Association between ambient air pollution and cause-specific mortality in Cape Town, Durban, and Johannesburg, South Africa: any susceptible groups?

Environ Sci Pollut Res Int. 2021 Aug;28(31):42868-42876. doi: 10.1007/s11356-021-13778-w. Epub 2021 Apr 7.

Abstract

Studies have confirmed that adverse human health effects that are associated with exposure to air pollution may differ depending on other factors such as age, gender, environmental conditions, and socio-economic factors. This study was conducted to assess the association between ambient air pollution and cause-specific mortality in the three big cities in South Africa and to determine the susceptible groups thereof. Cause-specific mortality data for all ages and PM10, NO2, and SO2 in Cape Town, Durban, and Johannesburg for the period from 1 January 2006 to 31 December 2010 were obtained. Statistical analyses were done to estimate the associations between air pollutants and cause-specific mortality. Susceptibility was therefore investigated in stratified analyses by sex and age (≥60 years) and environmental conditions (heat and cold) followed by models with interaction terms. Our estimates showed independent associations between these air pollutants, environmental conditions, and susceptible groups.

Keywords: Ambient air pollution; Cardiovascular diseases; Cause-specific mortality; Respiratory diseases; Susceptibility.

MeSH terms

  • Air Pollutants* / analysis
  • Air Pollution* / adverse effects
  • Air Pollution* / analysis
  • Cause of Death
  • China
  • Cities
  • Environmental Exposure / analysis
  • Humans
  • Middle Aged
  • Particulate Matter / analysis
  • South Africa
  • Time Factors

Substances

  • Air Pollutants
  • Particulate Matter