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Short-Term Associations between Air Pollution Concentrations and Respiratory Health—Comparing Primary Health Care Visits, Hospital Admissions, and Emergency Department Visits in a Multi-Municipality Study

Author

Listed:
  • Tahir Taj

    (Department of Occupational and Environmental Medicine, Lund University, SE-22100 Lund, Sweden)

  • Ebba Malmqvist

    (Department of Occupational and Environmental Medicine, Lund University, SE-22100 Lund, Sweden)

  • Emilie Stroh

    (Department of Occupational and Environmental Medicine, Lund University, SE-22100 Lund, Sweden)

  • Daniel Oudin Åström

    (Center for Primary Health Care Research, Department of Clinical Science, Malmö, Lund University, SE-205 02 Malmö, Sweden
    Department of Occupational and Environmental Medicine, Umeå University, Umeå, SE-22100 Lund, Sweden)

  • Kristina Jakobsson

    (Department of Occupational and Environmental Medicine, Lund University, SE-22100 Lund, Sweden)

  • Anna Oudin

    (Department of Occupational and Environmental Medicine, Lund University, SE-22100 Lund, Sweden
    Department of Occupational and Environmental Medicine, Umeå University, Umeå, SE-22100 Lund, Sweden)

Abstract

Acute effects of air pollution on respiratory health have traditionally been investigated with data on inpatient admissions, emergency room visits, and mortality. In this study, we aim to describe the total acute effects of air pollution on health care use for respiratory symptoms (ICD10-J00-J99). This will be done by investigating primary health care (PHC) visits, inpatient admissions, and emergency room visits together in five municipalities in southern Sweden, using a case-crossover design. Between 2005 and 2010, there were 81,019 visits to primary health care, 38,217 emergency room visits, and 25,271 inpatient admissions for respiratory symptoms in the study area. There was a 1.85% increase (95% CI: 0.52 to 3.20) in the number of primary health care visits associated with a 10 µg/m 3 increase in nitrogen dioxide (NO 2 ) levels in Malmö, but not in the other municipalities. Air pollution levels were generally not associated with emergency room visits or inpatient admissions, with one exception (in Helsingborg there was a 2.52% increase in emergency room visits for respiratory symptoms associated with a 10 µg/m 3 increase in PM 10 ). In conclusion, the results give weak support for short-term effects of air pollution on health care use associated with respiratory health symptoms in the study area.

Suggested Citation

  • Tahir Taj & Ebba Malmqvist & Emilie Stroh & Daniel Oudin Åström & Kristina Jakobsson & Anna Oudin, 2017. "Short-Term Associations between Air Pollution Concentrations and Respiratory Health—Comparing Primary Health Care Visits, Hospital Admissions, and Emergency Department Visits in a Multi-Municipality S," IJERPH, MDPI, vol. 14(6), pages 1-13, May.
    • Handle: RePEc:gam:jijerp:v:14:y:2017:i:6:p:587-:d:100147
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    Citations

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    Cited by:

    1. Ning Zhang & Ying Mao, 2021. "Spatial Effects of Environmental Pollution on Healthcare Services: Evidence from China," IJERPH, MDPI, vol. 18(4), pages 1-21, February.
    2. Zana Shabani Isenaj & Merita Berisha & Dragan Gjorgjev & Mirjana Dimovska & Hanns Moshammer & Antigona Ukëhaxhaj, 2022. "Air Pollution in Kosovo: Short Term Effects on Hospital Visits of Children Due to Respiratory Health Diagnoses," IJERPH, MDPI, vol. 19(16), pages 1-12, August.

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