Short-Term Exposure to Ambient Air Pollution and Increased Emergency Room Visits for Skin Diseases in Beijing, China

Skin diseases have become a global concern. This study aims to evaluate the associations between ambient air pollution and emergency room visits for skin diseases under the background of improving air quality in China. Based on 45,094 cases from a general hospital and fixed-site monitoring environme...

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Main Authors: Wanzhou Wang, Wenlou Zhang, Jingjing Zhao, Hongyu Li, Jun Wu, Furong Deng, Qingbian Ma, Xinbiao Guo
Format: Article
Language:English
Published: MDPI AG 2021-05-01
Series:Toxics
Subjects:
Online Access:https://www.mdpi.com/2305-6304/9/5/108
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author Wanzhou Wang
Wenlou Zhang
Jingjing Zhao
Hongyu Li
Jun Wu
Furong Deng
Qingbian Ma
Xinbiao Guo
author_facet Wanzhou Wang
Wenlou Zhang
Jingjing Zhao
Hongyu Li
Jun Wu
Furong Deng
Qingbian Ma
Xinbiao Guo
author_sort Wanzhou Wang
collection DOAJ
description Skin diseases have become a global concern. This study aims to evaluate the associations between ambient air pollution and emergency room visits for skin diseases under the background of improving air quality in China. Based on 45,094 cases from a general hospital and fixed-site monitoring environmental data from 2014–2019 in Beijing, China, this study used generalized additive models with quasi-Poisson regression to estimate the exposure–health associations at lag 0–1 to lag 0–7. PM<sub>2.5</sub> and NO<sub>2</sub> exposure were associated with increased emergency room visits for total skin diseases (ICD10: L00-L99). Positive associations of PM<sub>2.5</sub>, PM<sub>10</sub>, O<sub>3</sub> and NO<sub>2</sub> with dermatitis/eczema (ICD-10: L20–30), as well as SO<sub>2</sub> and NO<sub>2</sub> with urticaria (ICD-10: L50) visits were also found. For instance, a 10 μg/m<sup>3</sup> increase in PM<sub>2.5</sub> was associated with increases of 0.7% (95%CI: 0.2%, 1.2%) in total skin diseases visits at lag 0–5 and 1.1% (95%CI: 0.6%, 1.7%) in dermatitis/eczema visits at lag 0–1, respectively. For PM<sub>2.5</sub>, PM<sub>10</sub> and CO, stronger annual associations were typically observed in the high-pollution (2014) and low-pollution (2018/2019) years. For instance, a 10 μg/m<sup>3</sup> increase in PM<sub>2.5</sub> at lag 0–5 was associated with increases of 1.8% (95%CI: 1.0%, 2.6%) and 2.3% (95%CI: 0.4%, 4.3%) in total skin disease visits in 2014 and 2018, respectively. Our study emphasizes the necessity of controlling the potential health hazard of air pollutants on skin, although significant achievements in air quality control have been made in China.
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spelling doaj.art-cab8b300673d4fff88f70e27ccc1a4cc2023-11-21T19:18:38ZengMDPI AGToxics2305-63042021-05-019510810.3390/toxics9050108Short-Term Exposure to Ambient Air Pollution and Increased Emergency Room Visits for Skin Diseases in Beijing, ChinaWanzhou Wang0Wenlou Zhang1Jingjing Zhao2Hongyu Li3Jun Wu4Furong Deng5Qingbian Ma6Xinbiao Guo7Department of Occupational and Environmental Health Sciences, School of Public Health, Peking University, Beijing 100191, ChinaDepartment of Occupational and Environmental Health Sciences, School of Public Health, Peking University, Beijing 100191, ChinaEmergency Department, Peking University Third Hospital, Beijing 100191, ChinaDepartment of Occupational and Environmental Health Sciences, School of Public Health, Peking University, Beijing 100191, ChinaEmergency Department, Peking University Third Hospital, Beijing 100191, ChinaDepartment of Occupational and Environmental Health Sciences, School of Public Health, Peking University, Beijing 100191, ChinaEmergency Department, Peking University Third Hospital, Beijing 100191, ChinaDepartment of Occupational and Environmental Health Sciences, School of Public Health, Peking University, Beijing 100191, ChinaSkin diseases have become a global concern. This study aims to evaluate the associations between ambient air pollution and emergency room visits for skin diseases under the background of improving air quality in China. Based on 45,094 cases from a general hospital and fixed-site monitoring environmental data from 2014–2019 in Beijing, China, this study used generalized additive models with quasi-Poisson regression to estimate the exposure–health associations at lag 0–1 to lag 0–7. PM<sub>2.5</sub> and NO<sub>2</sub> exposure were associated with increased emergency room visits for total skin diseases (ICD10: L00-L99). Positive associations of PM<sub>2.5</sub>, PM<sub>10</sub>, O<sub>3</sub> and NO<sub>2</sub> with dermatitis/eczema (ICD-10: L20–30), as well as SO<sub>2</sub> and NO<sub>2</sub> with urticaria (ICD-10: L50) visits were also found. For instance, a 10 μg/m<sup>3</sup> increase in PM<sub>2.5</sub> was associated with increases of 0.7% (95%CI: 0.2%, 1.2%) in total skin diseases visits at lag 0–5 and 1.1% (95%CI: 0.6%, 1.7%) in dermatitis/eczema visits at lag 0–1, respectively. For PM<sub>2.5</sub>, PM<sub>10</sub> and CO, stronger annual associations were typically observed in the high-pollution (2014) and low-pollution (2018/2019) years. For instance, a 10 μg/m<sup>3</sup> increase in PM<sub>2.5</sub> at lag 0–5 was associated with increases of 1.8% (95%CI: 1.0%, 2.6%) and 2.3% (95%CI: 0.4%, 4.3%) in total skin disease visits in 2014 and 2018, respectively. Our study emphasizes the necessity of controlling the potential health hazard of air pollutants on skin, although significant achievements in air quality control have been made in China.https://www.mdpi.com/2305-6304/9/5/108air pollutionparticulate matteremergency room visitsskin diseasesdermatitiseczema
spellingShingle Wanzhou Wang
Wenlou Zhang
Jingjing Zhao
Hongyu Li
Jun Wu
Furong Deng
Qingbian Ma
Xinbiao Guo
Short-Term Exposure to Ambient Air Pollution and Increased Emergency Room Visits for Skin Diseases in Beijing, China
Toxics
air pollution
particulate matter
emergency room visits
skin diseases
dermatitis
eczema
title Short-Term Exposure to Ambient Air Pollution and Increased Emergency Room Visits for Skin Diseases in Beijing, China
title_full Short-Term Exposure to Ambient Air Pollution and Increased Emergency Room Visits for Skin Diseases in Beijing, China
title_fullStr Short-Term Exposure to Ambient Air Pollution and Increased Emergency Room Visits for Skin Diseases in Beijing, China
title_full_unstemmed Short-Term Exposure to Ambient Air Pollution and Increased Emergency Room Visits for Skin Diseases in Beijing, China
title_short Short-Term Exposure to Ambient Air Pollution and Increased Emergency Room Visits for Skin Diseases in Beijing, China
title_sort short term exposure to ambient air pollution and increased emergency room visits for skin diseases in beijing china
topic air pollution
particulate matter
emergency room visits
skin diseases
dermatitis
eczema
url https://www.mdpi.com/2305-6304/9/5/108
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