作者:Mojtaba Davoudi
关键词:Air pollutant;Air pollution;Cumulative exposure;Lag time;Suicide
发表时间:2021
发表期刊:Science of the Total Environment
证据类型:系统评价/Meta分析
Background: Suicide is a major public health problem, with some environmental risk factors. Objectives: This meta-analysis study explored the association between short-term exposure to air pollution and suicide mortality, with an emphasis on different lag times. Methods:AsystematicsearchwasusedtofindrelevantstudiesindatabasesincludingScopus,Web of Knowledge, Pubmed, and Embase published up to 19 May 2020. The inclusion criteria included case-crossover or time-series studies assessing the association of criteria air pollutants with suicide mortality at different Lag Days of 0–7 (LD0 to LD7) and Cumulative Lags of 1–7 days(CL1 to CL7). Odds ratios (OR) were calculated with 95% confidence intervals (CI). Results: Of 1436 retrieved articles, 11 were eligible for data extraction, representing data on 283,550 suicides published between 2010 and 2019. The odds of suicide death increase with each 10μg/m 3 increase in the mean concentrations of NO 2 at CL1 (1.013: 1.006–1.021), CL2 (1.028: 1.003–1.053), CL3 (1.035: 1.001–1.070), and LD2 (1.011: 1.001–1.022), SO 2 at CL1 (1.024: 1.014–1.034), CL2 (1.030: 1.012–1.048), CL3 (1.029: 1.009–1.049), and CL4 (1.027: 1.005–1.049), O 3 at CL6 (1.008: 1.000–1.016), PM 10 at CL1 (1.004: 1.000–1.008), and PM 2.5 at CL1(1.017: 1.003–1.031). Besides, the odds of suicide death increases with each 0.5 mg/m 3 increase in the mean concentration of CO at LD6 (1.005: 1.000–1.011). However, it decreased with increased O 3 exposure at LD3 (0.997: 0.994–1.000). Conclusion: The study supports a positive association between air pollution and suicide mortality. No immediate risk was elucidated but the possible effects seem to be exerted cumulatively.