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Fine Particulate Air Pollution and Hospital Emergency Room Visits for Respiratory Disease in Urban Areas in Beijing, China, in 2013.
- Source :
- PLoS ONE; 4/7/2016, Vol. 11 Issue 4, p1-17, 17p
- Publication Year :
- 2016
-
Abstract
- Background: Heavy fine particulate matter (PM<subscript>2.5</subscript>) air pollution occurs frequently in China. However, epidemiological research on the association between short-term exposure to PM<subscript>2.5</subscript> pollution and respiratory disease morbidity is still limited. This study aimed to explore the association between PM<subscript>2.5</subscript> pollution and hospital emergency room visits (ERV) for total and cause-specific respiratory diseases in urban areas in Beijing. Methods: Daily counts of respiratory ERV from Jan 1 to Dec 31, 2013, were obtained from ten general hospitals located in urban areas in Beijing. Concurrently, data on PM<subscript>2.5</subscript> were collected from the Beijing Environmental Protection Bureau, including 17 ambient air quality monitoring stations. A generalized-additive model was used to explore the respiratory effects of PM<subscript>2.5</subscript>, after controlling for confounding variables. Subgroup analyses were also conducted by age and gender. Results: A total of 92,464 respiratory emergency visits were recorded during the study period. The mean daily PM<subscript>2.5</subscript> concentration was 102.1±73.6 μg/m<superscript>3</superscript>. Every 10 μg/m<superscript>3</superscript> increase in PM<subscript>2.5</subscript> concentration at lag<subscript>0</subscript> was associated with an increase in ERV, as follows: 0.23% for total respiratory disease (95% confidence interval [CI]: 0.11%-0.34%), 0.19% for upper respiratory tract infection (URTI) (95%CI: 0.04%-0.35%), 0.34% for lower respiratory tract infection (LRTI) (95%CI: 0.14%-0.53%) and 1.46% for acute exacerbation of chronic obstructive pulmonary disease (AECOPD) (95%CI: 0.13%-2.79%). The strongest association was identified between AECOPD and PM<subscript>2.5</subscript> concentration at lag<subscript>0-3</subscript> (3.15%, 95%CI: 1.39%-4.91%). The estimated effects were robust after adjusting for SO<subscript>2</subscript>, O<subscript>3</subscript>, CO and NO<subscript>2</subscript>. Females and people 60 years of age and older demonstrated a higher risk of respiratory disease after PM<subscript>2.5</subscript> exposure. Conclusion: PM<subscript>2.5</subscript> was significantly associated with respiratory ERV, particularly for URTI, LRTI and AECOPD in Beijing. The susceptibility to PM<subscript>2.5</subscript> pollution varied by gender and age. [ABSTRACT FROM AUTHOR]
- Subjects :
- AIR pollution
PARTICULATE matter
HOSPITAL emergency services
RESPIRATORY diseases
Subjects
Details
- Language :
- English
- ISSN :
- 19326203
- Volume :
- 11
- Issue :
- 4
- Database :
- Complementary Index
- Journal :
- PLoS ONE
- Publication Type :
- Academic Journal
- Accession number :
- 114319525
- Full Text :
- https://doi.org/10.1371/journal.pone.0153099