PMID- 36438234 OWN - NLM STAT- MEDLINE DCOM- 20221129 LR - 20230130 IS - 2296-2565 (Electronic) IS - 2296-2565 (Linking) VI - 10 DP - 2022 TI - Effects of air pollution on cardiovascular health in patients with type 2 diabetes mellitus: Evidence from a large tertiary hospital in Shandong Province, China. PG - 1050676 LID - 10.3389/fpubh.2022.1050676 [doi] LID - 1050676 AB - Air pollution has posed serious threats to human health. Based on the microdata of a large tertiary hospital in Shandong Province from 2016 to 2021, combined with the macro data such as air quality monitoring data, meteorological data, and city-level regional socio-economic data, this paper empirically tests the impact of air pollution instrumented by thermal inversions on the cardiovascular health of patients with type 2 diabetes mellitus (T2DM) and its group differences. The results show that: (1) Air pollution has a negative impact on the cardiovascular health of patients with T2DM, that is, the cardiovascular health of patients with T2DM will decline in regions with high air pollution; (2) The impact of air pollution on cardiovascular health in T2DM patients is heterogeneous, with males and older patients bearing greater air pollution health losses; (3) From the perspective of the external environment, the negative effects of environmental pollution on patients' health were significantly reduced in areas with higher environmental regulation intensity and better public health conditions, indicating the necessity of strengthening environmental governance and increasing public health expenditure. CI - Copyright (c) 2022 Zhang, Ren, Wang, Zhu, Qu and Yuan. FAU - Zhang, Jitian AU - Zhang J AD - Clinical Nutrition Department, Shandong Provincial Hospital Affiliated to Shandong First Medical University, Jinan, China. FAU - Ren, Dong AU - Ren D AD - Scientific Research Management Department, Shandong Academy of Macroeconomic Research, Jinan, China. FAU - Wang, Shuo AU - Wang S AD - The Center for Economic Research, Shandong University, Jinan, China. FAU - Zhu, Sha AU - Zhu S AD - Medical Administration Department, Shandong Provincial Hospital Affiliated to Shandong First Medical University, Jinan, China. FAU - Qu, Kai AU - Qu K AD - Shandong Provincial Eco-environment Monitoring Center, Jinan, China. FAU - Yuan, Yuan AU - Yuan Y AD - Clinical Nutrition Department, Shandong Provincial Hospital Affiliated to Shandong First Medical University, Jinan, China. LA - eng PT - Journal Article DEP - 20221109 PL - Switzerland TA - Front Public Health JT - Frontiers in public health JID - 101616579 SB - IM MH - Male MH - Humans MH - *Diabetes Mellitus, Type 2/epidemiology MH - Conservation of Natural Resources MH - Tertiary Care Centers MH - Environmental Policy MH - *Air Pollution/adverse effects/analysis MH - China/epidemiology PMC - PMC9682228 OTO - NOTNLM OT - air pollution OT - cardiovascular health OT - group differences OT - instrumental variables regression OT - type 2 diabetes mellitus COIS- The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. EDAT- 2022/11/29 06:00 MHDA- 2022/11/30 06:00 PMCR- 2022/11/09 CRDT- 2022/11/28 04:13 PHST- 2022/09/22 00:00 [received] PHST- 2022/10/24 00:00 [accepted] PHST- 2022/11/28 04:13 [entrez] PHST- 2022/11/29 06:00 [pubmed] PHST- 2022/11/30 06:00 [medline] PHST- 2022/11/09 00:00 [pmc-release] AID - 10.3389/fpubh.2022.1050676 [doi] PST - epublish SO - Front Public Health. 2022 Nov 9;10:1050676. doi: 10.3389/fpubh.2022.1050676. eCollection 2022.