Risks of hospital outpatient visits for overall and cause-specific respiratory disease associated with particulate matter pollution in Lanzhou, China

doi:10.1007/s11869-021-01030-w

CORC > 兰州理工大学 > 兰州理工大学 > 经济管理学院

	Risks of hospital outpatient visits for overall and cause-specific respiratory disease associated with particulate matter pollution in Lanzhou, China
	Dong, Jiyuan 1; Yang, Renqing 1; Zhai, Guangyu 4; Wang, Jiancheng 3; Bao, Hairong 2
刊名	AIR QUALITY ATMOSPHERE AND HEALTH
	2021-09
卷号	14 期号:9 页码:1405-1415
关键词	Particulate matter Respiratory diseases Lanzhou Morbidity
ISSN号	1873-9318
DOI	10.1007/s11869-021-01030-w
英文摘要	Until now, few epidemiological studies have focused on the association between ambient particulate matter (PM) pollution and hospital outpatient visits for overall and cause-specific respiratory disease, especially in Lanzhou. This study aimed to evaluate the short-term effects of PM2.5, PMC, and PM10 on hospital outpatient visits for overall and subtypes of respiratory disease in Lanzhou, China, during 2007-2017, using a generalized additive model (GAM). We further assessed the impact of ambient size-fractioned PM on daily total and cause-specific respiratory morbidity, following a series of air quality improvement action in the area with overall and period-specific analyses. Positive associations were identified between PM2.5, PMC, and PM10 and daily morbidity rates from overall respiratory diseases, upper respiratory tract infection, lower respiratory tract infection, pneumonia, and COPD at different lag pattern. Each 10 mu g/m(3) increase in PM2.5 at lag07, PMC at lag03, and PM10 at lag06 corresponded to an increase of 1.353% (95% CI: 1.249%, 1.457%), 0.052% (95%CI: 0.015%, 0.089%), and 0.201% (95% CI: 0.165%, 0.236%) in daily hospital outpatient visits for total respiratory, respectively. We did not find significant effects of PM2.5, PMC, and PM10 on asthma. For specific subtypes of respiratory diseases, the effects of PM were strongest on pneumonia morbidity, with an increase of 3.712% (95% CI: 3.308%, 4.117%), 0.874% (95% CI: 0.698%, 1.051%), and 0.967% (95% CI: 0.836%, 1.099%) per 10 mu g/m(3) increment in PM2.5, PMC, and PM10, respectively. The exposure-response association was non-linear across the full range of exposures. With drastic reductions in annual PM levels, the three size-specific PM associate and respiratory morbidity risk showed decreasing trend over time. This study suggests that PM could exert adverse influences on the outcomes of all-cause and cause-specific respiratory outpatient visits in Lanzhou, China. PM2.5 would have significant effects on pneumonia and RTI. Strategies should be considered to further reduce levels of ambient PM2.5.
WOS研究方向	Environmental Sciences & Ecology
语种	英语
出版者	SPRINGER
WOS记录号	WOS:000651695800002
内容类型	期刊论文
源URL	[http://ir.lut.edu.cn/handle/2XXMBERH/148925]
专题	经济管理学院
作者单位	1.Lanzhou Univ, Sch Publ Hlth, Lanzhou 730000, Peoples R China; 2.Lanzhou Univ, Dept Gerontal Resp Med, Hosp 1, Lanzhou 730000, Peoples R China 3.Gansu Prov Hosp, Lanzhou 730050, Peoples R China; 4.Lanzhou Univ Technol, Sch Econ & Management, Lanzhou 730050, Peoples R China;
推荐引用方式 GB/T 7714	Dong, Jiyuan,Yang, Renqing,Zhai, Guangyu,et al. Risks of hospital outpatient visits for overall and cause-specific respiratory disease associated with particulate matter pollution in Lanzhou, China[J]. AIR QUALITY ATMOSPHERE AND HEALTH,2021,14(9):1405-1415.
APA	Dong, Jiyuan,Yang, Renqing,Zhai, Guangyu,Wang, Jiancheng,&Bao, Hairong.(2021).Risks of hospital outpatient visits for overall and cause-specific respiratory disease associated with particulate matter pollution in Lanzhou, China.AIR QUALITY ATMOSPHERE AND HEALTH,14(9),1405-1415.
MLA	Dong, Jiyuan,et al."Risks of hospital outpatient visits for overall and cause-specific respiratory disease associated with particulate matter pollution in Lanzhou, China".AIR QUALITY ATMOSPHERE AND HEALTH 14.9(2021):1405-1415.