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Association of air pollutants and hospital admissions for respiratory diseases in Lanzhou, China, 2014-2019.
- Source :
-
Environmental geochemistry and health [Environ Geochem Health] 2023 Mar; Vol. 45 (3), pp. 941-959. Date of Electronic Publication: 2022 Apr 06. - Publication Year :
- 2023
-
Abstract
- The aim of this study was to assess the effects of air pollutants on hospital admissions for respiratory disease (RD) by using distributed lag nonlinear model (DLNM) in Lanzhou during 2014-2019. In this study, the dataset of air pollutants, meteorological, and daily hospital admissions for RD in Lanzhou, from January 1st, 2014 to December 31st, 2019, were collected from three national environmental monitoring stations, China meteorological data service center, and three large general hospitals, respectively. A time-series analysis with DLNM was used to estimate the associations between air pollutants and hospital admissions for RD including the stratified analysis of age, gender, and season. The key findings were expressed as the relative risk (RR) with a 95% confidence interval (CI) for single-day and cumulative lag effects (0-7). A total of 90, 942 RD hospitalization cases were identified during the study period. The highest association (RR, 95% CI) of hospital admissions for RD and PM <subscript>2.5</subscript> (1.030, 1.012-1.049), and PM <subscript>10</subscript> (1.009, 1.001-1.015), and NO <subscript>2</subscript> (1.047, 1.024-1.071) were observed at lag 07 for an increase of 10 μg/m <superscript>3</superscript> in the concentrations, and CO at lag07 (1.140, 1.052-1.236) for an increase of 1 mg/m <superscript>3</superscript> in the concentration. We observed that the RR estimates for gaseous pollutants (e.g., CO and NO <subscript>2</subscript> ) were larger than those of particulate matter (e.g., PM <subscript>2.5</subscript> and PM <subscript>10</subscript> ). The harmful effects of PM <subscript>2.5</subscript> , PM <subscript>10</subscript> , NO <subscript>2</subscript> , and CO were greater in male, people aged 0-14 group and in the cold season. However, no significant association was observed for SO <subscript>2</subscript> , O <subscript>3</subscript> 8h, and total hospital admissions for RD. Therefore, some effective intervention strategies should be taken to strengthen the treatment of the ambient air pollutants, especially gaseous pollutants (e.g., CO and NO <subscript>2</subscript> ), thereby, reducing the burden of respiratory diseases.<br /> (© 2022. The Author(s), under exclusive licence to Springer Nature B.V.)
- Subjects :
- Humans
Male
Female
Nitrogen Dioxide analysis
Environmental Exposure analysis
Particulate Matter toxicity
Particulate Matter analysis
Hospitalization
China epidemiology
Gases analysis
Hospitals
Air Pollutants toxicity
Air Pollutants analysis
Air Pollution adverse effects
Air Pollution analysis
Respiratory Tract Diseases chemically induced
Respiratory Tract Diseases epidemiology
Respiration Disorders chemically induced
Respiration Disorders epidemiology
Environmental Pollutants analysis
Subjects
Details
- Language :
- English
- ISSN :
- 1573-2983
- Volume :
- 45
- Issue :
- 3
- Database :
- MEDLINE
- Journal :
- Environmental geochemistry and health
- Publication Type :
- Academic Journal
- Accession number :
- 35384572
- Full Text :
- https://doi.org/10.1007/s10653-022-01256-2