Assessing the disease burden of air pollution on children and adolescents in China from 1990 to 2019

Guoshuang Feng; Juan Xia; Xinyu Wang; Hui Xu; Chanjuan Hao; Xin Zhang; Jinlei Qi; Peng Yin; Huiyu Xu; Yayuan Mei; Maigeng Zhou

doi:10.59717/j.xinn-med.2024.100057

The Innovation Medicine > 2024 Vol. 2 > No. 1 > 100057

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Assessing the disease burden of air pollution on children and adolescents in China from 1990 to 2019

1.
Big Data Center, Beijing Children’s Hospital, Capital Medical University, National Center for Children's Health, Beijing 100045, China
2.
Department of Epidemiology and Health Statistics, School of Public Health, Capital Medical University and Beijing Municipal Key Laboratory of Clinical Epidemiology, Beijing 100069, China
3.
Beijing Key Laboratory for Genetics of Birth Defects, Beijing Pediatric Research Institute; MOE Key Laboratory of Major Diseases in Children; Beijing Children's Hospital, Capital Medical University, National Center for Children's Health, Beijing 100045, China
4.
Heart Center, Beijing Children’s Hospital, Capital Medical University, National Center for Children's Health, Beijing 100045, China
5.
National Centre for Chronic and Noncommunicable Disease Control and Prevention, Chinese Centre for Disease Control and Prevention, Beijing 100050, China
6.
State Key Laboratory of Female Fertility Promotion, Center for Reproductive Medicine, Department of Obstetrics and Gynecology, Peking University Third Hospital, Beijing 100191, China
7.
These authors contributed equally

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Corresponding author: zhoumaigeng@ncncd.chinacdc.cn
Received Date: November 28, 2023

Accepted Date: March 05, 2024

Published Online: March 18, 2024

The Innovation Medicine 2(1), https://doi.org/10.59717/j.xinn-med.2024.100057 | Cite this article

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PUBLIC SUMMARY

PUBLIC SUMMARY
1. The disease burden attributable to air pollution in children decreased significantly from 1990 to 2019.
  
  Lower respiratory infections and neonatal preterm birth were the main air pollution-related diseases.
  
  Disease burden attributable to air pollution in children and adolescents varied across provinces.

ABSTRACT

ABSTRACT

Air pollution is a pressing concern in China, particularly its adverse effects on vulnerable populations such as children and adolescents. This study aimed to elucidate the disease burden in children and adolescents attributable to air pollution in geographical areas across China from 1990 to 2019. We used the Global Burden of Diseases, Injuries, and Risk Factors Study 2019 methodology to estimate disease burden attributable to air pollution in 33 areas of China, including provinces, autonomous regions, municipalities, and special administrative regions. In 2019, approximately 10,511 childhood deaths and 932,095 disability-adjusted life-years (DALYs) were attributable to air pollution in China. The DALYs was higher for boys and infants <1 year than it was for girls. Lower respiratory infections, neonatal preterm birth, and neonatal encephalopathy caused by birth asphyxia and trauma were the main air pollution-related diseases. The disease burden attributable to air pollution in children and adolescents decreased significantly from 1990 to 2019; with the average annual percent change (AAPC) of −9.11% ([95%CI, −9.61% to −8.60%], P<0.001) for death rate, and −9.09% ([−9.59% to −8.58%], P<0.001) for DALYs rate. Disease burden attributable to air pollution in children and adolescents varied across provinces, with DALYs rate per 100,000 population ranged from 16.88 in Hong Kong to 2,152.54 in Tibet, peaking in the health area five. These findings highlight the necessity for province-specific research into the impacts of air pollution on childhood health in China, as well as improved air pollution control measures.

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Feng G., Xia J., Wang X., et al., (2024). Assessing the disease burden of air pollution on children and adolescents in China from 1990 to 2019. The Innovation Medicine 2(1): 100057. https://doi.org/10.59717/j.xinn-med.2024.100057

Feng G., Xia J., Wang X., et al., (2024). Assessing the disease burden of air pollution on children and adolescents in China from 1990 to 2019. The Innovation Medicine 2(1): 100057. https://doi.org/10.59717/j.xinn-med.2024.100057

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