Health Effects of Long-Term Exposure to Ambient PM2.5 in Asia-Pacific: a Systematic Review of Cohort Studies

Zhengyu Yang; Rahini Mahendran; Pei Yu; Rongbin Xu; Wenhua Yu; Sugeesha Godellawattage; Shanshan Li; Yuming Guo

doi:10.1007/s40572-022-00344-w

Health Effects of Long-Term Exposure to Ambient PM_2.5 in Asia-Pacific: a Systematic Review of Cohort Studies

Zhengyu Yang, Rahini Mahendran, Pei Yu, Rongbin Xu, Wenhua Yu, Sugeesha Godellawattage, Shanshan Li, Yuming Guo

Research output: Contribution to journal › Review Article › Research › peer-review

59 Citations (Scopus)

Abstract

Abstract: Purpose of Review: Health effects of long-term exposure to ambient PM_2.5 vary with regions, and 75% of the deaths attributable to PM_2.5 were estimated in Asia-Pacific in 2017. This systematic review aims to summarize the existing evidence from cohort studies on health effects of long-term exposure to ambient PM_2.5 in Asia-Pacific. Recent Findings: In Asia-Pacific, 60 cohort studies were conducted in Australia, Mainland China, Hong Kong, Taiwan, and South Korea. They consistently supported associations of long-term exposure to PM_2.5 with increased all-cause/non-accidental and cardiovascular mortality as well as with incidence of cardiovascular diseases, type 2 diabetes mellitus, kidney diseases, and chronic obstructive pulmonary disease. Evidence for other health effects was limited. Inequalities were identified in PM_2.5-health associations. Summary: To optimize air pollution control and public health prevention, further studies need to assess the health effects of long-term PM_2.5 exposure in understudied regions, the health effects of long-term PM_2.5 exposure on mortality and risk of type 2 diabetes mellitus, renal diseases, dementia and lung cancer, and inequalities in PM_2.5-health associations. Study design, especially exposure assessment methods, should be improved.

Original language	English
Pages (from-to)	130-151
Number of pages	22
Journal	Current Environmental Health Reports
Volume	9
Issue number	2
DOIs	https://doi.org/10.1007/s40572-022-00344-w
Publication status	Published - Jun 2022

Keywords

Asia-Pacific
Health effect
Long-term exposure
Particulate matter
Systematic review

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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10.1007/s40572-022-00344-wLicence: CC BY

Cite this

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title = "Health Effects of Long-Term Exposure to Ambient PM2.5 in Asia-Pacific: a Systematic Review of Cohort Studies",

abstract = "Abstract: Purpose of Review: Health effects of long-term exposure to ambient PM2.5 vary with regions, and 75% of the deaths attributable to PM2.5 were estimated in Asia-Pacific in 2017. This systematic review aims to summarize the existing evidence from cohort studies on health effects of long-term exposure to ambient PM2.5 in Asia-Pacific. Recent Findings: In Asia-Pacific, 60 cohort studies were conducted in Australia, Mainland China, Hong Kong, Taiwan, and South Korea. They consistently supported associations of long-term exposure to PM2.5 with increased all-cause/non-accidental and cardiovascular mortality as well as with incidence of cardiovascular diseases, type 2 diabetes mellitus, kidney diseases, and chronic obstructive pulmonary disease. Evidence for other health effects was limited. Inequalities were identified in PM2.5-health associations. Summary: To optimize air pollution control and public health prevention, further studies need to assess the health effects of long-term PM2.5 exposure in understudied regions, the health effects of long-term PM2.5 exposure on mortality and risk of type 2 diabetes mellitus, renal diseases, dementia and lung cancer, and inequalities in PM2.5-health associations. Study design, especially exposure assessment methods, should be improved.",

keywords = "Asia-Pacific, Health effect, Long-term exposure, Particulate matter, Systematic review",

author = "Zhengyu Yang and Rahini Mahendran and Pei Yu and Rongbin Xu and Wenhua Yu and Sugeesha Godellawattage and Shanshan Li and Yuming Guo",

note = "Funding Information: Open Access funding enabled and organized by CAUL and its Member Institutions. This study was supported by the Australian Research Council (DP210102076) and the Australian National Health and Medical Research Council (APP2000581). Funding Information: ZY and RM were supported by the Australian Government Research Training Program Scholarship. PY and RX were supported by China Scholarship Council funds (grant number: 201906210065 for PY, 201806010405 for RX); SL was supported by Early Career Fellowship of the Australian National Health and Medical Research Council (grant number: APP1109193); and YG was supported by Career Development Fellowships of the Australian National Health and Medical Research Council (grant number: APP1163693). Publisher Copyright: {\textcopyright} 2022, The Author(s).",

year = "2022",

month = jun,

doi = "10.1007/s40572-022-00344-w",

language = "English",

volume = "9",

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T1 - Health Effects of Long-Term Exposure to Ambient PM2.5 in Asia-Pacific

T2 - a Systematic Review of Cohort Studies

AU - Yang, Zhengyu

AU - Mahendran, Rahini

AU - Yu, Pei

AU - Xu, Rongbin

AU - Yu, Wenhua

AU - Godellawattage, Sugeesha

AU - Li, Shanshan

AU - Guo, Yuming

N1 - Funding Information: Open Access funding enabled and organized by CAUL and its Member Institutions. This study was supported by the Australian Research Council (DP210102076) and the Australian National Health and Medical Research Council (APP2000581). Funding Information: ZY and RM were supported by the Australian Government Research Training Program Scholarship. PY and RX were supported by China Scholarship Council funds (grant number: 201906210065 for PY, 201806010405 for RX); SL was supported by Early Career Fellowship of the Australian National Health and Medical Research Council (grant number: APP1109193); and YG was supported by Career Development Fellowships of the Australian National Health and Medical Research Council (grant number: APP1163693). Publisher Copyright: © 2022, The Author(s).

PY - 2022/6

Y1 - 2022/6

N2 - Abstract: Purpose of Review: Health effects of long-term exposure to ambient PM2.5 vary with regions, and 75% of the deaths attributable to PM2.5 were estimated in Asia-Pacific in 2017. This systematic review aims to summarize the existing evidence from cohort studies on health effects of long-term exposure to ambient PM2.5 in Asia-Pacific. Recent Findings: In Asia-Pacific, 60 cohort studies were conducted in Australia, Mainland China, Hong Kong, Taiwan, and South Korea. They consistently supported associations of long-term exposure to PM2.5 with increased all-cause/non-accidental and cardiovascular mortality as well as with incidence of cardiovascular diseases, type 2 diabetes mellitus, kidney diseases, and chronic obstructive pulmonary disease. Evidence for other health effects was limited. Inequalities were identified in PM2.5-health associations. Summary: To optimize air pollution control and public health prevention, further studies need to assess the health effects of long-term PM2.5 exposure in understudied regions, the health effects of long-term PM2.5 exposure on mortality and risk of type 2 diabetes mellitus, renal diseases, dementia and lung cancer, and inequalities in PM2.5-health associations. Study design, especially exposure assessment methods, should be improved.

AB - Abstract: Purpose of Review: Health effects of long-term exposure to ambient PM2.5 vary with regions, and 75% of the deaths attributable to PM2.5 were estimated in Asia-Pacific in 2017. This systematic review aims to summarize the existing evidence from cohort studies on health effects of long-term exposure to ambient PM2.5 in Asia-Pacific. Recent Findings: In Asia-Pacific, 60 cohort studies were conducted in Australia, Mainland China, Hong Kong, Taiwan, and South Korea. They consistently supported associations of long-term exposure to PM2.5 with increased all-cause/non-accidental and cardiovascular mortality as well as with incidence of cardiovascular diseases, type 2 diabetes mellitus, kidney diseases, and chronic obstructive pulmonary disease. Evidence for other health effects was limited. Inequalities were identified in PM2.5-health associations. Summary: To optimize air pollution control and public health prevention, further studies need to assess the health effects of long-term PM2.5 exposure in understudied regions, the health effects of long-term PM2.5 exposure on mortality and risk of type 2 diabetes mellitus, renal diseases, dementia and lung cancer, and inequalities in PM2.5-health associations. Study design, especially exposure assessment methods, should be improved.

KW - Asia-Pacific

KW - Health effect

KW - Long-term exposure

KW - Particulate matter

KW - Systematic review

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U2 - 10.1007/s40572-022-00344-w

DO - 10.1007/s40572-022-00344-w

M3 - Review Article

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SN - 2196-5412

VL - 9

SP - 130

EP - 151

JO - Current Environmental Health Reports

JF - Current Environmental Health Reports

IS - 2

ER -

Health Effects of Long-Term Exposure to Ambient PM_2.5 in Asia-Pacific: a Systematic Review of Cohort Studies

Abstract

Keywords

UN SDGs

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Health Effects of Long-Term Exposure to Ambient PM2.5 in Asia-Pacific: a Systematic Review of Cohort Studies

Abstract

Keywords

UN SDGs

Access to Document

Other files and links

Projects

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Climate Change and Human Health in Asia: Current Impacts, Future Risks, and Health Benefits of Mitigation Policies

Cite this

Health Effects of Long-Term Exposure to Ambient PM_2.5 in Asia-Pacific: a Systematic Review of Cohort Studies