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Effect of air pollution on disease burden, mortality, and life expectancy in North Africa and the Middle East: a systematic analysis for the Global Burden of Disease Study 2019

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dc.creator Pazoki Toroudi, Hamidreza
dc.creator Yigit, Arzu
dc.creator YİĞİT, Vahit
dc.creator Zareshahrabadi, Zahra
dc.creator Zarei, Ahmad
dc.creator Zare, Iman
dc.creator Zaki, Leila
dc.creator Yari, Kheirollah
dc.creator Vosoughi, Mehdi
dc.creator Vaziri, Siavash
dc.creator Valadan Tahbaz, Sahel
dc.creator Taheri, Ensiyeh
dc.creator Shorofi, Seyed Afshin
dc.creator Shokri Varniab, Zahra
dc.creator Shobeiri, Parnian
dc.creator Sheikhy, Ali
dc.creator Sharafi, Kiomars
dc.creator Sathian, Brijesh
dc.creator Samy, Abdallah M
dc.creator Abbasi-Kangevari, Mohsen
dc.creator Malekpour, Mohammad-Reza
dc.creator Masinaei, Masoud
dc.creator Moghaddam, Sahar Saeedi
dc.creator Ghamari, Seyyed-Hadi
dc.creator Abbasi-Kangevari, Zeinab
dc.creator Salari, Hedayat
dc.creator Salamati, Payman
dc.creator Sahraian, Mohammad Ali
dc.creator Sahebkar, Amirhossein
dc.creator Sadeghian, Saeid
dc.creator Rezaeian, Mohsen
dc.creator Rezaei, Negar
dc.creator Rezaei, Nazila
dc.creator Mokdad, Ali H
dc.creator Naghavi, Mohsen
dc.creator Larijani, Bagher
dc.creator Farzadfar, Farshad
dc.creator Murray, Christopher J L
dc.creator Saeedi Moghaddam, Sahar
dc.creator Redwan, Elrashdy Moustafa Mohamed
dc.creator Aali, Amirali
dc.creator Abdollahzade, Sina
dc.creator Abdulrahman, Salam Abdulqadir
dc.creator Abubaker Ali, Hiwa
dc.creator Ahmad, Aqeel
dc.creator Ahmad, Rizwan
dc.creator Ahmadi, Ali
dc.creator Ahmadian, Mohammad
dc.creator Ahmed, Haroon
dc.creator Ahmed Rashid, Tarik
dc.creator Ajami, Marjan
dc.creator Al Hamad, Hanadi
dc.creator Alhalaiqa, Fadwa Alhalaiqa Naji
dc.creator Alipour, Vahid
dc.creator Almustanyir, Sami
dc.creator Aminian Dehkordi, Javad
dc.creator Amiri, Sohrab
dc.creator Arabloo, Jalal
dc.creator Arulappan, Judie
dc.creator Aryan, Zahra
dc.creator Athari, Seyyed Shamsadin
dc.creator Azadnajafabad, Sina
dc.creator Baghcheghi, Nayereh
dc.creator Rasul, Azad
dc.creator Bahrami Asl, Farshad
dc.creator Baltatu, Ovidiu Constantin
dc.creator Bashiri, Azadeh
dc.creator Rashedi, Sina
dc.creator Bhagavathula, Akshaya Srikanth
dc.creator Bijani, Ali
dc.creator Bitaraf, Saeid
dc.creator Brauer, Michael
dc.creator Cheraghi, Maria
dc.creator Rahmani, Shayan
dc.creator Dahlawi, Saad M A
dc.creator Dargahi, Abdollah
dc.creator Darvishi Cheshmeh Soltani, Reza
dc.creator Dianatinasab, Mostafa
dc.creator Dodangeh, Milad
dc.creator Eini, Ebrahim
dc.creator El Sayed Zaki, Maysaa
dc.creator El-Abid, Hassan
dc.creator Elhadi, Muhammed
dc.creator Eskandarieh, Sharareh
dc.creator Falahi, Shahab
dc.creator Fareed, Mohammad
dc.creator Fatehizadeh, Ali
dc.creator Fazlzadeh, Mehdi
dc.creator Ghamari, Farhad
dc.creator Ghanbari, Reza
dc.creator Ghashghaee, Ahmad
dc.creator Gholizadeh, Abdolmajid
dc.creator Golitaleb, Mohamad
dc.creator Goudarzi, Gholamreza
dc.creator Hadei, Mostafa
dc.creator Hamadeh, Randah R
dc.creator Hamidi, Samer
dc.creator Hasaballah, Ahmed I
dc.creator Hasani, Hamidreza
dc.creator Hassanipour, Soheil
dc.creator Hezam, Kamal
dc.creator Hoseini, Mohammad
dc.creator Hosseini, Mohammad-Salar
dc.creator Hosseinzadeh, Mehdi
dc.creator Hoveidamanesh, Soodabeh
dc.creator Jaafari, Jalil
dc.creator Janjani, Hosna
dc.creator Jayapal, Sathish Kumar
dc.creator Kalankesh, Laleh R
dc.creator Kalhor, Rohollah
dc.creator Karkhah, Samad
dc.creator Kaydi, Neda
dc.creator Khader, Yousef Saleh
dc.creator Khafaie, Morteza Abdullatif
dc.creator Khanali, Javad
dc.creator Khatatbeh, Moawiah Mohammad
dc.creator Koolivand, Ali
dc.creator Kuddus, Mohammed
dc.creator Lami, Faris Hasan
dc.creator Mahjoub, Soleiman
dc.creator Rahimi, Mehran
dc.creator Maleki, Afshin
dc.creator Rahim, Fakher
dc.creator Malik, Ahmad Azam
dc.creator Masoudi, Sahar
dc.creator Menezes, Ritesh G
dc.creator Pourabhari Langroudi, Ashkan
dc.creator Mir, Shabir Ahmad
dc.creator Mohamadkhani, Ashraf
dc.creator Mohammadi, Esmaeil
dc.creator Mohammadi, Mohammad Javad
dc.creator Pirsaheb, Meghdad
dc.creator Mohammadi, Mokhtar
dc.creator Montazeri, Fateme
dc.creator Moraga, Paula
dc.creator Morovatdar, Negar
dc.creator Norouzian Baghani, Abbas
dc.creator Pakshir, Keyvan
dc.date 2023-05-01T00:00:00Z
dc.date.accessioned 2025-02-25T10:19:52Z
dc.date.available 2025-02-25T10:19:52Z
dc.identifier 35f2dbe0-29a4-4b07-99cf-608f89a1c808
dc.identifier 10.1016/s2542-5196(23)00053-0
dc.identifier https://avesis.sdu.edu.tr/publication/details/35f2dbe0-29a4-4b07-99cf-608f89a1c808/oai
dc.identifier.uri http://acikerisim.sdu.edu.tr/xmlui/handle/123456789/99319
dc.description Background: Air pollution is the sixth highest risk factor for attributable disability-adjusted life-years (DALYs) in North Africa and the Middle East, but the relative importance of different subtypes of air pollution and any potential differences in their health effects by population demographics or country-level socioeconomic factors have not been fully explored. The objective of this study was to investigate the effect of high ambient particulate matter less than 2·5 μm in size (PM) and ambient ozone air pollution on disease burden, mortality, and life expectancy in 21 countries in the North Africa and the Middle East super-region from 1990 to 2019 using the Global Burden of Diseases, Injuries, and Risk Factors (GBD) Study estimates. Methods: The study data were derived from GBD 2019, examining data from 1999 to 2019 in North Africa and the Middle East. In this study, the types of air pollution investigated included PM pollution and ambient ozone pollution. PM pollution itself was categorised as household air pollution from solid fuels and ambient PM pollution. The burden attributable to each risk factor, directly or indirectly, was incorporated in the population attributable fraction to estimate the total attributable deaths and DALYs. The summary exposure value (SEV) as the relative risk-weighted prevalence of exposure was extracted to compare the distribution of excess risk times the exposure level in a population where everyone is at maximum risk and ranges from zero (no excess risk exists in a population) to 100 (highest risk). The effect of air pollution on life expectancy was estimated via a cause-deleted life table analysis. Findings: The age-standardised DALYs rate attributable to air pollution declined by 44·5%, from 4884·2 (95% uncertainty interval 4381·5–5555·4) to 2710·4 (2317·3–3125·6) per 100 000 from 1990 to 2019. Afghanistan (6992·3, 5627·7–8482·7), Yemen (4212·4, 3241·3–5418·1), and Egypt (4034·8, 3027·7–5138·6) had the highest age-standardised DALYs rates attributable to air pollution in 2019 per 100 000, whereas Türkiye (1329·2, 1033·7–1654·7), Jordan (1447·3, 1154·2–1758·5), and Iran (1603·0, 1404·7–1813·8) had the lowest rates. During the study period, the age-standardised SEV of air pollution (PM and ambient ozone in total) decreased by 10·9% (5·8–17·7%) in the super-region, whereas the SEV of ambient ozone pollution alone increased by 7·7% (0·7–14·3%). Among the components of PM pollution, the SEV of ambient PM pollution increased by 40·1% (25·2–63·7%); however, the SEV of household air pollution from solid fuels decreased by 70·6% (64·1–77·0%). Among the investigated types of air pollution, 98·9% of the DALYs from air pollution in the super-region were attributable to PM pollution. If air pollution had been lowered to the theoretical minimum risk exposure levels for 2019, then the average life expectancy would have been 1·6 years higher. Interpretation: The burden attributable to air pollution substantially decreased in the study period across the super-region as a whole. Most of the burden from air pollution is attributed to PM pollution, the exposure to which has substantially increased in the past three decades. Interventions and policies that reduce population exposure to PM pollution could potentially increase the average life expectancy in the super-region. This finding calls for concerted efforts from governments and public health authorities in the super-region to tackle air pollution as an important threat to population health. Funding: Bill & Melinda Gates Foundation.
dc.language eng
dc.rights info:eu-repo/semantics/closedAccess
dc.title Effect of air pollution on disease burden, mortality, and life expectancy in North Africa and the Middle East: a systematic analysis for the Global Burden of Disease Study 2019
dc.type info:eu-repo/semantics/article


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