|
社会经济、空气污染对预期寿命的非线性影响
|
Abstract:
本研究基于2000~2020年亚洲48个国家和地区的数据,采用广义加性模型(GAM),探讨了人均国民总收入(GNIpc)、城市人口率(UPR)和细颗粒物(PM2.5)浓度与预期寿命(LE)的非线性关系。研究发现:(1) 在时间尺度上,GNIpc与LE呈现稳定的非线性关系,而UPR和PM2.5与LE的关系未表现出显著的线性或非线性特征;(2) 在空间尺度上,亚洲不同地区的GNIpc、UPR和PM2.5对LE的影响存在显著差异。总而言之,社会经济因素和空气污染因素对预期寿命的非线性影响不容忽视。
This study, based on data from 48 countries and regions in Asia from 2000 to 2020, employs a Generalized Additive Model (GAM) to explore the nonlinear relationships between per capita gross national income (GNIpc), urban population ratio (UPR), and fine particulate matter (PM2.5) concentration with life expectancy (LE). The research finds: (1) On a temporal scale, GNIpc shows a stable nonlinear relationship with LE, whereas UPR and PM2.5 do not exhibit significant linear or nonlinear characteristics with LE; (2) On a spatial scale, the impacts of GNIpc, UPR, and PM2.5 on LE vary significantly across different regions of Asia. In summary, the nonlinear impacts of socioeconomic factors and air pollution on life expectancy cannot be overlooked.
[1] | WHO Commission on Macroeconomics and Health (2001) Macroeconomics and Health: Investing in Health for Economic Development. Report of the Commission on Macroeconomics and Health. World Health Organization. |
[2] | Pashayan, A.R. (2020) 2020 International Science Council and UNDP-A. Pashayan. https://doi.org/10.13140/RG.2.2.29226.64960 |
[3] | Science Daily (2017) Low Socioeconomic Status Reduces Life Expectancy and Should Be Counted as a Major Risk Factor in Health Policy, Study Says. The Lancet. |
[4] | Zhang, L.Y. and Sun, L.J. (2024) Life Expectancy Gap in Provincial Level District in China and Its Socio-Economic Determinants between 2000 and 2020. Chinese Journal of Health Policy, 17, 45-51. |
[5] | Pope, C.A., Ezzati, M. and Dockery, D.W. (2009) Fine-Particulate Air Pollution and Life Expectancy in the United States. New England Journal of Medicine, 360, 376-386. https://doi.org/10.1056/nejmsa0805646 |
[6] | de Keijzer, C., Agis, D., Ambrós, A., Arévalo, G., Baldasano, J.M., Bande, S., et al. (2017) The Association of Air Pollution and Greenness with Mortality and Life Expectancy in Spain: A Small-Area Study. Environment International, 99, 170-176. https://doi.org/10.1016/j.envint.2016.11.009 |
[7] | Dziubanek, G., Spychała, A., Marchwińska-Wyrwał, E., Rusin, M., Hajok, I., Ćwieląg-Drabek, M., et al. (2017) Long-Term Exposure to Urban Air Pollution and the Relationship with Life Expectancy in Cohort of 3.5 Million People in Silesia. Science of the Total Environment, 580, 1-8. https://doi.org/10.1016/j.scitotenv.2016.11.217 |
[8] | Cheng, Z. (2021) Nonlinear Concentration-Response Relationship between PM2.5 and Years of Life Lost in Hong Kong. Environmental Pollution, 268, Article 115698. |
[9] | Schwartz, J. (1999) Air Pollution and Hospital Admissions for Heart Disease in Eight U.S. Counties. Epidemiology, 10, 17-22. https://doi.org/10.1097/00001648-199901000-00005 |
[10] | Moolgavkar, S.H. (2000) Multistage Models and the A-Bomb Survivor Data: Implications for Carcinogenic Mechanisms? Radiation Research, 154, 705-713. https://doi.org/10.1667/0033-7587(2000)154[0705:EDEOTN]2.0.CO;2 |
[11] | Torres, R., Mateo, C., Fuentes, M., Palomo, J.M., Ortiz, C., Fernández-Lafuente, R., et al. (2002) Reversible Immobilization of Invertase on Sepabeads Coated with Polyethyleneimine: Optimization of the Biocatalyst’s Stability. Biotechnology Progress, 18, 1221-1226. https://doi.org/10.1021/bp020082q |
[12] | Wood, M.H. (2017) Integrating Fossil and Extant Lineages: An Examination of Morphological Space through Time (Araneae: Archaeidae). The Journal of Arachnology, 45, 20-29. https://doi.org/10.1636/joa-s-16-039.1 |
[13] | Wood, S. and Wood, M.S. (2015) Package ‘mgcv.’ R Package Version 1:29. |
[14] | Kim, J.I. and Kim, G. (2015) Country-Level Socioeconomic Indicators Associated with Healthy Life Expectancy: Income, Urbanization, Schooling, and Internet Users: 2000-2012. Social Indicators Research, 129, 391-402. https://doi.org/10.1007/s11205-015-1107-2 |
[15] | Chetty, R., Stepner, M., Abraham, S., Lin, S., Scuderi, B., Turner, N., et al. (2016) The Association between Income and Life Expectancy in the United States, 2001-2014. JAMA, 315, 1750-1766. https://doi.org/10.1001/jama.2016.4226 |
[16] | Preston, S.H. (1975) The Changing Relation between Mortality and Level of Economic Development. Population Studies, 29, 231-248. https://doi.org/10.1080/00324728.1975.10410201 |
[17] | Rodgers, G.B. (1979) Income and Inequality as Determinants of Mortality: An International Cross-Section Analysis. Population Studies, 33, 343-351. https://doi.org/10.1080/00324728.1979.10410449 |
[18] | Wilkinson, R.G. (1992) Income Distribution and Life Expectancy. BMJ, 304, 165-168. https://doi.org/10.1136/bmj.304.6820.165 |
[19] | Wilkinson, R.G. (1996) Unhealthy Societies: The Afflictions of Inequality. Routledge. |
[20] | Linden, M. and Ray, D. (2017) Aggregation Bias-Correcting Approach to the Health-Income Relationship: Life Expectancy and GDP per Capita in 148 Countries, 1970-2010. Economic Modelling, 61, 126-136. https://doi.org/10.1016/j.econmod.2016.12.001 |
[21] | Kalediene, R. and Petrauskiene, J. (2000) Regional Life Expectancy Patterns in Lithuania. The European Journal of Public Health, 10, 101-104. https://doi.org/10.1093/eurpub/10.2.101 |
[22] | Shahbaz, M., Loganathan, N., Mujahid, N., Ali, A. and Nawaz, A. (2015) Determinants of Life Expectancy and Its Prospects under the Role of Economic Misery: A Case of Pakistan. Social Indicators Research, 126, 1299-1316. https://doi.org/10.1007/s11205-015-0927-4 |
[23] | Wang, Q. (2018) Urbanization and Global Health: The Role of Air Pollution. Iranian Journal of Public Health, 47, 1644-1652. |
[24] | Marmot, M. and Wilkinson, R.G. (2001) Psychosocial and Material Pathways in the Relation between Income and Health: A Response to Lynch et al. BMJ, 322, 1233-1236. https://doi.org/10.1136/bmj.322.7296.1233 |
[25] | Apte, J.S., Brauer, M., Cohen, A.J., Ezzati, M. and Pope, C.A. (2018) Ambient PM2.5 Reduces Global and Regional Life Expectancy. Environmental Science & Technology Letters, 5, 546-551. https://doi.org/10.1021/acs.estlett.8b00360 |
[26] | Balakrishnan, K., Dey, S., Gupta, T., Dhaliwal, R.S., Brauer, M., Cohen, A.J., et al. (2019) The Impact of Air Pollution on Deaths, Disease Burden, and Life Expectancy across the States of India: The Global Burden of Disease Study 2017. The Lancet Planetary Health, 3, e26-e39. https://doi.org/10.1016/s2542-5196(18)30261-4 |