标题：
Short-term effects of air pollution on respiratory diseases among young children in Wuhan city
点击次数：
影响因子：
8.69
DOI码：
10.1007/s12519-022-00533-5
所属单位：
Wuhan Information Center of Health and Family Planning
教研室：
School of Public Health, Wuhan University
发表刊物：
WORLD JOURNAL OF PEDIATRICS
刊物所在地：
Switzerland
关键字：
Air pollution; Children; Hospitalization; Respiratory disease
摘要：
Background The high risks for childhood respiratory diseases are associated with exposure to ambient air pollution. However, there are few studies that have explored the association between air pollution exposure and respiratory diseases among young children (particularly aged 0–2 years) based on the entire population in a megalopolis.
Methods Daily hospital admission records were obtained from 54 municipal hospitals in Wuhan city, China. We included all children (aged 0–2 years) hospitalized with respiratory diseases between January 2017 and December 2018. Individual air pollution exposure assessment was used in Land Use Regression model and inverse distance weighted. Case-crossover design and conditional logistic regression models were adopted to estimate the hospitalization risk associated with air pollutants.
Results We identifed 62,425 hospitalizations due to respiratory diseases, of which 36,295 were pneumonia. Particulate matter with an aerodynamic diameter less than 2.5 μm (PM2.5) and nitrogen dioxide (NO2) were signifcantly associated with respiratory diseases and pneumonia. ORs of pneumonia were 1.0179 (95% CI 1.0097–1.0260) for PM2.5 and 1.0131 (95% CI 1.0042–1.0220) for NO2 at lag 0–7 days. Subgroup analysis suggested that NO2, Ozone (O3) and sulfur dioxide (SO2) only showed efects on pneumonia hospitalizations on male patients, but PM2.5 had efects on patients of both genders. Except
O3, all pollutants were strongly associated with pneumonia in cold season. In addition, children who aged elder months and who were in central urban areas had a higher hospitalization risk. Conclusions Air pollution is associated with higher hospitalization risk for respiratory diseases, especially pneumonia, among young children, and the risk is related to gender, month age, season and residential location.
合写作者：
Jingling Liao,Yunfei Qiu,Zhan Ren,Xuxi Ma,Kuizhuang Jiao,Tong Zhao,Xingyuan Liu
论文类型：
期刊论文
通讯作者：
Lu Ma
学科门类：
医学
文献类型：
J
卷号：
18
期号：
5
页面范围：
333-342
字数：
5351
ISSN号：
1708-8569
是否译文：
否
发表时间：
2022-03-25
收录刊物：
SCI
发表时间：
2022-03-25
学科：
流行病与卫生统计学
所在单位：公共卫生学院