Wildfire-sourced fine particulate matter and mental disorders in children and adolescents
摘要
Wildfire-specific fine particulate matter (PM2.5) is an increasing public health concern given its greater toxicity than non-wildfire PM2.5. However, little is known about its impacts on the mental health of children and adolescents ≤19 years (for example, substance use, anxiety and depression). Here we estimate associations of wildfire-specific PM2.5 with emergency department (ED) visits for child mental disorders across 845 communities in Australia, Brazil and Canada during 2004‒2019, comparing with that of non-wildfire PM2.5. Each 1 µg m−3 increase in daily wildfire-specific PM2.5 was associated with a 1.4% (1.4‒1.5%) increase in child mental health-related ED visits 6 days following exposure. Stronger associations were observed for schizophrenia, boys, children under 5 years, low-income or more urbanized communities, communities with higher levels of PM2.5 from non-wildfire sources, and Brazil. Annually, wildfire-specific PM2.5 was responsible for an estimated 22,459 (22,131‒22,782) ED visits for child mental disorders, posing greater risks to substance use, bipolar affective disorder, depression and anxiety than non-wildfire PM2.5. Urgent action is needed to mitigate the mental health impacts of wildfire air pollution, safeguarding the well-being of future generations in the face of increasing wildfires.