Impacts of household PM2.5 pollution on blood pressure of rural residents: Implication for clean energy transition

Abstract

High blood pressure associated with PM2.5 exposure is of great concern, especially for rural residents exposed to high PM2.5 levels. However, the impact of short-term exposure to high PM2.5 on blood pressure (BP) has not been well elucidated. Thus, this study aims to focus on the association between short-term PM2.5 exposure with BP of rural residents and its variation between summer and winter. Our results showed that the summertime PM2.5 exposure concentration was 49.3 ± 20.6 μg/m3, among which, mosquito coil users had 1.5-folds higher PM2.5 exposure than non-mosquito coil users (63.6 ± 21.7 vs 43.0 ± 16.7 μg/m3, p < 0.05). The mean systolic and diastolic BP (SBP and DBP, respectively) of rural participants were 122 ± 18.2 and 76.2 ± 11.2 mmHg in summer, respectively. The PM2.5 exposure, SBP, and DBP in summer were 70.7 μg/m3, 9.0 mmHg, and 2.8 mmHg lower than that in winter, respectively. Furthermore, the correlation between PM2.5 exposure and SBP was stronger in winter than that in summer, possibly due to higher PM2.5 exposure levels in winter. The transition of household energy from solid fuels in winter to clean fuels in summer would be benefit to the decline of PM2.5 exposure as well as BP. Results from this study suggested that the reduction of PM2.5 exposure would have positive effect on human health.