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HomeArticlesVol 31,2021 No.1Detail

Effects of long-term exposure to atmospheric ozone on depressive, anxiety and stress symptoms of natural population in the community

Published on Feb. 20, 2021Total Views: 5812 timesTotal Downloads: 1998 timesDownloadMobile

Author: Xiao-Hui LIU 1 Han CAO 1 Han ZHANG 2 Zheng-Fang WANG 2 Nai-Jun TANG 3 Kai-Jun NIU 4 Kuo LIU 1 Hui-Ping ZHU 1 Qi GAO 1 Bing-Xiao LI 1 Wen-Juan PENG 1 Yun-Yi XIE 1 Guang-Liang SHAN 5 Ling ZHANG 1

Affiliation: 1. Department of Epidemiology and Health Statistics, School of Public Health, Capital Medical University and Beijing Municipal Key Laboratory of Clinical Epidemiology, Beijing 100069, China 2. Health Management Center, Beijing Aerospace General Hospital, Beijing 100076, China 3. Department of Occupational and Environmental Health, School of Public Health, Tianjin Medical University, and Tianjin Key Laboratory of Environment, Nutrition, and Public Health, Tianjin 300070, China 4. Nutritional Epidemiology Institute and School of Public Health, Tianjin Medical University,Tianjin 300070, China 5. Department of Epidemiology and Statistics, Institute of Basic Medical Sciences, Chinese Academy of Medical Sciences, Beijing 100730, China

Keywords: Air pollution Ozone Mental health DASS-21 Depressive Anxiety Stress

DOI: 10.12173/j.issn.1004-5511.2021.01.02

Reference: Liu XH, Cao H, Zhang H, et al. Effects of long-term exposure to atmospheric ozone on depressive, anxiety and stress symptoms of natural population in the community[J]. Yixue Xinzhi Zazhi, 2021, 31(1): 5-13. DOI: 10.12173/j.issn.1004-5511.2021.01.02.[Article in Chinese]

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Abstract

Objective To explore the relationship between air ozone(O3) and depressive, anxiety and stress in residents, and to provide a basis for carrying out mental health intervention.

Methods A Depressive Anxiety and Stress Scale (DASS-21) was used to investigate the depressive, anxiety and stress of residents in Beijing-Tianjin-Hebei. Monitoring data from the nearest environmental protection monitoring sites were recorded during the investigation period. Multilevel logistic regression model was used to analyze the relationship between air ozone and depressive, anxiety and stress in residents.

Results A total of 13,446 residents, aged 48.50±14.87 years in Beijing-Tianjin-Hebei were investigated. The detection rates of depressive, anxiety and stress were 10.5%, 16.6% and 5.2%, respectively. The three-year average concentration of O3 is 100.20 μg/m3. The result showed that the risk of depressive [OR=1.154, 95% CI(1.119, 1.191)], anxiety [OR=1.093, 95% CI(1.067, 1.120)] and stress [OR=1.142, 95% CI(1.097, 1.189)] increased with each increase of 10 μg /m3 ozone in the 3-year average concentration of long-term exposure. The sensitivity analysis results are relatively stable, which indicates that O3 has an independent effect on the risk of depressive, anxiety and stress.

Conclusion The long-term exposure to air O3 might be one of risk factors for depressive, anxiety and stress in people, and suggests that more attention should be paid to the mental health problems of population in heavily polluted area.

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