TY - JOUR T1 - A Correlation Study that Reveals the Relationship Between Countries’ GDP, Frequency of Access to Clean Fuel, Level of PM2.5, and Death Rate Related to Air Pollution TT - Ülkelerin GSYİH’si, Temiz Yakıta Erişim Sıklığı, PM2.5 Düzeyi ve Hava Kirliliğine Bağlı Ölüm Hızı Arasındaki İlişkiyi Ortaya Çıkaran Bir Korelasyon Çalışması AU - Koçak, Cemal PY - 2024 DA - October Y2 - 2024 DO - 10.4274/atfm.galenos.2024.91259 JF - Ankara Üniversitesi Tıp Fakültesi Mecmuası PB - Ankara University WT - DergiPark SN - 0365-8104 SP - 258 EP - 264 VL - 77 IS - 3 LA - en AB - Objectives: Air pollution is one of biggest environmental health problems and is responsible for 11.7% of deaths. It was aimed at examining therelationship between gross domestic product (GDP), the percentage of access to clean fuels, PM2.5 level, air pollution death rates.Materials and Methods: This study is a correlational study. Data for 208 countries for 1990-2019 were accessed from “Our World in Data” webpage in April-May 2023. Comparisons were made according to World Bank income groups.Results: GDP per capita had a very strong positive correlation with percentage of access to clean/technological fuels (r=0.915), and a very strongnegative correlation with indoor air pollution death rate (r=-0.914). There was a moderate negative correlation between GDP per capita andPM2.5 (r=-0.470). The average PM2.5 level had a moderate negative correlation with percentage of access to clean/technological fuel (r=-0.445),a moderate positive correlation with indoor air pollution death rate (r=0.433), and a strong positive correlation with outdoor air pollution deathrate (r=0.602).Conclusion: The percentage of access to clean/technological fuels has increased over the years, indoor air pollution death rate has decreased. It hasbeen almost completely eradicated in high-income countries, but remains in low-income countries. By encouraging clean/technological heatingand cooking methods, indoor air pollution death rate will no longer be a problem in any country. On the other hand, outdoor air pollution deathrate is higher in countries with high PM2.5 levels. If policymakers reduce coal, oil consumption and prioritize clean energy, transportation, they canimprove air quality by lowering PM2.5 levels. KW - Indoor air pollution KW - outdoor air pollution KW - PM2.5 KW - gross domestic product KW - clean fuel KW - World Bank country income groups N2 - Amaç: Hava kirliliği en büyük çevre sağlığı sorunlarından biridir ve ölümlerin %11,7’sinden sorumludur. Gayri safi yurtiçi hasıla (GSYİH), temizyakıtlara erişim yüzdesi, PM2.5 düzeyi ve hava kirliliğinden ölüm hızları arasındaki ilişkinin incelenmesi amaçlandı.Gereç ve Yöntem: Bu çalışma korelasyonel bir çalışmadır. Nisan-Mayıs 2023’te “Our World in Data” web sayfasından 1990-2019 için 208 ülkeye aitveriye ulaşıldı. Karşılaştırmalar Dünya Bankası gelir gruplarına göre yapıldı.Bulgular: Kişi başına düşen GSYİH, temiz/teknolojik yakıtlara erişim yüzdesi ile çok güçlü bir pozitif korelasyona (r=0,915) ve iç ortam hava kirliliğiölüm hızı ile çok güçlü bir negatif korelasyona (r=-0,914) sahipti. Kişi başına düşen GSYİH ile PM2,5 (r=-0,470) arasında orta düzeyde negatifkorelasyon vardı. Ortalama PM2.5 düzeyi, temiz/teknolojik yakıtlara erişim yüzdesi ile orta derecede negatif korelasyona (r=-0,445), iç ortam havakirliliği ölüm hızı ile orta derecede pozitif korelasyona (r=0,433) ve dış ortam hava kirliliği ölüm hızıyla güçlü pozitif korelasyona sahipti (r=0,602).Sonuç: Yıllar geçtikçe temiz/teknolojik yakıtlara erişim yüzdesi arttı, iç ortam hava kirliliği ölüm hızı azaldı. Bu hız yüksek gelirli ülkelerde neredeysetamamen ortadan kaldırıldı, ancak düşük gelirli ülkelerde varlığını sürdürüyor. Temiz/teknolojik ısıtma ve pişirme yöntemlerinin teşvik edilmesiyleiç ortam hava kirliliğinden ölüm hızı artık hiçbir ülkede sorun olmayacak. Öte yandan PM2.5 seviyesinin yüksek olduğu ülkelerde dış ortam havakirliliğinden ölüm hızı daha yüksektir. Politika yapıcılar kömür ve petrol tüketimini azaltır ve temiz enerji ile ulaşıma öncelik verirlerse PM2.5seviyelerini düşürerek hava kalitesini artırabilirler CR - 1. GBD 2019 Risk Factors Collaborators. Global burden of 87 risk factors in 204 countries and territories, 1990-2019: a systematic analysis for the Global Burden of Disease Study 2019. Lancet. 2020;396:1223-1249. CR - 2. Fisher S, Bellinger DC, Cropper ML, et al. Air pollution and development in Africa: impacts on health, the economy, and human capital. Lancet Planet Health. 2021;5:681-688. CR - 3. Outdoor Air Pollution; Death rates from outdoor air pollution have fallen in around half of countries [online]. Available at: https://ourworldindata.org/ outdoor-air-pollution Accessed June 11, 2023. CR - 4. Altunok A, Eskiocak M. Trakya’da partiküler madde kirliliği ve mortalite ilişkisinin değerlendirilmesi. Turk J Public Health. 2020;18:124-132. CR - 5. WHO, Ambient (outdoor) air pollution, Air quality guidelines. https://www. who.int/news-room/fact-sheets/detail/ambient-(outdoor)-air-quality-andhealth? gclid=Cj0KCQiAm4WsBhCiARIsAEJIEzXBDZ2EhI31RxZyO3PxtarglyRj fYNAEwyOrqT_nMe3-nbAG-jAFaEaAniyEALw_wcB Accessed December 19, 2023. CR - 6. World Health Organization. WHO guidelines for indoor air quality: household fuel combustion. World Health Organization, 2014 [online]. Available at: https://www.who.int/publications/i/item/9789241548885 Accessed June 11, 2023. CR - 7. WHO- Fact sheet- Household air pollution. Updated November 2022 [online]. Available at: https://www.who.int/news-room/fact-sheets/detail/ household-air-pollution-and-health Accessed June 11, 2023. CR - 8. Our World in Data; Indoor Air Pollution; Access to clean fuels for cooking [online]. Available at: https://ourworldindata.org/indoor-air-pollution Accessed June 11, 2023. CR - 9. Our World in Data; Air Pollution. 2023 [online]. Available at: https:// ourworldindata.org/air-pollution Accessed June 11, 2023. CR - 10. Aksakoğlu G. Sağlıkta Araştırma Teknikleri ve Analiz Yöntemleri. Dokuz Eylül Üniversitesi Yayın Komisyonu Yayını, ISBN 957-93363-0-08. D.E.Ü. Rektörlük Matbaası, İzmir, 2001. CR - 11. Mayda AS, Karkaç D. Düzce’de hava kirliliğinin mortalite üzerine etkisi. Sakarya Tıp Dergisi 2021;11(4):829-835. CR - 12. Global Health Observatory. Ambient air pollution [online]. Available at: https://www.who.int/data/gho/data/themes/air-pollution/ambient-airpollution Erişim tarihi: 11 Haziran 2023. CR - 13. Ministry of Environmental Protection of China. National ambient air quality standard of China. 2012 [online]. Available at: http://www.mee.gov.cn/ywgz/fgbz/bz/bzwb/dqhjbh/dqhjzlbz/201203/W020120410330232398521. pdf Accessed June 11, 2023. CR - 14. Wang Y, Wang Y, Xu H, et al. Ambient Air Pollution and Socioeconomic Status in China. Environ Health Perspect. 2022;130:67001. CR - 15. Zhou M, Wang H, Zeng X, et al. Mortality, morbidity, and risk factors in China and its provinces, 1990-2017: a systematic analysis for the Global Burden of Disease Study 2017. Lancet. 2019;394:1145-8. CR - 16. Government of China. On the publication of National Action Plan for Air Pollution Control [online]. Available at: http://www.gov.cn/zwgk/2013- 09/12 content_2486773.htm Accessed June 11, 2023. CR - 17. Huang J, Pan X, Guo X, et al. Health impact of China’s air pollution prevention and control action plan: An analysis of national air quality monitoring and mortality data. Lancet Planet Health. 2018;2:313-23. CR - 18. Euronews Web Sitesi. Dünyanın hava kirliliği haritası: Türkiye’den 3 il ‘Avrupa’nın havası en kirli 15 şehri’ listesinde [online]. Available at: https:// tr.euronews.com/2021/03/16/dunyan-n-hava-kirliligi-haritas-turkiye-den- 3-il-avrupa-n-n-havas-en-kirli-15-sehri-listes Accessed June 11, 2023. CR - 19. ÇİSİP (Çevre İklim ve Sağlık İçin İş Birliği Projesi). Hava kirliliğinin sağlık etkileri. 2022 [online]. Available at: https://www.env-health.org/wpcontent/ uploads/2022/03/Hava_Kirliligi_Bilgi_Notu.pdf Accessed June 11, 2023. CR - 20. Euronews Web Sitesi. Dünya Hava kirliliği raporu: Türkiye 46. sırada, Iğdır ve Düzce Avrupa’nın en kirli kentleri, 2022 [online]. Available at: https: tr.euronews.com/2022/03/22/2021-de-dunyada-hicbir-ulke-dso-nunhava- kalitesi-standard-n-tutturamad Accessed June 11, 2023. CR - 21. Brauer M, Freedman G, Frostad J, et al. Ambient air pollution exposure estimation for the Global Burden of Disease 2013. Environ Sci Technol. 2016;50:79-88, CR - 22. Cohen AJ, Brauer M, Burnett R, et al. Estimate sand 25-year trends of the global burden of disease attributable to ambient air pollution: ananalysis of data from the Global Burden of Diseases Study 2015. Lancet. 2017;389:1907-18. CR - 23. Bell ML, Ebisu K. Environmental inequality in exposures to air borne particulate matter components in the United States. Environ Health Perspect. 2012;120:1699-704. CR - 24. Clark LP, Millet DB, Marshall JD. Changes in transportation-related air pollution exposures by race-ethnicity and socioeconomic status: outdoor nitrogen dioxide in the United States in 2000 and 2010. Environ Health Perspect. 2017;125:097012. CR - 25. Liu J, Clark LP, Bechle M, et al. Disparities in air pollution exposure in the United States by race/ethnicity and income, 1990-2010. Environ Health Perspect. 2021;129:127005. CR - 26. Hajat A, Hsia C, O’Neill MS. Socioeconomic disparities and air pollution exposure: a global review. Curr Environ Health Rep. 2015;2:440-450. CR - 27. Temam S, Burte E, Adam M, et al. Socioeconomic position and outdoor nitrogen dioxide (NO2) exposure in Western Europe: amulti-city analysis. Environ Int. 2017;101:117-124. CR - 28. WHO- Fact sheet- Ambient (outdoor) air pollution. Updated Dec 2022 [online]. Available at: https://www.who.int/en/news-room/fact-sheets/ detail/ambient-(outdoor)-air-quality-and-health Accessed June 11, 2023. CR - 29. WHO. Over half a million premature deaths annually in the European Region attributable to household and ambient air pollution. 2 May 2018 [online]. Available at: https://www.who.int/europe/news/item/02-05-2018- over-half-a-million-premature-deaths-annually-in-the-european-regionattributable- to-household-and-ambient-air-pollution Accessed June 11, 2023. CR - 30. “The World in Numbers”, The Economist The World in 2021, December 2020 [online]. Available at: https://macua.blogs.com/files/the-world-in-2021- the-economist.pdf Accessed June 17, 2023. CR - 31. Yue H, He C, Huang Q, et al. Stronger policy required to substantially reduce deaths from PM2·5 pollution in China. Nat Commun. 2020;11:1462 UR - https://doi.org/10.4274/atfm.galenos.2024.91259 L1 - https://dergipark.org.tr/en/download/article-file/4909339 ER -