Abstract
Background
Cardiovascular disease (CVD) is the predominant cause of global mortality, has been growingly linked to air pollution, which paradoxically aligns with economic growth. This study aims to examine the trends and patterns in CVD mortality caused by air pollution.
Methods
This study uses data from the State-Level Disease Burden Initiative in India, from 1990 to 2019. Age-standardized death rates were examined through the application of joinpoint regression analysis, while the impact of air pollution on CVD mortality was assessed by estimating the combined effects of age, period, and cohort using age-period-cohort (APC) analysis.
Results
Relative risks are notably low across genders at younger ages, with males at 0.09 (95% CI: 0.08-0.10) and females at 0.11 (95% CI: 0.10-0.12) at 25-29 years, which increases with age, with individuals aged 85-95 years facing the highest risk. Period effect shows that the risk of deaths due to air pollution increased in 2015-19 compared to 2000-04. Deaths attributable to ambient particulate matter pollution exhibit a net increasing trend with an average annual percent change (AAPC) of 1.13 (95% CI 0.98-1.3). Deaths from household air pollution consistently show a significant downward trend, with an AAPC of -3.62 (95% CI -3.79 to -3.4).
Conclusion
Enhanced and region-specific air quality management strategies, including ambient and household air pollution controls, can provide substantial public health benefits and aid in the country's economic advancement.
Keywords:
global burden of disease study, GBD, air pollution, cardiovascular disease, age-period-cohort, joinpoint regression, IndiaReferences
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Copyright (c) 2024 Somen Das, Neha Shri, Paromita Chakraborty, Indramani Dhada, Atin Adhikari, Krishnamurthi Kannan, Pratap Kumar Padhy
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