TY - JOUR
T1 - Time-Trends in Air Pollution Impact on Health in Italy, 1990–2019: An Analysis From the Global Burden of Disease Study 2019
AU - Conti, Sara
AU - Fornari, Carla
AU - Ferrara, Pietro
AU - Antonazzo, Ippazio C.
AU - Madotto, Fabiana
AU - Traini, Eugenio
AU - Levi, Miriam
AU - Cernigliaro, Achille
AU - Armocida, Benedetta
AU - Bragazzi, Nicola L.
AU - Cadum, Ennio
AU - Carugno, Michele
AU - Crotti, Giacomo
AU - Deandrea, Silvia
AU - Cortesi, Paolo A.
AU - Guido, Davide
AU - Iavicoli, Ivo
AU - Iavicoli, Sergio
AU - La Vecchia, Carlo
AU - Lauriola, Paolo
AU - Michelozzi, Paola
AU - Scondotto, Salvatore
AU - Stafoggia, Massimo
AU - Violante, Francesco S.
AU - Abbafati, Cristiana
AU - Albano, Luciana
AU - Barone-Adesi, Francesco
AU - Biondi, Antonio
AU - Bosetti, Cristina
AU - Buonsenso, Danilo
AU - Carreras, Giulia
AU - Castelpietra, Giulio
AU - Catapano, Alberico
AU - Cattaruzza, Maria S.
AU - Corso, Barbara
AU - Damiani, Giovanni
AU - Esposito, Francesco
AU - Gallus, Silvano
AU - Golinelli, Davide
AU - Hay, Simon I.
AU - Isola, Gaetano
AU - Ledda, Caterina
AU - Mondello, Stefania
AU - Pedersini, Paolo
AU - Pensato, Umberto
AU - Perico, Norberto
AU - Remuzzi, Giuseppe
AU - Sanmarchi, Francesco
AU - Santoro, Rocco
AU - Simonetti, Biagio
AU - Unim, Brigid
AU - Vacante, Marco
AU - Veroux, Massimiliano
AU - Villafañe, Jorge H.
AU - Monasta, Lorenzo
AU - Mantovani, Lorenzo G.
PY - 2023
Y1 - 2023
N2 - Objectives: We explored temporal variations in disease burden of ambient particulate matter 2.5 μm or less in diameter (PM2.5) and ozone in Italy using estimates from the Global Burden of Disease Study 2019. Methods: We compared temporal changes and percent variations (95% Uncertainty Intervals [95% UI]) in rates of disability adjusted life years (DALYs), years of life lost, years lived with disability and mortality from 1990 to 2019, and variations in pollutant-attributable burden with those in the overall burden of each PM2.5- and ozone-related disease. Results: In 2019, 467,000 DALYs (95% UI: 371,000, 570,000) were attributable to PM2.5 and 39,600 (95% UI: 18,300, 61,500) to ozone. The crude DALY rate attributable to PM2.5 decreased by 47.9% (95% UI: 10.3, 65.4) from 1990 to 2019. For ozone, it declined by 37.0% (95% UI: 28.9, 44.5) during 1990–2010, but it increased by 44.8% (95% UI: 35.5, 56.3) during 2010–2019. Age-standardized rates declined more than crude ones. Conclusion: In Italy, the burden of ambient PM2.5 (but not of ozone) significantly decreased, even in concurrence with population ageing. Results suggest a positive impact of air quality regulations, fostering further regulatory efforts.
AB - Objectives: We explored temporal variations in disease burden of ambient particulate matter 2.5 μm or less in diameter (PM2.5) and ozone in Italy using estimates from the Global Burden of Disease Study 2019. Methods: We compared temporal changes and percent variations (95% Uncertainty Intervals [95% UI]) in rates of disability adjusted life years (DALYs), years of life lost, years lived with disability and mortality from 1990 to 2019, and variations in pollutant-attributable burden with those in the overall burden of each PM2.5- and ozone-related disease. Results: In 2019, 467,000 DALYs (95% UI: 371,000, 570,000) were attributable to PM2.5 and 39,600 (95% UI: 18,300, 61,500) to ozone. The crude DALY rate attributable to PM2.5 decreased by 47.9% (95% UI: 10.3, 65.4) from 1990 to 2019. For ozone, it declined by 37.0% (95% UI: 28.9, 44.5) during 1990–2010, but it increased by 44.8% (95% UI: 35.5, 56.3) during 2010–2019. Age-standardized rates declined more than crude ones. Conclusion: In Italy, the burden of ambient PM2.5 (but not of ozone) significantly decreased, even in concurrence with population ageing. Results suggest a positive impact of air quality regulations, fostering further regulatory efforts.
KW - air pollution
KW - air quality regulations
KW - particulate matter
KW - ozone
KW - global burden of disease
KW - air pollution
KW - air quality regulations
KW - particulate matter
KW - ozone
KW - global burden of disease
UR - http://hdl.handle.net/10807/308190
U2 - 10.3389/ijph.2023.1605959
DO - 10.3389/ijph.2023.1605959
M3 - Article
SN - 1661-8556
VL - 68
SP - 1605959-N/A
JO - International Journal of Public Health
JF - International Journal of Public Health
ER -