Association between Short-Term Exposure to Ambient Air Pollution and Mortality from Cardiovascular Diseases in Ulaanbaatar, Mongolia

Abstract

Cardiovascular diseases (CVD) are one of the leading causes of death globally, and a major contributor to CVD mortality is ambient air pollution (AAP). This study aimed to evaluate associations between AAP and mortality from CVD, including ischemic heart diseases (IHD) and strokes. Data on daily mortality records, six criteria AAP and meteorology in the capital city of Mongolia were collected between 1 January 2016 and 31 December 2022. A time-stratified case-crossover design was analysed with distributed lag conditional Poisson regression to estimate the relative risk of CVD mortality. We found that for each interquartile range increase in PM2.5, PM10, SO2 and NO2 pollutants, the risk of CVD mortality increased by 1.5% (RR = 1.015; 95% CI: 1.005, 1.025), 4.4% (RR = 1.044; 95% CI: 1.029, 1.059), 3.1% (RR = 1.033; 95% CI: 1.015, 1.047) and 4.8% (RR = 1.048; 95% CI: 1.013, 1.085) at lag01, respectively. The association between all pollutants, except O3, and CVD mortality was higher in subgroups ≥ 65 years and male, during the cold season and after using a new type of coal briquettes. Despite using the new type of coal briquettes, Ulaanbaatar’s ambient air pollution remained higher than the WHO’s guidelines. Based on our findings, we recommend that efforts should be focused on adopting more efficient strategies to reduce the current pollution level.

Keywords

• air pollution
• mortality
• cardiovascular disease
• stroke
• ischemic heart disease
• case-crossover