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Health Effects of PM 2.5 Exposure in China from 2004 to 2018: A Systematic Review and Meta-Analysis

Author

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  • Fangfang Ruan

    (School of International Economics and Trade, Ningbo University of Finance and Economics, Ningbo 315000, China
    School of Environment and Natural Resources, Renmin University of China, Beijing 100872, China)

  • Xiangang Zeng

    (School of Environment and Natural Resources, Renmin University of China, Beijing 100872, China)

Abstract

In order to comprehensively evaluate the impact of fine particulate matter (PM 2.5 ) exposure on public health in China, and to obtain a quantitative concentration–response relationship, the literature published in multiple databases from 1980 to 2019 was searched to obtain studies on the health effects of PM 2.5 on the Chinese population in this paper. According to the inclusion and exclusion criteria, 67 studies were included in the research, which covered the study period from 2004 to 2018. A systematic review shows that there are 30 diseases and 46 health effect outcomes with clear concentration–response relationships with PM 2.5 in China. Seven health effects were investigated by meta-analysis. For each 10 μg/m 3 increase in PM 2.5 , the combined overall random-effects relative risk (RR) of non-accidental mortality, mortality due to cardiovascular disease, and mortality due to respiratory disease was 1.006 (95% CI = 1.004, 1.007), 1.007 (95% CI = 1.005, 1.008), and 1.008 (95% CI = 1.006, 1.010), respectively. The RR of hospital admission due to cardiovascular disease and respiratory disease was 1.006 (95% CI = 0.999, 1.014) and 1.006 (95% CI = 1.003, 1.010), respectively. In terms of outpatient visits, a 10 μg/m 3 increase in PM 2.5 corresponds to a 1.004 (95% CI = 1.002, 1.006) and 1.008 (95% CI = 1.005, 1.010) RR for cardiovascular disease and respiratory disease, respectively.

Suggested Citation

  • Fangfang Ruan & Xiangang Zeng, 2022. "Health Effects of PM 2.5 Exposure in China from 2004 to 2018: A Systematic Review and Meta-Analysis," Sustainability, MDPI, vol. 15(1), pages 1-15, December.
    • Handle: RePEc:gam:jsusta:v:15:y:2022:i:1:p:224-:d:1012732
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    References listed on IDEAS

    as
    1. Kai Luo & Wenjing Li & Ruiming Zhang & Runkui Li & Qun Xu & Yang Cao, 2016. "Ambient Fine Particulate Matter Exposure and Risk of Cardiovascular Mortality: Adjustment of the Meteorological Factors," IJERPH, MDPI, vol. 13(11), pages 1-17, November.
    2. Fengchao Liang & Lin Tian & Qun Guo & Dane Westerdahl & Yang Liu & Xiaobin Jin & Guoxing Li & Xiaochuan Pan, 2017. "Associations of PM 2.5 and Black Carbon with Hospital Emergency Room Visits during Heavy Haze Events: A Case Study in Beijing, China," IJERPH, MDPI, vol. 14(7), pages 1-13, July.
    3. Lisha Luo & Yunquan Zhang & Junfeng Jiang & Hanghang Luan & Chuanhua Yu & Peihong Nan & Bin Luo & Mao You, 2018. "Short-Term Effects of Ambient Air Pollution on Hospitalization for Respiratory Disease in Taiyuan, China: A Time-Series Analysis," IJERPH, MDPI, vol. 15(10), pages 1-14, October.
    4. Junfang Cai & Shuyuan Yu & Yingxin Pei & Chaoqiong Peng & Yuxue Liao & Ning Liu & Jiajia Ji & Jinquan Cheng, 2018. "Association between Airborne Fine Particulate Matter and Residents’ Cardiovascular Diseases, Ischemic Heart Disease and Cerebral Vascular Disease Mortality in Areas with Lighter Air Pollution in China," IJERPH, MDPI, vol. 15(9), pages 1-17, September.
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