PMID- 29913413 OWN - NLM STAT- MEDLINE DCOM- 20181005 LR - 20181005 IS - 1873-6424 (Electronic) IS - 0269-7491 (Linking) VI - 241 DP - 2018 Oct TI - Shipping pollution emission associated with increased cardiovascular mortality: A time series study in Guangzhou, China. PG - 862-868 LID - S0269-7491(18)30020-4 [pii] LID - 10.1016/j.envpol.2018.06.027 [doi] AB - Substantial evidence has linked short-term exposure to ambient fine particulate matter (PM(2.5)) with increased cardiovascular mortality, however, the specific chemical constituent and emission source responsible for this effect remained largely unclear. A time series Poisson model was employed to quantify the association of cardiovascular mortality with two sets of shipping pollution emission: nickel (Ni), vanadium (V) (the indices of shipping emission) and estimated shipping emission using a source apportionment approach in Guangzhou, China in 2014. We observed that Ni, V, and estimated shipping emission in PM(2.5) were associated with increased cardiovascular mortality, an inter-quartile range (IQR) increase in lag(2) Ni was associated with 4.60% (95% CI: 0.14%, 9.26%) increase in overall cardiovascular mortality, and 13.35% (95% CI: 5.54%, 21.75%) increase in cerebrovascular mortality; each IQR increase of lag(1) V was correlated with 6.01% (95% CI: 1.83%, 10.37%) increase in overall cardiovascular mortality, and 11.02% (95% CI: 3.15%, 19.49%) increase in cerebrovascular mortality; and each IQR increase in lag(1) shipping emission was associated with 5.55% (95% CI: 0.78%, 10.54%) increase in overall cardiovascular mortality, and 10.39% (95% CI: 1.43%, 20.14%) increase in cerebrovascular mortality. The results remained robust to adjustment for PM(2.5) mass and gaseous air pollutants. This study suggests that shipping emission is an important detrimental factor of cardiovascular mortality, and should be emphasized in air pollution control and management in order to protect the public health in Guangzhou, China. CI - Copyright (c) 2018 Elsevier Ltd. All rights reserved. FAU - Lin, Hualiang AU - Lin H AD - Department of Medical Statistics and Epidemiology, School of Public Health, Sun Yat-sen University, Guangzhou, China. FAU - Tao, Jun AU - Tao J AD - South China Institute of Environmental Sciences, Ministry of Ecology and Environment, Guangzhou, China. FAU - Qian, Zhengmin Min AU - Qian ZM AD - Department of Epidemiology & Biostatistics, College for Public Health & Social Justice, Saint Louis University, Saint Louis, MO, USA. FAU - Ruan, Zengliang AU - Ruan Z AD - Department of Medical Statistics and Epidemiology, School of Public Health, Sun Yat-sen University, Guangzhou, China. FAU - Xu, Yanjun AU - Xu Y AD - Department of Chronic Non-Communicable Disease Control and Prevention, Guangdong Provincial Center for Disease Control and Prevention, Guangzhou, China. FAU - Hang, Jian AU - Hang J AD - School of Atmospheric Sciences, Sun Yat-sen University, Guangzhou, China. FAU - Xu, Xiaojun AU - Xu X AD - Department of Chronic Non-Communicable Disease Control and Prevention, Guangdong Provincial Center for Disease Control and Prevention, Guangzhou, China. FAU - Liu, Tao AU - Liu T AD - Guangdong Provincial Institute of Public Health, Guangdong Provincial Center for Disease Control and Prevention, Guangzhou, China. FAU - Guo, Yuming AU - Guo Y AD - Department of Epidemiology and Preventive Medicine, School of Public Health and Preventive Medicine, Monash University, Melbourne, VIC 3004, Australia. FAU - Zeng, Weilin AU - Zeng W AD - Guangdong Provincial Institute of Public Health, Guangdong Provincial Center for Disease Control and Prevention, Guangzhou, China. FAU - Xiao, Jianpeng AU - Xiao J AD - Guangdong Provincial Institute of Public Health, Guangdong Provincial Center for Disease Control and Prevention, Guangzhou, China. FAU - Guo, Lingchuan AU - Guo L AD - Guangdong Provincial Institute of Public Health, Guangdong Provincial Center for Disease Control and Prevention, Guangzhou, China. FAU - Li, Xing AU - Li X AD - Guangdong Provincial Institute of Public Health, Guangdong Provincial Center for Disease Control and Prevention, Guangzhou, China. FAU - Ma, Wenjun AU - Ma W AD - Guangdong Provincial Institute of Public Health, Guangdong Provincial Center for Disease Control and Prevention, Guangzhou, China. Electronic address: mawj@gdiph.org.cn. LA - eng PT - Journal Article DEP - 20180612 PL - England TA - Environ Pollut JT - Environmental pollution (Barking, Essex : 1987) JID - 8804476 RN - 0 (Air Pollutants) RN - 0 (Particulate Matter) SB - IM MH - Air Pollutants/analysis MH - Air Pollution/analysis/*statistics & numerical data MH - Cardiovascular Diseases/*mortality MH - China MH - Environmental Exposure/*statistics & numerical data MH - Environmental Pollution MH - Humans MH - Mortality MH - Particulate Matter/analysis MH - Public Health OTO - NOTNLM OT - Air pollution OT - Cardiovascular mortality OT - Emission source OT - Shipping emission EDAT- 2018/06/19 06:00 MHDA- 2018/10/06 06:00 CRDT- 2018/06/19 06:00 PHST- 2018/02/09 00:00 [received] PHST- 2018/06/06 00:00 [revised] PHST- 2018/06/08 00:00 [accepted] PHST- 2018/06/19 06:00 [pubmed] PHST- 2018/10/06 06:00 [medline] PHST- 2018/06/19 06:00 [entrez] AID - S0269-7491(18)30020-4 [pii] AID - 10.1016/j.envpol.2018.06.027 [doi] PST - ppublish SO - Environ Pollut. 2018 Oct;241:862-868. doi: 10.1016/j.envpol.2018.06.027. Epub 2018 Jun 12.