, while more green space was associated with lower burden.ConclusionMore efforts are needed in low and low-middle SDI regions, particularly for women, to diminish inter-country inequality in ozone-attributable COPD. Global warming may exacerbate the burden. Expanding green space may mitigate the burden.

Description

1661-8564
10.3389/ijph.2024.1606062