Associations between air pollution and outpatient visits for allergic rhinitis in Xinxiang, China

Several epidemiological studies have investigated the adverse health effects of air pollution, but studies reporting its effects on allergic rhinitis (AR) are limited, especially in developing countries having the most severe pollution. Limited studies have been conducted in China, but their results...

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Veröffentlicht in:Environmental science and pollution research international 2020-07, Vol.27 (19), p.23565-23574
Hauptverfasser: Wang, Jingyao, Lu, Mengxue, An, Zhen, Jiang, Jing, Li, Juan, Wang, Yinbiao, Du, Shuang, Zhang, Xuexing, Zhou, Haofeng, Cui, Juan, Wu, Weidong, Liu, Yue, Song, Jie
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container_issue 19
container_start_page 23565
container_title Environmental science and pollution research international
container_volume 27
creator Wang, Jingyao
Lu, Mengxue
An, Zhen
Jiang, Jing
Li, Juan
Wang, Yinbiao
Du, Shuang
Zhang, Xuexing
Zhou, Haofeng
Cui, Juan
Wu, Weidong
Liu, Yue
Song, Jie
description Several epidemiological studies have investigated the adverse health effects of air pollution, but studies reporting its effects on allergic rhinitis (AR) are limited, especially in developing countries having the most severe pollution. Limited studies have been conducted in China, but their results were inconsistent. So, we conducted a time-series study to evaluate the acute effect of six air pollutants (fine particulate matter [PM 2.5 ], particulate matter with diameter less than 10 μm [PM 10 ], sulfur dioxide [SO 2 ], nitrogen dioxide [NO 2 ], ozone [O 3 ], and carbon monoxide [CO]) on hospital outpatient visits for AR in Xinxiang, China from January 1, 2015 , to December 31, 2018. An over-dispersed Poisson generalized additive model adjusting for weather conditions, long-term trends, and day of the week was used. In total, 14,965 AR outpatient records were collected during the study period. Results found that each 10 μg/m 3 increase in PM 2.5 , PM 10 , SO 2 , NO 2 , O 3 , and CO corresponded to 0.70% (95% confidence interval 0.00–1.41%), 0.79% (0.35–1.23%), 3.43% (1.47–5.39%), 4.54% (3.01–6.08%), 0.97% (− 0.11–2.05%), and 0.07% (0.02–0.12%) increments in AR outpatients on the current day, respectively. In the stratification analyses, statistically stronger associations were observed with PM 2.5 , PM 10 , SO 2 , NO 2 , and CO for AR outpatients
doi_str_mv 10.1007/s11356-020-08709-0
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Limited studies have been conducted in China, but their results were inconsistent. So, we conducted a time-series study to evaluate the acute effect of six air pollutants (fine particulate matter [PM 2.5 ], particulate matter with diameter less than 10 μm [PM 10 ], sulfur dioxide [SO 2 ], nitrogen dioxide [NO 2 ], ozone [O 3 ], and carbon monoxide [CO]) on hospital outpatient visits for AR in Xinxiang, China from January 1, 2015 , to December 31, 2018. An over-dispersed Poisson generalized additive model adjusting for weather conditions, long-term trends, and day of the week was used. In total, 14,965 AR outpatient records were collected during the study period. Results found that each 10 μg/m 3 increase in PM 2.5 , PM 10 , SO 2 , NO 2 , O 3 , and CO corresponded to 0.70% (95% confidence interval 0.00–1.41%), 0.79% (0.35–1.23%), 3.43% (1.47–5.39%), 4.54% (3.01–6.08%), 0.97% (− 0.11–2.05%), and 0.07% (0.02–0.12%) increments in AR outpatients on the current day, respectively. In the stratification analyses, statistically stronger associations were observed with PM 2.5 , PM 10 , SO 2 , NO 2 , and CO for AR outpatients &lt; 15 years of age than in those 15–65 and ≥ 65 years of age, whereas the opposite result was found with O 3 . Associations between PM 10 , SO 2 , NO 2 , O 3 , and AR outpatients were higher in the warm season than those in the cool season. 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Limited studies have been conducted in China, but their results were inconsistent. So, we conducted a time-series study to evaluate the acute effect of six air pollutants (fine particulate matter [PM 2.5 ], particulate matter with diameter less than 10 μm [PM 10 ], sulfur dioxide [SO 2 ], nitrogen dioxide [NO 2 ], ozone [O 3 ], and carbon monoxide [CO]) on hospital outpatient visits for AR in Xinxiang, China from January 1, 2015 , to December 31, 2018. An over-dispersed Poisson generalized additive model adjusting for weather conditions, long-term trends, and day of the week was used. In total, 14,965 AR outpatient records were collected during the study period. Results found that each 10 μg/m 3 increase in PM 2.5 , PM 10 , SO 2 , NO 2 , O 3 , and CO corresponded to 0.70% (95% confidence interval 0.00–1.41%), 0.79% (0.35–1.23%), 3.43% (1.47–5.39%), 4.54% (3.01–6.08%), 0.97% (− 0.11–2.05%), and 0.07% (0.02–0.12%) increments in AR outpatients on the current day, respectively. 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subjects Adolescent
Air Pollutants - analysis
Air pollution
Air Pollution - analysis
Air pollution effects
Allergic rhinitis
Aquatic Pollution
Atmospheric Protection/Air Quality Control/Air Pollution
Carbon monoxide
Child
China
Confidence intervals
Cool season
Developing countries
Earth and Environmental Science
Ecotoxicology
Environment
Environmental Chemistry
Environmental Health
Environmental science
Epidemiology
Hay fever
Health risks
Humans
LDCs
Nitrogen dioxide
Nitrogen Dioxide - analysis
Outpatients
Ozone - analysis
Particulate emissions
Particulate matter
Particulate Matter - analysis
Pollutants
Research Article
Rhinitis
Rhinitis, Allergic
Sulfur
Sulfur dioxide
Sulfur Dioxide - analysis
Waste Water Technology
Water Management
Water Pollution Control
Weather
title Associations between air pollution and outpatient visits for allergic rhinitis in Xinxiang, China
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