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Does Particulate Matter Modify the Short-Term Association between Heat Waves and Hospital Admissions for Cardiovascular Diseases in Greater Sydney, Australia?

Author

Listed:
  • Marissa Parry

    (Climate Change Research Centre, University of New South Wales, Sydney, NSW 2052, Australia)

  • Donna Green

    (Climate Change Research Centre, University of New South Wales, Sydney, NSW 2052, Australia
    ARC Centre of Excellence for Climate Extremes, University of New South Wales, Sydney, NSW 2052, Australia
    Australia and NHMRC Centre for Air Pollution, Energy and Health Research, University of Sydney, Sydney, NSW 2052, Australia)

  • Ying Zhang

    (School of Public Health, University of Sydney, Sydney, NSW 2006, Australia)

  • Andrew Hayen

    (Faculty of Health, University of Technology Sydney, Sydney, NSW 2007, Australia)

Abstract

Little is known about the potential interactive effects of heat waves and ambient particulate matter on cardiovascular morbidity. A time-stratified case-crossover design was used to examine whether particulate matter (PM 10 ) modifies the association between heat waves and emergency hospital admissions for six cardiovascular diseases in Greater Sydney, Australia during the warm season for 2001–2013. We estimated and compared the effect of heat waves on high- and low-level PM 10 days at lag 0 –lag 2 , adjusting for dew-point temperature, ambient ozone, ambient nitrogen dioxide, and public holidays. We also investigated the susceptibility of both younger (0–64 years) and older populations (65 years and above), and tested the sensitivity of three heat wave definitions. Stronger heat wave effects were observed on high- compared to low-level PM 10 days for emergency hospital admissions for cardiac arrest for all ages combined, 0–64 years and 65 years and above; conduction disorders for 0–64 years; and hypertensive diseases for all ages combined and 0–64 years. Overall, we found some evidence to suggest that PM 10 may modify the association between heat waves and hospital admissions for certain cardiovascular diseases, although our findings largely differed across disease, age group, lag, and heat wave definition.

Suggested Citation

  • Marissa Parry & Donna Green & Ying Zhang & Andrew Hayen, 2019. "Does Particulate Matter Modify the Short-Term Association between Heat Waves and Hospital Admissions for Cardiovascular Diseases in Greater Sydney, Australia?," IJERPH, MDPI, vol. 16(18), pages 1-16, September.
    • Handle: RePEc:gam:jijerp:v:16:y:2019:i:18:p:3270-:d:264653
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    References listed on IDEAS

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    1. Anyang Xu & Zhe Mu & Bo Jiang & Wei Wang & Han Yu & Lijuan Zhang & Jue Li, 2017. "Acute Effects of Particulate Air Pollution on Ischemic Heart Disease Hospitalizations in Shanghai, China," IJERPH, MDPI, vol. 14(2), pages 1-11, February.
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    Cited by:

    1. Jierui Dong & Nigel Goodman & Priyadarsini Rajagopalan, 2023. "A Review of Artificial Neural Network Models Applied to Predict Indoor Air Quality in Schools," IJERPH, MDPI, vol. 20(15), pages 1-18, July.
    2. Shumi Ji & Quan Zhou & Yu Jiang & Chenzhou He & Yu Chen & Chuancheng Wu & Baoying Liu, 2020. "The Interactive Effects between Particulate Matter and Heat Waves on Circulatory Mortality in Fuzhou, China," IJERPH, MDPI, vol. 17(16), pages 1-10, August.

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