Short-term effects of low-level PM2.5, PM10, O3, and tropical meteorological conditions on emergency department visits for respiratory diseases in Haikou, China

IF 1.9 4区 医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Jichao Peng, Jun Chen, Xinxin Wu, Jin Qian, Nan Li, Yang Yi, Yue Huang, Juncai Lu, Wenxing Zhang, Zhengyu Li, Zhao Li, Min Li, Xiaoran Liu
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Abstract

To assess the correlation between atmospheric pollutants, meteorological factors, and emergency department visits for respiratory diseases in Haikou City. Daily data on atmospheric pollutants, meteorological factors, and emergency department visits for respiratory diseases in Haikou City from 2018 to 2021 were collected. The Spearman rank correlation test was used to analyze the correlation, and a distributed lag non-linear model was employed to analyze the health effects and lag impacts of environmental factors. Subgroup analyses were conducted based on sex and age. According to the criteria of International Classification of Diseases (ICD-10: J00-J99), a total of 221 913 cases were included, accounting for 21.3% of the total emergency department visits in Haikou City. For every 1 °C increase in temperature, the risk of emergency department visits increased by 1.029% (95% CI 1.016%-1.042%). Relative humidity greater than 80% reduced the risk of visits, while higher atmospheric pressure (>1 010 hpa) also decreased the likelihood of daily emergency department visits. Higher concentrations of PM25 (30-50 μg/m3), PM10 (>60 μg/m3), and O3 (75-125 μg/m3) were associated with increased visits. Higher temperatures (>25 °C) have a greater impact on females and children aged 0-14 years, while males are more sensitive to low atmospheric pressure. Individuals aged 65 and above exhibited increased sensitivity to O3 concentration, and the effects of PM2.5, PM10, and O3 are more pronounced in individuals over 14 years old. Short-term exposure to high temperatures, particulate matter pollutants (PM25 and PM10), and ozone (O3) is associated with increased emergency department visits for respiratory diseases.
低浓度 PM2.5、PM10、O3 和热带气象条件对中国海口呼吸系统疾病急诊就诊率的短期影响
评估海口市大气污染物、气象要素与呼吸系统疾病急诊就诊之间的相关性。 收集2018年至2021年海口市大气污染物、气象要素与呼吸道疾病急诊就诊人次的日常数据。采用Spearman秩相关检验分析相关性,采用分布式滞后非线性模型分析环境因素的健康效应和滞后影响。根据性别和年龄进行了分组分析。 根据国际疾病分类(ICD-10:J00-J99)标准,共纳入 221 913 例病例,占海口市急诊科就诊总人数的 21.3%。气温每升高 1 °C,急诊就诊风险增加 1.029% (95% CI 1.016%-1.042%) 。相对湿度大于 80% 会降低就诊风险,而较高的气压(>1 010 hpa)也会降低每天到急诊室就诊的可能性。PM25 (30-50 μg/m3)、PM10 (>60 μg/m3)和 O3 (75-125 μg/m3)浓度越高,就诊人数越多。气温升高(>25 °C)对女性和 0-14 岁儿童的影响更大,而男性对低气压更为敏感。65 岁及以上的人群对臭氧浓度的敏感度更高,而 PM2.5、PM10 和臭氧对 14 岁以上人群的影响更为明显。 短期暴露于高温、颗粒物污染物(PM25 和 PM10)以及臭氧(O3)与呼吸系统疾病急诊就诊率的增加有关。
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来源期刊
Asian Pacific journal of tropical medicine
Asian Pacific journal of tropical medicine PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-TROPICAL MEDICINE
CiteScore
4.00
自引率
9.70%
发文量
1936
审稿时长
3-8 weeks
期刊介绍: Asian Pacific Journal of Tropical Medicine (ISSN 1995-7645 CODEN: APJTB6), a publication of Editorial office of Hainan Medical University,is a peer-reviewed print + online Monthly journal. The journal''s full text is available online at http://www.apjtm.org/. The journal allows free access (Open Access) to its contents and permits authors to self-archive final accepted version of the articles on any OAI-compliant institutional / subject-based repository. APJTM aims to provide an academic communicating platform for international physicians, medical scientists, allied health scientists and public health workers, especially those of the Asia-Pacific region and worldwide on tropical medicine, infectious diseases and public health, and to meet the growing challenges of understanding, preventing and controlling the dramatic global emergence and re-emergence of infectious diseases in the Asia-Pacific. The journal is proud to have an international and diverse editorial board that will assist and facilitate the publication of articles that reflect a global view on tropical medicine, infectious diseases and public health, as well as emphasizing our focus on supporting the needs of public health practitioners. The APJTM will allow us to seek opportunities to work with others who share our aim, and to enhance our work through partnership, and to uphold the standards of our profession and contribute to its advancement.
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