北京大学学报（医学版）2016，Vol.48Issue(3)：460-464,5.DOI:10.3969/j.issn.1671-167X.2016.03.015
大气污染对中老年高血压和心脑血管疾病患者卫生服务需求的影响：基于 CHARLS数据的分析
Effect of air pollution on health service demand of the elderly and middle-age patients with hypertension,cardiovascular and cerebrovascular diseases:based on analysis of data from CHARLS
摘要
Abstract
Objective:To study the association of air pollution with health service demand of the elderly and middle-age patients with cardiovascular and cerebrovascular diseases,and to provide a scientific ba-sis for development of environmental protection policy and health service policy of the Chinese govern-ment.Methods:This study included survey data on self-evaluated health,outpatient service demand and inpatient service demand of the patients with hypertension,heart disease and stroke in 62 cities of 1 7 provinces from China Health and Retirement Longitudinal Study(CHARLS)in 201 1 and 201 3,and com-bined it with the data on the annual concentrations of inhalable particulate matter(PM1 0 ),sulfur dioxide (SO2 )and nitrogen dioxide(NO2 )of those provinces and cities.Conditional Logistic regression was car-ried out to assess the possible effects of air pollutants on self-evaluated health and health service utiliza-tion.Results:The results showed that turning points existed in the effects of concentrations of NO2 and SO2 on the health service demand of the patients with hypertension,heart disease and stroke.The inpa-tient service demand of the hypertension patients increased with NO2 concentration when it was lower than 35.1 μg/m3 and decreased with NO2 concentration for higher value.Self-evaluated health of the patients with heart disease and stroke decreased with SO2 concentration when it was lower than 63.8 μg/m3 and increased with SO2 concentration for higher value.In addition,no evidence was found for the association between PM1 0 and health service demand.Conclusion:Air pollution may have effects on health service demand of the patients with hypertension,cardiovascular and cerebrovascular diseases,and different air pollutants at high or low concentration may have different health effects.关键词
空气污染/卫生服务需求/高血压/心血管疾病/卒中Key words
Air pollution/Health service needs and demand/Hypertension/Cardiovascular disease/Stroke分类
医药卫生引用本文复制引用
单娇,李宏宇,刘国峰,杨玄,董伟,简伟研,邓芙蓉,郭新彪..大气污染对中老年高血压和心脑血管疾病患者卫生服务需求的影响：基于 CHARLS数据的分析[J].北京大学学报（医学版）,2016,48(3):460-464,5.基金项目
中华医学基金会项目（CMB 15-228）、国家自然科学基金（91543112）和北京市优秀博士学位论文专项资金（20131000109）资助Supported by China Medical Board（CMB15-228），the National Natural Science Foundation of China（91543112）and the Special Grant for Excellent Doctoral Dissertation from the Beijing Municipal Commission of Education （）
