Association of Particulate Matter Air Pollution and Hospital Visits for Respiratory Diseases: a Time-series Study from China

Overview

Journal Environ Sci Pollut Res Int

Publisher Springer

Specialties Environmental Health
Toxicology

Date 2019 Mar 7

PMID 30840253

Citations 18

Authors

Zhenyu Zhang

Pengfei Chai

Jianbing Wang

Zhenhua Ye

Peng Shen

Huaichu Lu

Mingjuan Jin

Mengjia Gu

Die Li

Hongbo Lin

Kun Chen

Affiliations

Soon will be listed here.

Abstract

Fine particulate matter (PM) is a mixture of multiple components, which is associated with several chronic diseases, including respiratory and cardiovascular diseases. We evaluated the association between daily PM and PM exposure and hospital visits for respiratory diseases. Hospital visits for respiratory diseases were collected from Yinzhou Health Information System database. We used generalized additive models to examine the excess relative risk (ERR) and 95% confidence interval for hospital visits for respiratory diseases associated with each 10-μg/m increase in PM and PM concentration. Non-linear exposure-response relationship between PM exposure and hospital visits for respiratory diseases was evaluated by a smooth spline. The ERRs for hospital visits for respiratory diseases associated with a 10-μg/m increase in the 6-day cumulative average concentration of PM and PM were 5.40 (95% CI 2.32, 8.57) and 6.37% (95% CI 1.84, 11.10), respectively. The findings remained stable when we adjusted other gaseous air pollution. PM and PM were associated with the increased visits for the acute upper respiratory infection, pneumonia, asthma, and COPD. In this time-series study, we found a positive association between daily particulate matter exposure and hospital visits for respiratory diseases.

Citing Articles

The distribution characteristics of aerosol bacteria in different types of sheepfolds.

Wang J, Yu Y, Raheem A, Guo Y, Ma Q, Lu D Front Vet Sci. 2024; 11:1348850.

PMID: 38420208 PMC: 10900508. DOI: 10.3389/fvets.2024.1348850.

Association between ambient air pollutants and upper respiratory tract infection and pneumonia disease burden in Thailand from 2000 to 2022: a high frequency ecological analysis.

Choo E, Janhavi A, Koo J, Yim S, Dickens B, Lim J BMC Infect Dis. 2023; 23(1):379.

PMID: 37280547 PMC: 10242813. DOI: 10.1186/s12879-023-08185-0.

Short-Term Effect of Moderate Level Air Pollution on Outpatient Visits for Multiple Clinic Departments: A Time-Series Analysis in Xi'an China.

Wang Q, Chen Z, Huang W, Kou B, Li J Toxics. 2023; 11(2).

PMID: 36851041 PMC: 9967132. DOI: 10.3390/toxics11020166.

Short-term effect of ambient air pollution on outpatient visits for children in Guangzhou, China.

Chen S, Xu B, Shi T, Yang Q Front Public Health. 2023; 11:1058368.

PMID: 36741946 PMC: 9895100. DOI: 10.3389/fpubh.2023.1058368.

Differential effects of size-specific particulate matter on the number of visits to outpatient fever clinics: A time-series analysis in Zhuhai, China.

Li D, He R, Liu P, Jiang H Front Public Health. 2023; 10:972818.

PMID: 36620254 PMC: 9816473. DOI: 10.3389/fpubh.2022.972818.

References

Schwartz J, Neas L . Fine particles are more strongly associated than coarse particles with acute respiratory health effects in schoolchildren. Epidemiology. 2000; 11(1):6-10. DOI: 10.1097/00001648-200001000-00004. View

Frugier T, Tiziano F, Cifuentes-Diaz C, Miniou P, Roblot N, Dierich A . Nuclear targeting defect of SMN lacking the C-terminus in a mouse model of spinal muscular atrophy. Hum Mol Genet. 2000; 9(5):849-58. DOI: 10.1093/hmg/9.5.849. View

Samet J, Zeger S, Dominici F, Curriero F, Coursac I, Dockery D . The National Morbidity, Mortality, and Air Pollution Study. Part II: Morbidity and mortality from air pollution in the United States. Res Rep Health Eff Inst. 2001; 94(Pt 2):5-70; discussion 71-9. View

Fusco D, Forastiere F, Michelozzi P, Spadea T, Ostro B, Arca M . Air pollution and hospital admissions for respiratory conditions in Rome, Italy. Eur Respir J. 2001; 17(6):1143-50. DOI: 10.1183/09031936.01.00005501. View

Atkinson R, Anderson H, Sunyer J, Ayres J, Baccini M, Vonk J . Acute effects of particulate air pollution on respiratory admissions: results from APHEA 2 project. Air Pollution and Health: a European Approach. Am J Respir Crit Care Med. 2001; 164(10 Pt 1):1860-6. DOI: 10.1164/ajrccm.164.10.2010138. View

Wong C, Atkinson R, Anderson H, Hedley A, Ma S, Chau P . A tale of two cities: effects of air pollution on hospital admissions in Hong Kong and London compared. Environ Health Perspect. 2002; 110(1):67-77. PMC: 1240695. DOI: 10.1289/ehp.0211067. View

Pozzi R, De Berardis B, Paoletti L, Guastadisegni C . Inflammatory mediators induced by coarse (PM2.5-10) and fine (PM2.5) urban air particles in RAW 264.7 cells. Toxicology. 2002; 183(1-3):243-54. DOI: 10.1016/s0300-483x(02)00545-0. View

Becker S, Soukup J, Sioutas C, Cassee F . Response of human alveolar macrophages to ultrafine, fine, and coarse urban air pollution particles. Exp Lung Res. 2003; 29(1):29-44. DOI: 10.1080/01902140303762. View

Chen Y, Yang Q, Krewski D, Shi Y, Burnett R, McGrail K . Influence of relatively low level of particulate ar pollution on hospitalization for COPD in elderly people. Inhal Toxicol. 2004; 16(1):21-5. DOI: 10.1080/08958370490258129. View

10.

Schins R, Lightbody J, Borm P, Shi T, Donaldson K, Stone V . Inflammatory effects of coarse and fine particulate matter in relation to chemical and biological constituents. Toxicol Appl Pharmacol. 2004; 195(1):1-11. DOI: 10.1016/j.taap.2003.10.002. View

11.

Bell M, Samet J, Dominici F . Time-series studies of particulate matter. Annu Rev Public Health. 2004; 25:247-80. DOI: 10.1146/annurev.publhealth.25.102802.124329. View

12.

Slaughter J, Kim E, Sheppard L, Sullivan J, Larson T, Claiborn C . Association between particulate matter and emergency room visits, hospital admissions and mortality in Spokane, Washington. J Expo Anal Environ Epidemiol. 2004; 15(2):153-9. DOI: 10.1038/sj.jea.7500382. View

13.

Medina-Ramon M, Zanobetti A, Schwartz J . The effect of ozone and PM10 on hospital admissions for pneumonia and chronic obstructive pulmonary disease: a national multicity study. Am J Epidemiol. 2006; 163(6):579-88. DOI: 10.1093/aje/kwj078. View

14.

Dominici F, Peng R, Bell M, Pham L, McDermott A, Zeger S . Fine particulate air pollution and hospital admission for cardiovascular and respiratory diseases. JAMA. 2006; 295(10):1127-34. PMC: 3543154. DOI: 10.1001/jama.295.10.1127. View

15.

Kan H, London S, Chen G, Zhang Y, Song G, Zhao N . Differentiating the effects of fine and coarse particles on daily mortality in Shanghai, China. Environ Int. 2007; 33(3):376-84. PMC: 2094002. DOI: 10.1016/j.envint.2006.12.001. View

16.

Host S, Larrieu S, Pascal L, Blanchard M, Declercq C, Fabre P . Short-term associations between fine and coarse particles and hospital admissions for cardiorespiratory diseases in six French cities. Occup Environ Med. 2007; 65(8):544-51. DOI: 10.1136/oem.2007.036194. View

17.

Peng R, Chang H, Bell M, McDermott A, Zeger S, Samet J . Coarse particulate matter air pollution and hospital admissions for cardiovascular and respiratory diseases among Medicare patients. JAMA. 2008; 299(18):2172-9. PMC: 3169813. DOI: 10.1001/jama.299.18.2172. View

18.

Kan H, London S, Chen G, Zhang Y, Song G, Zhao N . Season, sex, age, and education as modifiers of the effects of outdoor air pollution on daily mortality in Shanghai, China: The Public Health and Air Pollution in Asia (PAPA) Study. Environ Health Perspect. 2008; 116(9):1183-8. PMC: 2535620. DOI: 10.1289/ehp.10851. View

19.

Bell M, Ebisu K, Peng R, Walker J, Samet J, Zeger S . Seasonal and regional short-term effects of fine particles on hospital admissions in 202 US counties, 1999-2005. Am J Epidemiol. 2008; 168(11):1301-10. PMC: 2732959. DOI: 10.1093/aje/kwn252. View

20.

Zanobetti A, Schwartz J . The effect of fine and coarse particulate air pollution on mortality: a national analysis. Environ Health Perspect. 2009; 117(6):898-903. PMC: 2702403. DOI: 10.1289/ehp.0800108. View