Exposure to traffic-related air pollution and acute bronchitis in children: season and age as modifiers
BackgroundAcute bronchitis (AB) is one of the principal causes of childhood morbidity. Increasing number of studies has shown that air pollution is an important environmental contributor of respiratory disease. However, evidence so far is scarce regarding the effects of air pollution on childhood AB...
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| Veröffentlicht in: | Journal of epidemiology and community health (1979) 2018-05, Vol.72 (5), p.426-433 |
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| container_title | Journal of epidemiology and community health (1979) |
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| creator | Bai, Lijun Su, Xi Zhao, Desheng Zhang, Yanwu Cheng, Qiang Zhang, Heng Wang, Shusi Xie, Mingyu Su, Hong |
| description | BackgroundAcute bronchitis (AB) is one of the principal causes of childhood morbidity. Increasing number of studies has shown that air pollution is an important environmental contributor of respiratory disease. However, evidence so far is scarce regarding the effects of air pollution on childhood AB, and it also remains unclear how the risk of AB will change by season and age.MethodsData on hospital visits for AB in children, air pollution and meteorological factors from 1 January 2015 to 31 December 2016 were collected in Hefei, China. Time-series analysis was applied to assess the short-term effects of traffic-related air pollution on childhood AB outpatient visits. A Poisson generalised linear regression model combined with a distributed lag non-linear model was used to estimate the relationships, controlling for long-term trends, seasonal patterns, meteorological factors and other possible confounders.ResultsWe found that an IQR increase in concentrations of nitrogen dioxide, particulate matter |
| doi_str_mv | 10.1136/jech-2017-209948 |
| format | Article |
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Increasing number of studies has shown that air pollution is an important environmental contributor of respiratory disease. However, evidence so far is scarce regarding the effects of air pollution on childhood AB, and it also remains unclear how the risk of AB will change by season and age.MethodsData on hospital visits for AB in children, air pollution and meteorological factors from 1 January 2015 to 31 December 2016 were collected in Hefei, China. Time-series analysis was applied to assess the short-term effects of traffic-related air pollution on childhood AB outpatient visits. A Poisson generalised linear regression model combined with a distributed lag non-linear model was used to estimate the relationships, controlling for long-term trends, seasonal patterns, meteorological factors and other possible confounders.ResultsWe found that an IQR increase in concentrations of nitrogen dioxide, particulate matter <2.5 µm and carbon monoxide significantly increased the daily hospital visits for childhood AB with 4-day cumulative effect estimates (relative risks: 1.03, 95% CI 1.01 to 1.05; 1.09, 95% CI 1.07 to 1.11; 1.07, 95% CI 1.05 to 1.09). Notably, the risk estimates during the cold season are pronounced; however, no significant association was observed during the warm season. Interestingly, children aged 6–14 years were more vulnerable to air pollutants than children aged less than 1 year and within 1–5 years. However, no gender difference was observed.ConclusionA significant association of traffic-related air pollution and increased department visits for childhood AB was observed, notably in school-age children and during the cold season.</description><identifier>ISSN: 0143-005X</identifier><identifier>EISSN: 1470-2738</identifier><identifier>DOI: 10.1136/jech-2017-209948</identifier><identifier>PMID: 29440305</identifier><language>eng</language><publisher>England: BMJ</publisher><subject>Acute Disease ; Age ; Air Pollutants - adverse effects ; Air Pollutants - analysis ; Air pollution ; Air Pollution - adverse effects ; Air pollution effects ; Antibiotics ; Asthma ; Bronchitis ; Bronchitis - chemically induced ; Bronchitis - epidemiology ; Carbon monoxide ; Carbon Monoxide - adverse effects ; Child ; Children ; Children & youth ; China - epidemiology ; Cities ; Cold season ; Disease ; Emergency Service, Hospital - statistics & numerical data ; Environmental Exposure - adverse effects ; Environmental Exposure - analysis ; Female ; Hospitals ; Humans ; Infant ; Inflammation ; Male ; Morbidity ; Mortality ; Motor Vehicles ; Nitrogen dioxide ; Nitrogen Dioxide - adverse effects ; Nitrogen Dioxide - analysis ; Outdoor air quality ; Particulate matter ; Particulate Matter - adverse effects ; Pollutants ; Pollution ; Public health ; Research report ; Respiratory diseases ; Risk assessment ; Seasons ; Time Factors ; Traffic congestion ; Traffic-Related Pollution - adverse effects ; Urban Population ; Vehicles ; Young adults</subject><ispartof>Journal of epidemiology and community health (1979), 2018-05, Vol.72 (5), p.426-433</ispartof><rights>Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2018. All rights reserved. No commercial use is permitted unless otherwise expressly granted.</rights><rights>Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2018</rights><rights>Copyright: 2018 © Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2018. All rights reserved. No commercial use is permitted unless otherwise expressly granted.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-b385t-961dd2b6fec1c2f697743ff2d0bff420cf2199cbcb7b943cda63126625f59d033</citedby><cites>FETCH-LOGICAL-b385t-961dd2b6fec1c2f697743ff2d0bff420cf2199cbcb7b943cda63126625f59d033</cites><orcidid>0000-0002-4673-6449</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.jstor.org/stable/pdf/26896203$$EPDF$$P50$$Gjstor$$H</linktopdf><linktohtml>$$Uhttps://www.jstor.org/stable/26896203$$EHTML$$P50$$Gjstor$$H</linktohtml><link.rule.ids>314,776,780,799,27903,27904,57995,58228</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/29440305$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Bai, Lijun</creatorcontrib><creatorcontrib>Su, Xi</creatorcontrib><creatorcontrib>Zhao, Desheng</creatorcontrib><creatorcontrib>Zhang, Yanwu</creatorcontrib><creatorcontrib>Cheng, Qiang</creatorcontrib><creatorcontrib>Zhang, Heng</creatorcontrib><creatorcontrib>Wang, Shusi</creatorcontrib><creatorcontrib>Xie, Mingyu</creatorcontrib><creatorcontrib>Su, Hong</creatorcontrib><title>Exposure to traffic-related air pollution and acute bronchitis in children: season and age as modifiers</title><title>Journal of epidemiology and community health (1979)</title><addtitle>J Epidemiol Community Health</addtitle><description>BackgroundAcute bronchitis (AB) is one of the principal causes of childhood morbidity. Increasing number of studies has shown that air pollution is an important environmental contributor of respiratory disease. However, evidence so far is scarce regarding the effects of air pollution on childhood AB, and it also remains unclear how the risk of AB will change by season and age.MethodsData on hospital visits for AB in children, air pollution and meteorological factors from 1 January 2015 to 31 December 2016 were collected in Hefei, China. Time-series analysis was applied to assess the short-term effects of traffic-related air pollution on childhood AB outpatient visits. A Poisson generalised linear regression model combined with a distributed lag non-linear model was used to estimate the relationships, controlling for long-term trends, seasonal patterns, meteorological factors and other possible confounders.ResultsWe found that an IQR increase in concentrations of nitrogen dioxide, particulate matter <2.5 µm and carbon monoxide significantly increased the daily hospital visits for childhood AB with 4-day cumulative effect estimates (relative risks: 1.03, 95% CI 1.01 to 1.05; 1.09, 95% CI 1.07 to 1.11; 1.07, 95% CI 1.05 to 1.09). Notably, the risk estimates during the cold season are pronounced; however, no significant association was observed during the warm season. Interestingly, children aged 6–14 years were more vulnerable to air pollutants than children aged less than 1 year and within 1–5 years. However, no gender difference was observed.ConclusionA significant association of traffic-related air pollution and increased department visits for childhood AB was observed, notably in school-age children and during the cold season.</description><subject>Acute Disease</subject><subject>Age</subject><subject>Air Pollutants - adverse effects</subject><subject>Air Pollutants - analysis</subject><subject>Air pollution</subject><subject>Air Pollution - adverse effects</subject><subject>Air pollution effects</subject><subject>Antibiotics</subject><subject>Asthma</subject><subject>Bronchitis</subject><subject>Bronchitis - chemically induced</subject><subject>Bronchitis - epidemiology</subject><subject>Carbon monoxide</subject><subject>Carbon Monoxide - adverse effects</subject><subject>Child</subject><subject>Children</subject><subject>Children & youth</subject><subject>China - epidemiology</subject><subject>Cities</subject><subject>Cold season</subject><subject>Disease</subject><subject>Emergency Service, Hospital - statistics & numerical data</subject><subject>Environmental Exposure - adverse effects</subject><subject>Environmental Exposure - analysis</subject><subject>Female</subject><subject>Hospitals</subject><subject>Humans</subject><subject>Infant</subject><subject>Inflammation</subject><subject>Male</subject><subject>Morbidity</subject><subject>Mortality</subject><subject>Motor Vehicles</subject><subject>Nitrogen dioxide</subject><subject>Nitrogen Dioxide - adverse effects</subject><subject>Nitrogen Dioxide - analysis</subject><subject>Outdoor air quality</subject><subject>Particulate matter</subject><subject>Particulate Matter - adverse effects</subject><subject>Pollutants</subject><subject>Pollution</subject><subject>Public health</subject><subject>Research report</subject><subject>Respiratory diseases</subject><subject>Risk assessment</subject><subject>Seasons</subject><subject>Time Factors</subject><subject>Traffic congestion</subject><subject>Traffic-Related Pollution - adverse effects</subject><subject>Urban Population</subject><subject>Vehicles</subject><subject>Young adults</subject><issn>0143-005X</issn><issn>1470-2738</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNqFkU1r3DAQhkVpaDbb3ntJEOQSKE71YctWbmHZNIGFXFrozehzI2NbW0mG9t9HG-82kEsu0jDzzDvSvAB8xegaY8q-d0Y9FQThOh-cl80HsMBljQpS0-YjWCBc0gKh6vcpOIuxQzmsCf8ETgkvS0RRtQDb9d-dj1MwMHmYgrDWqSKYXiSjoXAB7nzfT8n5EYoxZ9SUDJTBj-rJJRehG2GOeh3MeAOjEfEIbg0UEQ5eO-tMiJ_BiRV9NF8O9xL8ulv_XN0Xm8cfD6vbTSFpU6WCM6w1kcwahRWxjNd1Sa0lGklrS4KUJZhzJZWsJS-p0oJRTBgjla24RpQuwdWsuwv-z2RiagcXlel7MRo_xZYgRMh-WXVGL9-gnZ_CmF-XKUpx01S8yRSaKRV8jMHYdhfcIMK_FqN2b0K7N6Hdm9DOJuSWi4PwJAej_zcct56B8xnoYvLhtc4azsjLJ77NdTl07497BlikmkI</recordid><startdate>20180501</startdate><enddate>20180501</enddate><creator>Bai, Lijun</creator><creator>Su, Xi</creator><creator>Zhao, Desheng</creator><creator>Zhang, Yanwu</creator><creator>Cheng, Qiang</creator><creator>Zhang, Heng</creator><creator>Wang, Shusi</creator><creator>Xie, Mingyu</creator><creator>Su, Hong</creator><general>BMJ</general><general>BMJ Publishing Group LTD</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88G</scope><scope>88I</scope><scope>8AF</scope><scope>8C1</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AEUYN</scope><scope>AFKRA</scope><scope>AN0</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>BTHHO</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB0</scope><scope>LK8</scope><scope>M0S</scope><scope>M1P</scope><scope>M2M</scope><scope>M2P</scope><scope>M7P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PSYQQ</scope><scope>Q9U</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-4673-6449</orcidid></search><sort><creationdate>20180501</creationdate><title>Exposure to traffic-related air pollution and acute bronchitis in children: season and age as modifiers</title><author>Bai, Lijun ; Su, Xi ; Zhao, Desheng ; Zhang, Yanwu ; Cheng, Qiang ; Zhang, Heng ; Wang, Shusi ; Xie, Mingyu ; Su, Hong</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-b385t-961dd2b6fec1c2f697743ff2d0bff420cf2199cbcb7b943cda63126625f59d033</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Acute Disease</topic><topic>Age</topic><topic>Air Pollutants - adverse effects</topic><topic>Air Pollutants - analysis</topic><topic>Air pollution</topic><topic>Air Pollution - adverse effects</topic><topic>Air pollution effects</topic><topic>Antibiotics</topic><topic>Asthma</topic><topic>Bronchitis</topic><topic>Bronchitis - chemically induced</topic><topic>Bronchitis - epidemiology</topic><topic>Carbon monoxide</topic><topic>Carbon Monoxide - adverse effects</topic><topic>Child</topic><topic>Children</topic><topic>Children & youth</topic><topic>China - epidemiology</topic><topic>Cities</topic><topic>Cold season</topic><topic>Disease</topic><topic>Emergency Service, Hospital - statistics & numerical data</topic><topic>Environmental Exposure - adverse effects</topic><topic>Environmental Exposure - analysis</topic><topic>Female</topic><topic>Hospitals</topic><topic>Humans</topic><topic>Infant</topic><topic>Inflammation</topic><topic>Male</topic><topic>Morbidity</topic><topic>Mortality</topic><topic>Motor Vehicles</topic><topic>Nitrogen dioxide</topic><topic>Nitrogen Dioxide - adverse effects</topic><topic>Nitrogen Dioxide - analysis</topic><topic>Outdoor air quality</topic><topic>Particulate matter</topic><topic>Particulate Matter - adverse effects</topic><topic>Pollutants</topic><topic>Pollution</topic><topic>Public health</topic><topic>Research report</topic><topic>Respiratory diseases</topic><topic>Risk assessment</topic><topic>Seasons</topic><topic>Time Factors</topic><topic>Traffic congestion</topic><topic>Traffic-Related Pollution - adverse effects</topic><topic>Urban Population</topic><topic>Vehicles</topic><topic>Young adults</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Bai, Lijun</creatorcontrib><creatorcontrib>Su, Xi</creatorcontrib><creatorcontrib>Zhao, Desheng</creatorcontrib><creatorcontrib>Zhang, Yanwu</creatorcontrib><creatorcontrib>Cheng, Qiang</creatorcontrib><creatorcontrib>Zhang, Heng</creatorcontrib><creatorcontrib>Wang, Shusi</creatorcontrib><creatorcontrib>Xie, Mingyu</creatorcontrib><creatorcontrib>Su, Hong</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Psychology Database (Alumni)</collection><collection>Science Database (Alumni Edition)</collection><collection>STEM Database</collection><collection>Public Health Database</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest One Sustainability</collection><collection>ProQuest Central UK/Ireland</collection><collection>British Nursing Database</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>ProQuest Central</collection><collection>Natural Science Collection</collection><collection>BMJ Journals</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>ProQuest Biological Science Collection</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Psychology Database</collection><collection>Science Database</collection><collection>Biological Science Database</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest One Psychology</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of epidemiology and community health (1979)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Bai, Lijun</au><au>Su, Xi</au><au>Zhao, Desheng</au><au>Zhang, Yanwu</au><au>Cheng, Qiang</au><au>Zhang, Heng</au><au>Wang, Shusi</au><au>Xie, Mingyu</au><au>Su, Hong</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Exposure to traffic-related air pollution and acute bronchitis in children: season and age as modifiers</atitle><jtitle>Journal of epidemiology and community health (1979)</jtitle><addtitle>J Epidemiol Community Health</addtitle><date>2018-05-01</date><risdate>2018</risdate><volume>72</volume><issue>5</issue><spage>426</spage><epage>433</epage><pages>426-433</pages><issn>0143-005X</issn><eissn>1470-2738</eissn><abstract>BackgroundAcute bronchitis (AB) is one of the principal causes of childhood morbidity. Increasing number of studies has shown that air pollution is an important environmental contributor of respiratory disease. However, evidence so far is scarce regarding the effects of air pollution on childhood AB, and it also remains unclear how the risk of AB will change by season and age.MethodsData on hospital visits for AB in children, air pollution and meteorological factors from 1 January 2015 to 31 December 2016 were collected in Hefei, China. Time-series analysis was applied to assess the short-term effects of traffic-related air pollution on childhood AB outpatient visits. A Poisson generalised linear regression model combined with a distributed lag non-linear model was used to estimate the relationships, controlling for long-term trends, seasonal patterns, meteorological factors and other possible confounders.ResultsWe found that an IQR increase in concentrations of nitrogen dioxide, particulate matter <2.5 µm and carbon monoxide significantly increased the daily hospital visits for childhood AB with 4-day cumulative effect estimates (relative risks: 1.03, 95% CI 1.01 to 1.05; 1.09, 95% CI 1.07 to 1.11; 1.07, 95% CI 1.05 to 1.09). Notably, the risk estimates during the cold season are pronounced; however, no significant association was observed during the warm season. Interestingly, children aged 6–14 years were more vulnerable to air pollutants than children aged less than 1 year and within 1–5 years. However, no gender difference was observed.ConclusionA significant association of traffic-related air pollution and increased department visits for childhood AB was observed, notably in school-age children and during the cold season.</abstract><cop>England</cop><pub>BMJ</pub><pmid>29440305</pmid><doi>10.1136/jech-2017-209948</doi><tpages>8</tpages><orcidid>https://orcid.org/0000-0002-4673-6449</orcidid></addata></record> |
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| ispartof | Journal of epidemiology and community health (1979), 2018-05, Vol.72 (5), p.426-433 |
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| subjects | Acute Disease Age Air Pollutants - adverse effects Air Pollutants - analysis Air pollution Air Pollution - adverse effects Air pollution effects Antibiotics Asthma Bronchitis Bronchitis - chemically induced Bronchitis - epidemiology Carbon monoxide Carbon Monoxide - adverse effects Child Children Children & youth China - epidemiology Cities Cold season Disease Emergency Service, Hospital - statistics & numerical data Environmental Exposure - adverse effects Environmental Exposure - analysis Female Hospitals Humans Infant Inflammation Male Morbidity Mortality Motor Vehicles Nitrogen dioxide Nitrogen Dioxide - adverse effects Nitrogen Dioxide - analysis Outdoor air quality Particulate matter Particulate Matter - adverse effects Pollutants Pollution Public health Research report Respiratory diseases Risk assessment Seasons Time Factors Traffic congestion Traffic-Related Pollution - adverse effects Urban Population Vehicles Young adults |
| title | Exposure to traffic-related air pollution and acute bronchitis in children: season and age as modifiers |
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