2018年3月1日
Air pollution and suicide in 10 cities in Northeast Asia: A time-stratified case-crossover analysis
Environmental Health Perspectives
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- 巻
- 126
- 号
- 3
- 開始ページ
- 037002
- 終了ページ
- 記述言語
- 英語
- 掲載種別
- 研究論文(学術雑誌)
- DOI
- 10.1289/EHP2223
- 出版者・発行元
- Public Health Services, US Dept of Health and Human Services
BACKGROUND: There is growing evidence suggesting an association between air pollution and suicide. However, previous findings varied depending on the type of air pollutant and study location. OBJECTIVES: We examined the association between air pollutants and suicide in 10 large cities in South Korea, Japan, and Taiwan. METHODS: We used a two-stage meta-analysis. First, we conducted a time-stratified case-crossover analysis to estimate the short-term association between nitrogen dioxide (NO2), sulfur dioxide (SO2), and particulate matter [aerodynamic diameter ≤10 lm (PM10), aerodynamic diameter ≤2:5 lm (PM2:5), and PM10 − 2:5 ] and suicide, adjusted for weather factors, day-of-week, long-term time trends, and season. Then, we conducted a meta-analysis to combine the city-specific effect estimates for NO2, SO2, and PM10 across 10 cities and for PM2:5 and PM10 − 2:5 across 3 cities. We first fitted single-pollutant models, followed by two-pollutant models to examine the robustness of the associations. RESULTS: Higher risk of suicide was associated with higher levels of NO2, SO2, PM10, and PM10 − 2:5 over multiple days. The combined relative risks (RRs) were 1.019 for NO2 (95% confidence interval [CI]: 0.999, 1.039), 1.020 for SO2 (95% CI: 1.005, 1.036), 1.016 for PM10 (95% CI: 1.004, 1.029), and 1.019 for PM10 − 2:5 (95% CI: 1.005, 1.033) per interquartile range (IQR) increase in the 0–1 d average level of each pollutant. We found no evidence of an association for PM2:5. Some of the associations, particularly for SO2 and NO2, were attenuated after adjusting for a second pollutant. CONCLUSIONS: Our findings suggest that higher levels of air pollution may be associated with suicide, and further research is merited to understand the underlying mechanisms.
- リンク情報
- ID情報
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- DOI : 10.1289/EHP2223
- ISSN : 1552-9924
- ISSN : 0091-6765
- eISSN : 1552-9924
- PubMed ID : 29529596
- SCOPUS ID : 85045047399