2020
Author(s): Chang Q, Zhang H, Zhao Y
Respiratory disease admission has been increasing in the recent 5Êyears due to heavy air pollutions and bad weather conditions in China. We investigated the short-term association of ambient air pollution with daily counts of hospital admissions due to respiratory infection diseases with stratified analysis by age (0-18, 19-65, and >_65Êyears old), gender (male, female), season (spring, summer, autumn, winter), and disease type (lung infections, asthma, COPD (chronic obstructive disease), URI (upper respiratory infections)) in heavy polluted city of Shenyang in China. Daily ambient air pollution concentrations, weather conditions, and hospital admission counts for 53Êmonths (from November 1, 2013 to March 25, 2018) were extracted from related authorities in electronic databases. Associations between outdoor air pollution levels and hospital admissions were estimated for time lags of 0-7Êdays using quasi-Poisson additive regression models, adjusted for meteorological variables, holidays, day of week, and season, as well as eliminating autocorrelations. Single pollutant analysis results showed lung infection diseases were related to all pollutant concentration change with no lag effects. After adjusting for other pollutants and confounding factors, we found NO(2) was associated with daily admissions of lung infections (ER_=_6.75%, 95% CI 1.24, 12.55), asthma (ER_=_20.36%, 95% CI 4.26, 38.95; lag day 5, ER_=_18.48%, 95% CI 2.83, 36.51), and COPD (ER_=_13.27%, 95% CI 0.46, 27.71); CO was associated with lung infections and asthma with lag effects on lag days 1 and 4; and PM(2.5) was associated with COPD admissions on lag day 6. Respiratory hospital admissions in female over 65Êyears old and autumn were more associated with increased air pollutant levels. Our study results might add more detail evidences for relationship studies between air pollution exposure and respiratory diseases and contribute to the precise respiratory disease prevention and air pollution control strategies.
Journal: Environmental Science and Pollution Research International