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The Gender-Based Differences in Vulnerability to Ambient Air Pollution and Cerebrovascular Disease Mortality: Evidences Based on 26781 Deaths Cover

The Gender-Based Differences in Vulnerability to Ambient Air Pollution and Cerebrovascular Disease Mortality: Evidences Based on 26781 Deaths

Open Access
|Jul 2020

Figures & Tables

Figure 1

Monthly CEVD deaths during 2014–2017. Generally CEVD deaths of women were more than those of men, and CEVD deaths were more in cold season than in warm season in both men and women.

Table 1

Descriptives of daily CEVD deaths during 2014–2017.

YearTotalMenWomen
CountsDaily MeanSDCountsDaily MeanSDCountsDaily MeanSD
2014639317.524.62367010.053.4227237.462.80
2015649918.104.65374610.433.2627537.672.89
2016684418.704.67398310.883.3628617.823.00
2017704519.305.41407811.174.0029678.132.99
All Time2678118.414.891547710.643.55113047.772.93
Table 2

Cumulative ERR10 of each pollutant at different lags (Unit: %).

LagsPollutantsSingle-pollutant modelTwo-pollutant model
MenWomenAllMenWomenAll
ERRSigERRSigERRSigERRSigERRSigERRSig
lag0-1PM2.5–0.07–0.03–0.01–0.07–0.08–0.04
PM100.05–0.060.030.05–0.090.01
O30.091.42*1.01*0.11.43*1.02*
lag0-2PM2.5–0.13–0.04–0.06–0.13–0.09–0.1
PM10–0.04–0.1–0.05–0.04–0.12–0.07
O30.081.32*0.94*0.091.33*0.95*
lag0-3PM2.5–0.07–0.05–0.06–0.08–0.08–0.09
PM100.02–0.12–0.050.01–0.13–0.06
O30.49*1.07*0.74*0.5*1.08*0.74*
lag0-5PM2.5–0.08–0.02–0.06–0.09–0.04–0.08
PM10–0.02–0.05–0.04–0.03–0.06–0.05
O30.39*0.75*0.54*0.4*0.76*0.55*
lag0-7PM2.5–0.13–0.03–0.09–0.14–0.05–0.1
PM10–0.05–0.05–0.05–0.06–0.06–0.06
O30.31*0.62*0.43*0.32*0.62*0.44*
Figure 2

The associations between ambient air pollution and daily CEVD mortality. O3 seems to be the most suspicious pollutant that leads to excess CEVD mortality. Generally women with CEVD were more vulnerable to ambient air pollutants.

Table 3

Seasonal analyses of the associations between short-term ambient air pollution exposure and CEVD death.

GroupLagsPollutantSpringSummerAutumnWinter
ERRSigERRSigERRSigERRSig
Womenlag0-1PM2.5–0.1–0.070.050.18
PM10–0.28–0.350.060.2
O31.39*0.071.51*4.12*
lag0-2PM2.50.19–0.110.03–0.24
PM10–0.16–0.390.04–0.09
O31.65*0.320.93.2*
lag0-3PM2.50.06–0.540.05–0.26
PM10–0.18–0.80.05–0.15
O31.25*0.340.452.78*
lag0-5PM2.50.2–0.660.13–0.41*
PM100.11–0.750.13–0.18
O31.36*0.29–0.22.23*
lag0-7PM2.50.13–0.720.08–0.25
PM100.02–0.9*0.09–0.04
O31.37*0.33–0.312.44*
Menlag0-1PM2.5–0.29–1.680.04–0.12
PM100.67*–0.89–0.020.22
O31.29*–0.13–0.991.57
lag0-2PM2.5–0.29–1.48–0.06–0.27
PM100.25–0.9–0.10.08
O31.24*–0.11–1.041.41
lag0-3PM2.5–0.69–1.41*–0.1–0.12
PM10–0.03–0.93*–0.110.17
O31.47*–0.05–1.14*1.04
lag0-5PM2.5–0.61–2.01*–0.170.03
PM10–0.02–1.47*–0.170.18
O30.99*–0.03–0.81.34*
lag0-7PM2.5–0.6–1.16*–0.28*0.12
PM10–0.02–1.33*–0.27*0.23*
O30.54–0.14–0.631.57*
Figure 3

Comparison of Seasonal exposure-response curves of PM2.5-CEVD mortality between men and women. Most curves of both men and women tended to be non-linear, and the RRs of women were generally larger than those of men. However, men CEVD mortality were shown to be more vulnerable to PM2.5 in winter.

Figure 4

Comparison of Seasonal exposure-response curves of PM10-CEVD mortality between men and women. Some curves showed both non-linear and generally increasing or decreasing trend, which may provide a possible explanation for the insignificant associations between PMs and daily CEVD deaths. Generally women were more vulnerable to PM10 in spring and summer, but men were more vulnerable in autumn and winter.

Figure 5

Comparison of Seasonal exposure-response curves of O3-CEVD mortality between men and women. Significant differences of gender-based vulnerability were observed. In spring and autumn, men were more vulnerable, but in the other seasons women were more vulnerable.

DOI: https://doi.org/10.5334/gh.849 | Journal eISSN: 2211-8179
Language: English
Submitted on: Jun 16, 2020
Accepted on: Jun 16, 2020
Published on: Jul 8, 2020
Published by: Ubiquity Press
In partnership with: Paradigm Publishing Services
Publication frequency: 1 issue per year

© 2020 Guangcong Liu, Baijun Sun, Lianzheng Yu, Jianping Chen, Bing Han, Yizhuo Li, Jie Chen, published by Ubiquity Press
This work is licensed under the Creative Commons Attribution 4.0 License.