climate change;
non-communicable diseases;
air pollution;
disability-adjusted life years;
Latin America;
AIR-POLLUTION;
HEALTH;
IMPACT;
BURDEN;
D O I:
10.3390/healthcare13141653
中图分类号:
R19 [保健组织与事业(卫生事业管理)];
学科分类号:
摘要:
Background/Objectives: Climate change is a major factor exacerbating non-communicable diseases (NCDs) such as cardiovascular diseases, neoplasms, respiratory diseases, and diabetes, especially in vulnerable Latin American regions. This study analyzes the impact of environmental exposures related to climate change on the NCD burden in eight Latin American countries by quantifying the disability-adjusted life years (DALYs) attributable to these factors. Using Global Burden of Disease (GBD) data (1990-2021), we performed multiple linear regression to assess associations between DALYs and environmental risk factors-air pollution (particulate matter, nitrogen dioxide), radon, lead, and extreme temperatures-in Argentina, Brazil, Chile, Colombia, Costa Rica, Mexico, Peru, and Uruguay. The study included major NCDs, and the population was stratified by age and sex. Results: Ischemic heart disease was the leading cause of DALYs in most countries. Particulate matter pollution was the main environmental risk factor contributing to the NCD burden, mainly affecting cardiovascular and respiratory diseases. Mexico showed the highest DALYs from particulate and ozone pollution; temperature and lead exposure also contributed in some countries. Nitrogen dioxide was the primary risk factor for asthma. Statistically significant relationships between environmental factors and DALYs were confirmed. Conclusions: Climate change-related exposures significantly increase the burden of NCDs in Latin America. Targeted interventions in industry, transportation, and energy, along with sustainable urban policies, are essential to mitigate health impacts and reduce disparities. Integrating environmental health into public policies can improve health outcomes amid ongoing climate challenges.
机构:
Chinese Ctr Dis Control & Prevent, Natl Ctr Chron Noncommunicable Dis Control & Preve, Beijing, Peoples R ChinaChinese Ctr Dis Control & Prevent, Natl Ctr Chron Noncommunicable Dis Control & Preve, Beijing, Peoples R China
Yin, Peng
;
Gao, Ya
论文数: 0引用数: 0
h-index: 0
机构:
Fudan Univ, Sch Publ Hlth, Key Lab Publ Hlth Safety, Minist Educ,NHC Key Lab Hlth Technol Assessment,IR, Shanghai, Peoples R ChinaChinese Ctr Dis Control & Prevent, Natl Ctr Chron Noncommunicable Dis Control & Preve, Beijing, Peoples R China
Gao, Ya
;
Chen, Renjie
论文数: 0引用数: 0
h-index: 0
机构:
Fudan Univ, Sch Publ Hlth, Key Lab Publ Hlth Safety, Minist Educ,NHC Key Lab Hlth Technol Assessment,IR, Shanghai, Peoples R ChinaChinese Ctr Dis Control & Prevent, Natl Ctr Chron Noncommunicable Dis Control & Preve, Beijing, Peoples R China
Chen, Renjie
;
Liu, Wei
论文数: 0引用数: 0
h-index: 0
机构:
Chinese Ctr Dis Control & Prevent, Natl Ctr Chron Noncommunicable Dis Control & Preve, Beijing, Peoples R ChinaChinese Ctr Dis Control & Prevent, Natl Ctr Chron Noncommunicable Dis Control & Preve, Beijing, Peoples R China
Liu, Wei
;
He, Cheng
论文数: 0引用数: 0
h-index: 0
机构:
Fudan Univ, Sch Publ Hlth, Key Lab Publ Hlth Safety, Minist Educ,NHC Key Lab Hlth Technol Assessment,IR, Shanghai, Peoples R ChinaChinese Ctr Dis Control & Prevent, Natl Ctr Chron Noncommunicable Dis Control & Preve, Beijing, Peoples R China
He, Cheng
;
Hao, Junwei
论文数: 0引用数: 0
h-index: 0
机构:
Capital Med Univ, Xuanwu Hosp, Dept Neurol, Beijing, Peoples R China
Natl Ctr Neurol Disorders, Beijing, Peoples R ChinaChinese Ctr Dis Control & Prevent, Natl Ctr Chron Noncommunicable Dis Control & Preve, Beijing, Peoples R China
Hao, Junwei
;
Zhou, Maigeng
论文数: 0引用数: 0
h-index: 0
机构:
Chinese Ctr Dis Control & Prevent, Natl Ctr Chron Noncommunicable Dis Control & Preve, Beijing, Peoples R ChinaChinese Ctr Dis Control & Prevent, Natl Ctr Chron Noncommunicable Dis Control & Preve, Beijing, Peoples R China
Zhou, Maigeng
;
Kan, Haidong
论文数: 0引用数: 0
h-index: 0
机构:
Fudan Univ, Sch Publ Hlth, Key Lab Publ Hlth Safety, Minist Educ,NHC Key Lab Hlth Technol Assessment,IR, Shanghai, Peoples R ChinaChinese Ctr Dis Control & Prevent, Natl Ctr Chron Noncommunicable Dis Control & Preve, Beijing, Peoples R China
机构:
Okayama Univ, Grad Sch Environm & Life Sci, Dept Human Ecol, Okayama, JapanOkayama Univ, Grad Sch Environm & Life Sci, Dept Human Ecol, Okayama, Japan
Yorifuji, Takashi
;
Kashima, Saori
论文数: 0引用数: 0
h-index: 0
机构:
Hiroshima Univ, Inst Biomed & Hlth Sci, Dept Publ Hlth & Publ Policy, Hiroshima, JapanOkayama Univ, Grad Sch Environm & Life Sci, Dept Human Ecol, Okayama, Japan
Kashima, Saori
;
Doi, Hiroyuki
论文数: 0引用数: 0
h-index: 0
机构:
Okayama Univ, Grad Sch Med Dent & Pharmaceut Sci, Dept Epidemiol, Okayama, JapanOkayama Univ, Grad Sch Environm & Life Sci, Dept Human Ecol, Okayama, Japan
机构:
Chinese Ctr Dis Control & Prevent, Natl Ctr Chron Noncommunicable Dis Control & Preve, Beijing, Peoples R ChinaChinese Ctr Dis Control & Prevent, Natl Ctr Chron Noncommunicable Dis Control & Preve, Beijing, Peoples R China
Yin, Peng
;
Gao, Ya
论文数: 0引用数: 0
h-index: 0
机构:
Fudan Univ, Sch Publ Hlth, Key Lab Publ Hlth Safety, Minist Educ,NHC Key Lab Hlth Technol Assessment,IR, Shanghai, Peoples R ChinaChinese Ctr Dis Control & Prevent, Natl Ctr Chron Noncommunicable Dis Control & Preve, Beijing, Peoples R China
Gao, Ya
;
Chen, Renjie
论文数: 0引用数: 0
h-index: 0
机构:
Fudan Univ, Sch Publ Hlth, Key Lab Publ Hlth Safety, Minist Educ,NHC Key Lab Hlth Technol Assessment,IR, Shanghai, Peoples R ChinaChinese Ctr Dis Control & Prevent, Natl Ctr Chron Noncommunicable Dis Control & Preve, Beijing, Peoples R China
Chen, Renjie
;
Liu, Wei
论文数: 0引用数: 0
h-index: 0
机构:
Chinese Ctr Dis Control & Prevent, Natl Ctr Chron Noncommunicable Dis Control & Preve, Beijing, Peoples R ChinaChinese Ctr Dis Control & Prevent, Natl Ctr Chron Noncommunicable Dis Control & Preve, Beijing, Peoples R China
Liu, Wei
;
He, Cheng
论文数: 0引用数: 0
h-index: 0
机构:
Fudan Univ, Sch Publ Hlth, Key Lab Publ Hlth Safety, Minist Educ,NHC Key Lab Hlth Technol Assessment,IR, Shanghai, Peoples R ChinaChinese Ctr Dis Control & Prevent, Natl Ctr Chron Noncommunicable Dis Control & Preve, Beijing, Peoples R China
He, Cheng
;
Hao, Junwei
论文数: 0引用数: 0
h-index: 0
机构:
Capital Med Univ, Xuanwu Hosp, Dept Neurol, Beijing, Peoples R China
Natl Ctr Neurol Disorders, Beijing, Peoples R ChinaChinese Ctr Dis Control & Prevent, Natl Ctr Chron Noncommunicable Dis Control & Preve, Beijing, Peoples R China
Hao, Junwei
;
Zhou, Maigeng
论文数: 0引用数: 0
h-index: 0
机构:
Chinese Ctr Dis Control & Prevent, Natl Ctr Chron Noncommunicable Dis Control & Preve, Beijing, Peoples R ChinaChinese Ctr Dis Control & Prevent, Natl Ctr Chron Noncommunicable Dis Control & Preve, Beijing, Peoples R China
Zhou, Maigeng
;
Kan, Haidong
论文数: 0引用数: 0
h-index: 0
机构:
Fudan Univ, Sch Publ Hlth, Key Lab Publ Hlth Safety, Minist Educ,NHC Key Lab Hlth Technol Assessment,IR, Shanghai, Peoples R ChinaChinese Ctr Dis Control & Prevent, Natl Ctr Chron Noncommunicable Dis Control & Preve, Beijing, Peoples R China
机构:
Okayama Univ, Grad Sch Environm & Life Sci, Dept Human Ecol, Okayama, JapanOkayama Univ, Grad Sch Environm & Life Sci, Dept Human Ecol, Okayama, Japan
Yorifuji, Takashi
;
Kashima, Saori
论文数: 0引用数: 0
h-index: 0
机构:
Hiroshima Univ, Inst Biomed & Hlth Sci, Dept Publ Hlth & Publ Policy, Hiroshima, JapanOkayama Univ, Grad Sch Environm & Life Sci, Dept Human Ecol, Okayama, Japan
Kashima, Saori
;
Doi, Hiroyuki
论文数: 0引用数: 0
h-index: 0
机构:
Okayama Univ, Grad Sch Med Dent & Pharmaceut Sci, Dept Epidemiol, Okayama, JapanOkayama Univ, Grad Sch Environm & Life Sci, Dept Human Ecol, Okayama, Japan