ArticleBMC public health2025
Exposure to living environmental risk factors and incidence of chronic lung disease in Chinese adults: results from a cross-sectional and longitudinal study.
Article in BMC public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
1 citing paper in PubMed.
- Association between cold spells and chronic lung disease: a nationwide spatial machine learning analysis.Frontiers in medicine · 2026Article
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9 authors.
Funding
Abstract
backgroundChronic lung disease (CLD) imposes substantial health burdens on Chinese adults. While prior studies have focused on isolated environmental factors, this study comprehensively evaluated the synergistic effects of living environmental risk factors (LEFs), including indoor fuel type, water source, exposure to fine particulate matter (PM2.5), housing conditions, and indoor temperature/humidity, on CLD development.
methodsUtilizing data from the China Health and Retirement Longitudinal Study (CHARLS, 2011-2018), cross-sectional (n = 12,318) and longitudinal (n = 8,516) analyses were conducted. LEFs score were derived from multi-domain environmental metrics. Logistic regression was used to identify baseline associations between LEFs and CLD, while Cox proportional hazards models were used to estimate longitudinal risks. Adjusted covariates included sociodemographic, lifestyle, comorbidities, and regional factors.
resultsPoor quality of the living environment was significantly correlated with CLD prevalence (cross-sectional OR: 1.14, 95% CI: 1.03-1.27) and incidence (longitudinal HR: 1.25, 95% CI: 1.10-1.42) after full adjustment. Key risk factors included indoor solid fuel use, unsuitable indoor temperature, and excessive humidity. Subgroup analyses highlighted stronger associations among rural residents and individuals with comorbidities.
conclusionIntegrated assessment of environmental risks is critical for CLD prevention. Mitigating indoor air pollution, optimizing thermal conditions, and improving housing quality may reduce disease burden. Public health policies should prioritize multifaceted environmental interventions for high-risk populations.
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