Years of life lost due to premature deaths associated with air pollution: An ecological time-series study

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dc.contributor.authorNascimento, Luiz Fernando Costa [UNESP]
dc.contributor.authorVieira, Luciana Cristina Pompeo Ferreira [UNESP]
dc.contributor.institutionUniversidade Estadual Paulista (UNESP)
dc.date.accessioned2022-04-28T19:48:16Z
dc.date.available2022-04-28T19:48:16Z
dc.date.issued2021-01-01
dc.description.abstractBACKGROUND: Exposure to air pollutants is associated with hospital admissions due to cardiovascular diseases and premature deaths. OBJECTIVE: To estimate years of life lost (YLL) due to premature deaths and their financial costs. DESIGN AND SETTING: Ecological time-series study carried out in São José dos Campos, Brazil, in 2016. METHODS: Data on deaths among residents of this city in 2016 were assessed to estimate the financial cost of premature deaths associated with air pollution. The diagnoses studied were ischemic heart disease, congestive heart failure and cerebrovascular disease, according to YLL. The fractions attributable to deaths associated with air pollutant exposure and to each potential year of life lost were calculated using negative binomial regression with lags of 0-7 days between exposure and outcome. Nitrogen dioxide, particulate matter (PM10) and ozone concentrations were included in the model and adjusted for temperature, hu-midity and seasonality. RESULTS: Exposure to particulate matter was significant at lag 3 days. There were 2177 hospitalizations over the study period, with 201 deaths (9.2%). Premature deaths led to 2035.69 years of life lost. A 10 μg/m³ increase in PM10 concentrations was correlated with 8.0% of the hospitalizations, which corresponded to 152.67 YLL (81.67 for males and 71.00 for females). The cost generated was approximately US$ 9.1 million in 2016. CONCLUSION: In this first study conducted in a medium-sized Brazilian city, using the YLL methodology, we identified an excess expense attributable to air pollution.en
dc.description.affiliationPostgraduate Program on Mechanical Engineering Department of Energy São Paulo State University (UNESP)
dc.description.affiliationPostgraduate Program on Mechanical Engineering Department of Energy Universidade Estadual de São Paulo (UNESP)
dc.description.affiliationUnespPostgraduate Program on Mechanical Engineering Department of Energy São Paulo State University (UNESP)
dc.description.affiliationUnespPostgraduate Program on Mechanical Engineering Department of Energy Universidade Estadual de São Paulo (UNESP)
dc.description.sponsorshipFundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)
dc.description.sponsorshipIdFAPESP: 2019/12928-4
dc.format.extent591-597
dc.identifierhttp://dx.doi.org/10.1590/1516-3180.2021.0129.090422021
dc.identifier.citationSao Paulo Medical Journal, v. 139, n. 6, p. 591-597, 2021.
dc.identifier.doi10.1590/1516-3180.2021.0129.090422021
dc.identifier.issn1516-3180
dc.identifier.scopus2-s2.0-85121028447
dc.identifier.urihttp://hdl.handle.net/11449/223034
dc.language.isoeng
dc.relation.ispartofSao Paulo Medical Journal
dc.sourceScopus
dc.subjectDALY
dc.subjectFinancial costs
dc.subjectYears of life lost
dc.titleYears of life lost due to premature deaths associated with air pollution: An ecological time-series studyen
dc.typeArtigo
unesp.author.orcid0000-0001-9793-750X[1]
unesp.author.orcid0000-0002-4285-8449[2]

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