Ambient air pollutants relate to hospital admissions for chronic obstructive pulmonary disease in Ganzhou, China
ABSTRACT OBJECTIVE To evaluate the relationship between ambient air pollutants and chronic obstructive pulmonary disease in relatively low-polluted areas in China. METHODS Atmospheric pollutants levels and meteorological data were obtained from January 2016 to December 2020. The medical database...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Universidade de São Paulo
2022-06-01
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| Series: | Revista de Saúde Pública |
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| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0034-89102022000100237&tlng=en |
| _version_ | 1818531669629468672 |
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| author | Xingye Zhou Chenwei Li Yanfang Gao Chuanfei Zhou Lei Huang Xiaokang Zhang |
| author_facet | Xingye Zhou Chenwei Li Yanfang Gao Chuanfei Zhou Lei Huang Xiaokang Zhang |
| author_sort | Xingye Zhou |
| collection | DOAJ |
| description | ABSTRACT OBJECTIVE To evaluate the relationship between ambient air pollutants and chronic obstructive pulmonary disease in relatively low-polluted areas in China. METHODS Atmospheric pollutants levels and meteorological data were obtained from January 2016 to December 2020. The medical database including daily hospital admissions for chronic obstructive pulmonary disease (ICD10: J44) was derived from the First Affiliated Hospital of Gannan Medical University. The generalized additive model was used to analyze the percentage change with 95% confidence interval in daily hospital admissions for chronic obstructive pulmonary disease associated with a 10 µg/m3 increase in atmospheric pollutants levels. RESULTS In total, occurred 4,980 chronic obstructive pulmonary disease hospital admissions (not including emergency department visits) during 2016–2020. The mean concentrations of daily PM2.5, PM10, SO2, NO2, O3, and CO were 37.5 μg/m3, 60.1 μg/m3, 18.7 μg/m3, 23.5 μg/m3, 70.0 μg/m3, and 1.2 mg/m3 in Ganzhou. Each 10 µg/m3 increment of PM2.5, PM10, NO2, and O3 were significantly associated with 2.8% (95%CI: 1.0–4.7), 1.3% (95%CI: 0.3–2.4), 2.8% (95%CI: 0.4–5.4), and 1.5% (95%CI: 0.2–2.7) elevation in daily chronic obstructive pulmonary disease hospital admissions. The estimates of delayed effects of PM2.5, PM10, NO2, and O3 were observed at lag6, lag6, lag8, lag1, respectively. The health effects of particulate pollutants (PM2.5 and PM10) may be independent of other pollutants. The adverse effects of air pollutants were more evident in the warm season (May–Oct) than in the cold season (Nov–Apr). CONCLUSION Our study demonstrated that elevated concentrations of atmospheric pollutant (PM2.5, PM10, NO2, and O3), especially particulate pollutants, can be associated with increased daily count of hospital admissions for chronic obstructive pulmonary disease , which may promote further understanding of the potential hazards of relatively low levels of air pollution on chronic obstructive pulmonary disease and other respiratory disorders. |
| first_indexed | 2024-12-11T17:35:28Z |
| format | Article |
| id | doaj.art-30fb71595f144f36bc0a5abc315f8964 |
| institution | Directory Open Access Journal |
| issn | 1518-8787 |
| language | English |
| last_indexed | 2024-12-11T17:35:28Z |
| publishDate | 2022-06-01 |
| publisher | Universidade de São Paulo |
| record_format | Article |
| series | Revista de Saúde Pública |
| spelling | doaj.art-30fb71595f144f36bc0a5abc315f89642022-12-22T00:56:41ZengUniversidade de São PauloRevista de Saúde Pública1518-87872022-06-015610.11606/s1518-8787.2022056004324Ambient air pollutants relate to hospital admissions for chronic obstructive pulmonary disease in Ganzhou, ChinaXingye Zhouhttps://orcid.org/0000-0001-9218-2945Chenwei Lihttps://orcid.org/0000-0003-2199-2398Yanfang Gaohttps://orcid.org/0000-0003-0894-5394Chuanfei Zhouhttps://orcid.org/0000-0003-1546-1590Lei Huanghttps://orcid.org/0000-0002-5422-5470Xiaokang Zhanghttps://orcid.org/0000-0002-8343-3754ABSTRACT OBJECTIVE To evaluate the relationship between ambient air pollutants and chronic obstructive pulmonary disease in relatively low-polluted areas in China. METHODS Atmospheric pollutants levels and meteorological data were obtained from January 2016 to December 2020. The medical database including daily hospital admissions for chronic obstructive pulmonary disease (ICD10: J44) was derived from the First Affiliated Hospital of Gannan Medical University. The generalized additive model was used to analyze the percentage change with 95% confidence interval in daily hospital admissions for chronic obstructive pulmonary disease associated with a 10 µg/m3 increase in atmospheric pollutants levels. RESULTS In total, occurred 4,980 chronic obstructive pulmonary disease hospital admissions (not including emergency department visits) during 2016–2020. The mean concentrations of daily PM2.5, PM10, SO2, NO2, O3, and CO were 37.5 μg/m3, 60.1 μg/m3, 18.7 μg/m3, 23.5 μg/m3, 70.0 μg/m3, and 1.2 mg/m3 in Ganzhou. Each 10 µg/m3 increment of PM2.5, PM10, NO2, and O3 were significantly associated with 2.8% (95%CI: 1.0–4.7), 1.3% (95%CI: 0.3–2.4), 2.8% (95%CI: 0.4–5.4), and 1.5% (95%CI: 0.2–2.7) elevation in daily chronic obstructive pulmonary disease hospital admissions. The estimates of delayed effects of PM2.5, PM10, NO2, and O3 were observed at lag6, lag6, lag8, lag1, respectively. The health effects of particulate pollutants (PM2.5 and PM10) may be independent of other pollutants. The adverse effects of air pollutants were more evident in the warm season (May–Oct) than in the cold season (Nov–Apr). CONCLUSION Our study demonstrated that elevated concentrations of atmospheric pollutant (PM2.5, PM10, NO2, and O3), especially particulate pollutants, can be associated with increased daily count of hospital admissions for chronic obstructive pulmonary disease , which may promote further understanding of the potential hazards of relatively low levels of air pollution on chronic obstructive pulmonary disease and other respiratory disorders.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0034-89102022000100237&tlng=enPulmonary Disease, Chronic Obstructive, epidemiologyHospitalizationAir Pollution, adverse effectsAir Quality StandardsModels, Statistical |
| spellingShingle | Xingye Zhou Chenwei Li Yanfang Gao Chuanfei Zhou Lei Huang Xiaokang Zhang Ambient air pollutants relate to hospital admissions for chronic obstructive pulmonary disease in Ganzhou, China Revista de Saúde Pública Pulmonary Disease, Chronic Obstructive, epidemiology Hospitalization Air Pollution, adverse effects Air Quality Standards Models, Statistical |
| title | Ambient air pollutants relate to hospital admissions for chronic obstructive pulmonary disease in Ganzhou, China |
| title_full | Ambient air pollutants relate to hospital admissions for chronic obstructive pulmonary disease in Ganzhou, China |
| title_fullStr | Ambient air pollutants relate to hospital admissions for chronic obstructive pulmonary disease in Ganzhou, China |
| title_full_unstemmed | Ambient air pollutants relate to hospital admissions for chronic obstructive pulmonary disease in Ganzhou, China |
| title_short | Ambient air pollutants relate to hospital admissions for chronic obstructive pulmonary disease in Ganzhou, China |
| title_sort | ambient air pollutants relate to hospital admissions for chronic obstructive pulmonary disease in ganzhou china |
| topic | Pulmonary Disease, Chronic Obstructive, epidemiology Hospitalization Air Pollution, adverse effects Air Quality Standards Models, Statistical |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0034-89102022000100237&tlng=en |
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