{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T23:24:14Z","timestamp":1790810654935,"version":"4.1.0"},"reference-count":73,"publisher":"MDPI AG","issue":"9","license":[{"start":{"date-parts":[[2017,9,12]],"date-time":"2017-09-12T00:00:00Z","timestamp":1505174400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJERPH"],"abstract":"<jats:p>The deleterious effects of ambient air pollution on human health have been consistently documented by many epidemiologic studies worldwide, and it has been calculated that globally at least seven million deaths are annually attributable to the effects of air pollution. The major air pollutants emitted into the atmosphere by a number of natural processes and human activities include nitrogen oxides, volatile organic compounds, and particulate matter. In addition to the poor ambient air quality, there is increasing evidence that indoor air pollution also poses a serious threat to human health, especially in low-income countries that still use biomass fuels as an energy resource. This review summarizes the current knowledge on ambient air pollution in financially deprived populations.<\/jats:p>","DOI":"10.3390\/ijerph14091048","type":"journal-article","created":{"date-parts":[[2017,9,12]],"date-time":"2017-09-12T10:40:04Z","timestamp":1505212804000},"page":"1048","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":486,"title":["Health Effects of Ambient Air Pollution in Developing Countries"],"prefix":"10.3390","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1915-3897","authenticated-orcid":false,"given":"Pier","family":"Mannucci","sequence":"first","affiliation":[{"name":"Scientific Direction, Fondazione IRCCS Ca\u2019 Granda-Ospedale Maggiore Policlinico and University of Milan, 20100 Milan, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Massimo","family":"Franchini","sequence":"additional","affiliation":[{"name":"Department of Transfusion Medicine and Hematology, Carlo Poma Hospital, 46100 Mantova, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2017,9,12]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"10","DOI":"10.1016\/j.ejim.2015.11.012","article-title":"Association between particulate air pollution and venous thromboembolism: A systematic literature review","volume":"27","author":"Franchini","year":"2016","journal-title":"Eur. J. Intern. Med."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"657","DOI":"10.1007\/s11739-015-1276-7","article-title":"Effects on health of air pollution: A narrative review","volume":"10","author":"Mannucci","year":"2015","journal-title":"Intern. Emerg. Med."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"931","DOI":"10.1016\/j.amjmed.2015.03.021","article-title":"The health and economic burden of air pollution","volume":"128","author":"Franchini","year":"2015","journal-title":"Am. J. Med."},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"83b","DOI":"10.1093\/eurheartj\/ehu458","article-title":"Expert position paper on air pollution and cardiovascular disease","volume":"36","author":"Newby","year":"2015","journal-title":"Eur. Heart. J."},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"2405","DOI":"10.1182\/blood-2011-04-343111","article-title":"Thrombogenicity and cardiovascular effects of ambient air pollution","volume":"118","author":"Franchini","year":"2011","journal-title":"Blood"},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"230","DOI":"10.1016\/j.thromres.2011.10.030","article-title":"Air pollution and cardiovascular disease","volume":"129","author":"Franchini","year":"2012","journal-title":"Thromb. Res."},{"key":"ref_7","unstructured":"WHO (2014). 7 million deaths annually linked to air pollution. Cent. Eur. J. Public Health, 22, 53\u201359."},{"key":"ref_8","unstructured":"(2017, August 15). Burden of Disease from Ambient and Household Air Pollution. Available online: http:\/\/who.int\/phe\/health_topics\/outdoorair\/databases\/en\/."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"2224","DOI":"10.1016\/S0140-6736(12)61766-8","article-title":"A comparative risk assessment of burden of disease and injury attributable to 67 risk factors and risk factor clusters in 21 regions, 1990\u20132010: A systematic analysis for the global burden of disease study 2010","volume":"380","author":"Lim","year":"2012","journal-title":"Lancet"},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"662","DOI":"10.1111\/j.1538-7836.2009.03694.x","article-title":"Effects of inhalable particulate matter on blood coagulation","volume":"8","author":"Bonzini","year":"2010","journal-title":"J. Thromb. Haemost."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"559","DOI":"10.1177\/096032706072520","article-title":"Particulate matter properties and health effects. Consistency of epidemiological and toxicological studies","volume":"25","author":"Schwarze","year":"2006","journal-title":"Hum. Exp. Toxicol."},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"339","DOI":"10.1080\/10590500802494538","article-title":"Airborne particulate matter and human health: Toxicological assessment and importance of size and composition of particles for oxidative damage and carcinogenic mechanisms","volume":"26","author":"Valavanidis","year":"2008","journal-title":"J. Environ. Sci. Health. C. Environ. Carcinog. Ecotoxicol. Rev."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1016\/j.ejim.2014.12.008","article-title":"Impact on human health of climate changes","volume":"26","author":"Franchini","year":"2015","journal-title":"Eur. J. Intern. Med."},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"2169","DOI":"10.1111\/j.1538-7836.2007.02750.x","article-title":"Short-term effects of air pollution on cardiovascular diseases: Outcomes and mechanisms","volume":"5","author":"Franchini","year":"2007","journal-title":"J. Thromb. Haemost."},{"key":"ref_15","first-page":"S31","article-title":"Air pollution risks to human health","volume":"8","author":"Bertazzi","year":"2013","journal-title":"Intern. Emerg. Med."},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"71","DOI":"10.1016\/j.ccl.2016.09.001","article-title":"Environmental exposures and cardiovascular disease: A challenge for health and development in low- and middle-income countries","volume":"35","author":"Rollins","year":"2017","journal-title":"Cardiol. Clin."},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"185","DOI":"10.1146\/annurev-publhealth-032013-182356","article-title":"Millions dead: How do we know and what does it mean? Methods used in the comparative risk assessment of household air pollution","volume":"35","author":"Smith","year":"2014","journal-title":"Annu. Rev. Public Health"},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"279","DOI":"10.1078\/1438-4639-00224","article-title":"The burden of disease from indoor air pollution in developing countries: Comparison and estimates","volume":"206","author":"Smith","year":"2003","journal-title":"Int. J. Hyg. Environ. Health"},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"15","DOI":"10.1136\/jech.2003.019471","article-title":"Environmental risks in the developing world: Exposure indicators for evaluating interventions, programmes, and policies","volume":"59","author":"Ezzati","year":"2005","journal-title":"J. Epidemiol. Community Health"},{"key":"ref_20","first-page":"81","article-title":"Evaluating the health cost of transport pollution","volume":"2","author":"Banerjee","year":"2012","journal-title":"Int. J. Phys. Soc. Sciences"},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"4026","DOI":"10.1016\/j.scitotenv.2009.12.030","article-title":"An evaluation of resident exposure to respirable particulate matter and health economic loss in Beijing during Beijing 2008 Olympic Games","volume":"408","author":"Hou","year":"2010","journal-title":"Sci. Total. Environ."},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"10","DOI":"10.1016\/j.envint.2011.03.003","article-title":"Ambient air pollution, climate change, and population health in China","volume":"42","author":"Kan","year":"2012","journal-title":"Environ. Int."},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"470","DOI":"10.1080\/10473289.2002.10470794","article-title":"Meta-Analysis of time-series studies of air pollution and mortality: Effects of gases and particles and the influence of cause of death, age, and season","volume":"52","author":"Stieb","year":"2002","journal-title":"J. Air Waste Manag. Assoc."},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"2513","DOI":"10.1056\/NEJMoa1702747","article-title":"Air pollution and mortality in the Medicare population","volume":"376","author":"Di","year":"2017","journal-title":"N. Engl. J. Med."},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"100","DOI":"10.1016\/j.envint.2013.01.010","article-title":"Systematic review of Chinese studies of short-term exposure to air pollution and daily mortality","volume":"54","author":"Shang","year":"2013","journal-title":"Environ. Int."},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"367","DOI":"10.1038\/nature15371","article-title":"The contribution of outdoor air pollution sources to premature mortality on a global scale","volume":"525","author":"Lelieveld","year":"2015","journal-title":"Nature"},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"251","DOI":"10.1016\/S0140-6736(15)00551-6","article-title":"Cause-specific mortality for 240 causes in China during 1990\u20132013: A systematic subnational analysis for the Global Burden of Disease Study 2013","volume":"387","author":"Zhou","year":"2016","journal-title":"Lancet"},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"1987","DOI":"10.1016\/S0140-6736(13)61097-1","article-title":"Rapid health transition in China, 1990\u20132010: Findings from the Global Burden of Disease Study 2010","volume":"381","author":"Yang","year":"2013","journal-title":"Lancet"},{"key":"ref_29","first-page":"5","article-title":"Multicity study of air pollution and mortality in Latin America (the ESCALA study)","volume":"171","author":"Romieu","year":"2012","journal-title":"Res. Rep. Health Eff. Inst."},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"1187","DOI":"10.1007\/s11356-010-0293-3","article-title":"The state of indoor air quality in Pakistan\u2014A review","volume":"17","author":"Colbeck","year":"2010","journal-title":"Environ. Sci. Pollut. Res."},{"key":"ref_31","first-page":"489","article-title":"Exposure to particulate matter in India: A synthesis of findings and future directions","volume":"147","author":"Pant","year":"2016","journal-title":"Enrviron. Res."},{"key":"ref_32","first-page":"E31","article-title":"Air pollution and chronic airway diseases: What should people know and do?","volume":"8","author":"Jiang","year":"2016","journal-title":"J. Thor. Dis."},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"572","DOI":"10.1289\/ehp.1104002","article-title":"Effects of coarse particulate matter on emergency hospital admissions for respiratory diseases: A time-series analysis in Hong Kong","volume":"120","author":"Qiu","year":"2012","journal-title":"Environ. Health Perspect."},{"key":"ref_34","doi-asserted-by":"crossref","first-page":"1312","DOI":"10.1111\/j.1365-2222.2007.02791.x","article-title":"Effects of air pollution on asthma hospitalization rates in different age groups in Hong Kong","volume":"37","author":"Ko","year":"2007","journal-title":"Clin. Exp. Allergy"},{"key":"ref_35","doi-asserted-by":"crossref","first-page":"1071","DOI":"10.1080\/15287394.2014.922387","article-title":"Fine particulate air pollution and hospital admission for asthma: A case-crossover study in Taipei","volume":"77","author":"Cheng","year":"2014","journal-title":"J. Toxicol. Environ. Health"},{"key":"ref_36","doi-asserted-by":"crossref","first-page":"1027","DOI":"10.1136\/thoraxjnl-2014-205429","article-title":"Coarse particulate matter associated with increased risk of emergency hospital admissions for pneumonia in Hong Kong","volume":"69","author":"Qiu","year":"2014","journal-title":"Thorax"},{"key":"ref_37","first-page":"115","article-title":"Outdoor and indoor air pollution and COPD-related diseases in high- and low-income countries","volume":"12","author":"Liu","year":"2008","journal-title":"Int. J. Tuberc. Lung. Dis."},{"key":"ref_38","doi-asserted-by":"crossref","first-page":"393","DOI":"10.1016\/j.aogh.2014.10.002","article-title":"Occupational and environmental exposures and cancers in developing countries","volume":"80","author":"Hashim","year":"2014","journal-title":"Ann. Glob. Health"},{"key":"ref_39","doi-asserted-by":"crossref","first-page":"500","DOI":"10.1016\/j.scitotenv.2005.10.010","article-title":"Air pollution and lung cancer risks in China: A meta-analysis","volume":"366","author":"Zhao","year":"2006","journal-title":"Sci. Total Environ."},{"key":"ref_40","doi-asserted-by":"crossref","first-page":"1460","DOI":"10.1016\/j.scitotenv.2016.11.147","article-title":"The burden of lung cancer mortality attributable to fine particles in China","volume":"579","author":"Guo","year":"2017","journal-title":"Sci. Total Environ."},{"key":"ref_41","doi-asserted-by":"crossref","first-page":"1473","DOI":"10.1016\/S0140-6736(08)61345-8","article-title":"Effects of smoking and solid-fuel use on COPD, lung cancer, and tuberculosis in China: A time-based, multiple risk factor, modelling study","volume":"372","author":"Lin","year":"2008","journal-title":"Lancet"},{"key":"ref_42","doi-asserted-by":"crossref","first-page":"60","DOI":"10.1016\/j.envres.2015.11.004","article-title":"The association between lung cancer incidence and ambient air pollution in China: A spatiotemporal analysis","volume":"144","author":"Guo","year":"2016","journal-title":"Environ. Res."},{"key":"ref_43","doi-asserted-by":"crossref","first-page":"43","DOI":"10.1186\/1476-069X-12-43","article-title":"Long-term air pollution exposure and cardio-respiratory mortality: A review","volume":"12","author":"Hoek","year":"2013","journal-title":"Environ. Health"},{"key":"ref_44","doi-asserted-by":"crossref","first-page":"12936","DOI":"10.1073\/pnas.1300018110","article-title":"Evidence on the impact of sustained exposure to air pollution on life expectancy from China\u2019s Huai River policy","volume":"110","author":"Chen","year":"2013","journal-title":"Proc. Natl. Acad. Sci. USA"},{"key":"ref_45","doi-asserted-by":"crossref","unstructured":"Zhang, P., Dong, G., Sun, B., Zhang, L., Chen, X., Ma, N., Yu, F., Guo, H., Huang, H., and Lee, Y.L. (2011). Long-term exposure to ambient air pollution and mortality due to cardiovascular disease and cerebrovascular disease in Shenyang, China. PLoS ONE, 6.","DOI":"10.1371\/journal.pone.0020827"},{"key":"ref_46","doi-asserted-by":"crossref","first-page":"2438","DOI":"10.1111\/jth.12006","article-title":"Air pollution, vascular disease and thrombosis: Linking clinical data and pathogenic mechanisms","volume":"10","author":"Franchini","year":"2012","journal-title":"J. Thromb. Haemost."},{"key":"ref_47","doi-asserted-by":"crossref","first-page":"669","DOI":"10.1111\/j.1538-7836.2010.03760.x","article-title":"Air pollution and hospitalization for venous thromboembolic disease in Chile","volume":"8","author":"Dales","year":"2010","journal-title":"J. Thromb. Haemost."},{"key":"ref_48","doi-asserted-by":"crossref","unstructured":"Nandasena, Y.L., Wickremasinghe, A.R., and Sathiakumar, N. (2010). Air pollution and health in Sri Lanka: A review of epidemiologic studies. BMC Public Health, 10.","DOI":"10.1186\/1471-2458-10-300"},{"key":"ref_49","first-page":"1078","article-title":"Indoor air pollution in developing countries: A major environmental and public health challenge","volume":"78","author":"Bruce","year":"2000","journal-title":"Bull. World Health Organ."},{"key":"ref_50","doi-asserted-by":"crossref","first-page":"104","DOI":"10.1016\/S0140-6736(05)66845-6","article-title":"Indoor air pollution and health in developing countries","volume":"366","author":"Ezzati","year":"2005","journal-title":"Lancet"},{"key":"ref_51","doi-asserted-by":"crossref","first-page":"47","DOI":"10.1016\/j.toxlet.2012.11.007","article-title":"Early life exposure to air pollution: How bad is it?","volume":"216","author":"Backes","year":"2013","journal-title":"Toxicol. Lett."},{"key":"ref_52","doi-asserted-by":"crossref","first-page":"740","DOI":"10.1016\/j.annepidem.2004.01.009","article-title":"Maternal exposure to biomass smoke and reduced birth weight in Zimbabwe","volume":"14","author":"Mishra","year":"2004","journal-title":"Ann. Epidemiol."},{"key":"ref_53","doi-asserted-by":"crossref","first-page":"109","DOI":"10.1289\/ehp.02110109","article-title":"Birth weight and exposure to kitchen wood smoke during pregnancy in rural Guatemala","volume":"110","author":"Boy","year":"2002","journal-title":"Environ. Health Perspect."},{"key":"ref_54","doi-asserted-by":"crossref","first-page":"17","DOI":"10.1016\/j.envres.2012.12.004","article-title":"Hosehold air pollution and stillbirth in India: Analysis of the DLHS-II National Survey","volume":"121","author":"Lakshmi","year":"2013","journal-title":"Environ. Res."},{"key":"ref_55","doi-asserted-by":"crossref","first-page":"e012348","DOI":"10.1136\/bmjopen-2016-012348","article-title":"Do biomass fuel use and consumption of unsafe water mediate educational inequalities in stillbirth risk? An analysis of the 2007 Ghana Maternal Health Survey","volume":"7","author":"Amegah","year":"2017","journal-title":"BMJ Open"},{"key":"ref_56","doi-asserted-by":"crossref","first-page":"57","DOI":"10.1186\/s12940-017-0272-y","article-title":"Household air pollution from cooking and risk of adverse health and birth outcomes in Bangladesh: A nationwide population-based study","volume":"16","author":"Khan","year":"2017","journal-title":"Environ. Health"},{"key":"ref_57","doi-asserted-by":"crossref","unstructured":"Bruce, N.G., Dherani, M.K., Das, J., Balakrishnan, K., Adair-Rohani, H., Bhutta, Z.A., and Pope, D. (2013). Control of household air pollution for child survival: Estimates for intervention impacts. BMC Public Health, 13.","DOI":"10.1186\/1471-2458-13-S3-S8"},{"key":"ref_58","doi-asserted-by":"crossref","first-page":"70","DOI":"10.1093\/epirev\/mxq005","article-title":"Risk of low birth weight and stillbirth associated with indoor air pollution from solid fuel use in developing countries","volume":"32","author":"Pope","year":"2010","journal-title":"Epidemiol. Rev."},{"key":"ref_59","doi-asserted-by":"crossref","unstructured":"Amegah, A.K., Quansah, R., and Jaakkola, J.J.K. (2014). Household air pollution from solid fuel use and risk of adverse pregnancy outcomes: A systematic review and meta-analyisis of the empirical evidence. PLoS ONE, 9.","DOI":"10.1371\/journal.pone.0113920"},{"key":"ref_60","doi-asserted-by":"crossref","first-page":"16860","DOI":"10.1073\/pnas.0808927105","article-title":"The effect of 3 environmental risks on mortality disparities across Mexican communities","volume":"105","author":"Stevens","year":"2008","journal-title":"Proc. Natl. Acad. Sci. USA"},{"key":"ref_61","doi-asserted-by":"crossref","first-page":"843","DOI":"10.1016\/j.trstmh.2008.05.028","article-title":"Indoor air pollution from biomass fuel smoke is a major health concern in the developing world","volume":"102","author":"Fullerton","year":"2008","journal-title":"Trans. R. Soc. Trop. Med. Hyg."},{"key":"ref_62","doi-asserted-by":"crossref","first-page":"481","DOI":"10.1289\/ehp.01109481","article-title":"Quantifying the effects of exposure to indoor air pollution from biomass combustion on acute respiratory infections in developing countries","volume":"109","author":"Ezzati","year":"2001","journal-title":"Environ. Health Perspect."},{"key":"ref_63","doi-asserted-by":"crossref","first-page":"619","DOI":"10.1016\/S0140-6736(01)05777-4","article-title":"Indoor air pollution from biomass combustion and acute respiratory infections in Kenya: An exposure-response study","volume":"358","author":"Ezzati","year":"2001","journal-title":"Lancet"},{"key":"ref_64","doi-asserted-by":"crossref","first-page":"1717","DOI":"10.1016\/S0140-6736(11)60921-5","article-title":"Effect of reduction in household air pollution on childhood pneumonia in Guatemala (RESPIRE): A randomized controlled trial","volume":"378","author":"Smith","year":"2011","journal-title":"Lancet"},{"key":"ref_65","doi-asserted-by":"crossref","first-page":"42","DOI":"10.1016\/j.jaci.2011.11.031","article-title":"Roles of pollution in the prevalence and exacerbations of allergic diseases in Asia","volume":"129","author":"Leung","year":"2012","journal-title":"J. Allergy Clin. Immunol."},{"key":"ref_66","doi-asserted-by":"crossref","first-page":"6","DOI":"10.5409\/wjcp.v2.i2.6","article-title":"Indoor air pollution and respiratory health of children in the developing world","volume":"2","author":"Nandasena","year":"2013","journal-title":"World J. Clin. Pediatr."},{"key":"ref_67","doi-asserted-by":"crossref","first-page":"977","DOI":"10.1093\/aje\/kwf127","article-title":"Childhood asthma in Beijing, China: A population-based case-control study","volume":"156","author":"Zheng","year":"2002","journal-title":"Am. J. Epidemiol."},{"key":"ref_68","doi-asserted-by":"crossref","first-page":"10","DOI":"10.1016\/j.scitotenv.2014.07.096","article-title":"Asthma and asthma related symptoms in 23326 Chinese children in relation to indoor and outdoor environmental factors: The Seven Northeastern Cities (SNEC) study","volume":"497\u2013498","author":"Liu","year":"2014","journal-title":"Sci. Total Environ."},{"key":"ref_69","doi-asserted-by":"crossref","first-page":"565","DOI":"10.1046\/j.1365-2222.2001.01063.x","article-title":"Temporal relationship between air pollution and hospital admissions for asthmatic children in Hong Kong","volume":"31","author":"Wong","year":"2001","journal-title":"Clin. Exp. Allergy"},{"key":"ref_70","doi-asserted-by":"crossref","first-page":"1138","DOI":"10.1111\/j.1365-2222.2006.02555.x","article-title":"Association between air pollution and asthma admission among children in Hong Kong","volume":"36","author":"Lee","year":"2006","journal-title":"Clin. Exp. Allergy"},{"key":"ref_71","doi-asserted-by":"crossref","first-page":"83","DOI":"10.1016\/j.envres.2015.09.032","article-title":"Early life exposure to ambient air pollution and childhood asthma in China","volume":"143","author":"Deng","year":"2015","journal-title":"Environ. Res."},{"key":"ref_72","doi-asserted-by":"crossref","first-page":"823","DOI":"10.1016\/S2213-2600(14)70168-7","article-title":"Respiratory risks from household air pollution in low and middle income countries","volume":"2","author":"Gordon","year":"2014","journal-title":"Lancet Respir. Med."},{"key":"ref_73","doi-asserted-by":"crossref","first-page":"73","DOI":"10.1016\/j.envint.2017.03.010","article-title":"Effectiveness of interventions to reduce household air pollution and\/or improve health in homes using solid fuel in low-and-middle income countries: A systematic review and meta-analysis","volume":"103","author":"Quansah","year":"2017","journal-title":"Environ. Int."}],"container-title":["International Journal of Environmental Research and Public Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/1660-4601\/14\/9\/1048\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,11]],"date-time":"2025-10-11T18:44:41Z","timestamp":1760208281000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/1660-4601\/14\/9\/1048"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,9,12]]},"references-count":73,"journal-issue":{"issue":"9","published-online":{"date-parts":[[2017,9]]}},"alternative-id":["ijerph14091048"],"URL":"https:\/\/doi.org\/10.3390\/ijerph14091048","relation":{},"ISSN":["1660-4601"],"issn-type":[{"value":"1660-4601","type":"electronic"}],"subject":[],"published":{"date-parts":[[2017,9,12]]}}}