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Short-Term Exposure to PM2.5 Chemical Components and Depression Outpatient Visits: A Case-Crossover Analysis in Three Chinese Cities.


ABSTRACT:

Background

The association between specific chemical components of PM2.5 and depression remains largely unknown.

Methods

We conducted a time-stratified case-crossover analysis with a distributed lag nonlinear model (DLNM) to evaluate the relationship of PM2.5 and its chemical components, including black carbon (BC), organic matter (OM), sulfate (SO42-), nitrate (NO3-), and ammonium (NH4+), with the depression incidence. Daily depression outpatients were enrolled from Huizhou, Shenzhen, and Zhaoqing.

Results

Among 247,281 outpatients, we found the strongest cumulative effects of PM2.5 and its chemical components with the odd ratios (ORs) of 1.607 (95% CI: 1.321, 1.956) and 1.417 (95% CI: 1.245, 1.612) at the 50th percentile of PM2.5 and OM at lag 21, respectively. Furthermore, the ORs with SO42- and NH4+ at the 75th percentile on the same lag day were 1.418 (95% CI: 1.247, 1.613) and 1.025 (95% CI: 1.009, 1.140). Relatively stronger associations were observed among females and the elderly.

Conclusions

Our study suggests that PM2.5 and its chemical components might be important risk factors for depression. Reducing PM2.5 emissions, with a particular focus on the major sources of SO42- and OM, might potentially alleviate the burden of depression in South China.

SUBMITTER: Zhuang Z 

PROVIDER: S-EPMC10892610 | biostudies-literature | 2024 Feb

REPOSITORIES: biostudies-literature

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Publications

Short-Term Exposure to PM<sub>2.5</sub> Chemical Components and Depression Outpatient Visits: A Case-Crossover Analysis in Three Chinese Cities.

Zhuang Zitong Z   Li Dan D   Zhang Shiyu S   Hu Zhaoyang Z   Deng Wenfeng W   Lin Hualiang H  

Toxics 20240207 2


<h4>Background</h4>The association between specific chemical components of PM<sub>2.5</sub> and depression remains largely unknown.<h4>Methods</h4>We conducted a time-stratified case-crossover analysis with a distributed lag nonlinear model (DLNM) to evaluate the relationship of PM<sub>2.5</sub> and its chemical components, including black carbon (BC), organic matter (OM), sulfate (SO<sub>4</sub><sup>2-</sup>), nitrate (NO<sub>3</sub><sup>-</sup>), and ammonium (NH<sub>4</sub><sup>+</sup>), with  ...[more]

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