PMID- 27707554 OWN - NLM STAT- MEDLINE DCOM- 20170220 LR - 20191210 IS - 1873-6424 (Electronic) IS - 0269-7491 (Linking) VI - 220 IP - Pt A DP - 2017 Jan TI - The construction and validity analysis of AQHI based on mortality risk: A case study in Guangzhou, China. PG - 487-494 LID - S0269-7491(16)31540-8 [pii] LID - 10.1016/j.envpol.2016.09.091 [doi] AB - The current air quality indices have been criticized for not capturing combined health effects of multiple air pollutants. We proposed an Air Quality Health Index (AQHI) based on the air pollution-mortality associations for communicating health risks of air pollution. Time-series studies were conducted to estimate the associations between air pollutants including sulfur dioxide (SO(2)), nitrogen dioxide (NO(2)), ozone (O(3)), suspended particulate matter smaller than 2.5 mum in aerodynamic diameter (PM(2.5)) and mortality in Guangzhou from 2012 to 2015. The sum of excess mortality risk was calculated to construct the AQHI, which was then adjusted to an arbitrary scale. We then assessed the validity of AQHI. An interquartile increase (IQR) of AQHI was associated with 3.61% [95% confidence interval (95% CI), 2.85%-4.37%], 3.73% (95%CI, 2.18%-5.27%) and 4.19% (95%CI, 2.87%-5.52%) increase of mortality, respiratory and cardiovascular hospital admissions, respectively. Compared with the currently used Air Quality Index (AQI), AQHI had higher effects on mortality and morbidity. Our study suggests that AQHI might comprehensively capture the combined effects of air pollution, which make it be a more valid communication tool of air pollution-related health risk. CI - Copyright A(c) 2016 Elsevier Ltd. All rights reserved. FAU - Li, Xing AU - Li X AD - Guangdong Provincial Institute of Public Health, Guangdong Provincial Center for Disease Control and Prevention, Guangzhou, Guangdong, China. FAU - Xiao, Jianpeng AU - Xiao J AD - Guangdong Provincial Institute of Public Health, Guangdong Provincial Center for Disease Control and Prevention, Guangzhou, Guangdong, China. FAU - Lin, Hualiang AU - Lin H AD - Guangdong Provincial Institute of Public Health, Guangdong Provincial Center for Disease Control and Prevention, Guangzhou, Guangdong, China. FAU - Liu, Tao AU - Liu T AD - Guangdong Provincial Institute of Public Health, Guangdong Provincial Center for Disease Control and Prevention, Guangzhou, Guangdong, China. FAU - Qian, Zhengmin AU - Qian Z AD - Department of Epidemiology, School of Public Health, Saint Louis University, Saint Louis, MO, USA. FAU - Zeng, Weilin AU - Zeng W AD - Guangdong Provincial Institute of Public Health, Guangdong Provincial Center for Disease Control and Prevention, Guangzhou, Guangdong, China. FAU - Guo, Lingchuan AU - Guo L AD - Guangdong Provincial Institute of Public Health, Guangdong Provincial Center for Disease Control and Prevention, Guangzhou, Guangdong, China. FAU - Ma, Wenjun AU - Ma W AD - Guangdong Provincial Institute of Public Health, Guangdong Provincial Center for Disease Control and Prevention, Guangzhou, Guangdong, China. Electronic address: mawj@gdiph.org.cn. LA - eng PT - Journal Article PT - Validation Study DEP - 20161002 PL - England TA - Environ Pollut JT - Environmental pollution (Barking, Essex : 1987) JID - 8804476 RN - 0 (Air Pollutants) RN - 0 (Particulate Matter) RN - 0UZA3422Q4 (Sulfur Dioxide) RN - 66H7ZZK23N (Ozone) RN - S7G510RUBH (Nitrogen Dioxide) SB - IM MH - Air Pollutants/adverse effects/analysis MH - Air Pollution/adverse effects/*analysis MH - China MH - Environmental Exposure/adverse effects/*analysis MH - Female MH - Hospitalization MH - Humans MH - Male MH - *Mortality MH - Nitrogen Dioxide/*analysis MH - Ozone/*analysis MH - Particle Size MH - Particulate Matter/adverse effects/*analysis MH - Reproducibility of Results MH - Risk MH - Risk Assessment/methods MH - Sulfur Dioxide/*analysis MH - Survival Rate OTO - NOTNLM OT - Air Quality Health Index OT - Air quality index OT - Morbidity OT - Mortality OT - Validity EDAT- 2016/10/07 06:00 MHDA- 2017/08/18 06:00 CRDT- 2016/10/07 06:00 PHST- 2016/07/05 00:00 [received] PHST- 2016/09/28 00:00 [revised] PHST- 2016/09/28 00:00 [accepted] PHST- 2016/10/07 06:00 [pubmed] PHST- 2017/08/18 06:00 [medline] PHST- 2016/10/07 06:00 [entrez] AID - S0269-7491(16)31540-8 [pii] AID - 10.1016/j.envpol.2016.09.091 [doi] PST - ppublish SO - Environ Pollut. 2017 Jan;220(Pt A):487-494. doi: 10.1016/j.envpol.2016.09.091. Epub 2016 Oct 2.