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Effects of Air Pollution on Hospital Emergency Room Visits for Respiratory Diseases: Urban-Suburban Differences in Eastern China

Author

Listed:
  • Peng Liu

    (School of Environmental Science and Engineering, Shandong University, Jinan 250100, China)

  • Xining Wang

    (Shandong Center for Disease Control and Prevention, Jinan 250014, China
    These authors contributed equally to this work.)

  • Jiayin Fan

    (Shandong Experimental High School, Jinan 250001, China
    These authors contributed equally to this work.)

  • Wenxin Xiao

    (School of Foreign Languages and Literature, Shandong University, Jinan 250100, China
    These authors contributed equally to this work.)

  • Yan Wang

    (School of Environmental Science and Engineering, Shandong University, Jinan 250100, China
    These authors contributed equally to this work.)

Abstract

A study on the relationships between ambient air pollutants (PM 2.5 , SO 2 and NO 2 ) and hospital emergency room visits (ERVs) for respiratory diseases from 2013 to 2014 was performed in both urban and suburban areas of Jinan, a heavily air-polluted city in Eastern China. This research was analyzed using generalized additive models (GAM) with Poisson regression, which controls for long-time trends, the “day of the week” effect and meteorological parameters. An increase of 10 μg/m 3 in PM 2.5 , SO 2 and NO 2 corresponded to a 1.4% (95% confidence interval (CI): 0.7%, 2.1%), 1.2% (95% CI: 0.5%, 1.9%), and 2.5% (95%: 0.8%, 4.2%) growth in ERVs for the urban population, respectively, and a 1.5% (95%: 0.4%, 2.6%), 0.8% (95%: −0.7%, 2.3%), and 3.1% (95%: 0.5%, 5.7%) rise in ERVs for the suburban population, respectively. It was found that females were more susceptible than males to air pollution in the urban area when the analysis was stratified by gender, and the reverse result was seen in the suburban area. Our results suggest that the increase in ERVs for respiratory illnesses is linked to the levels of air pollutants in Jinan, and there may be some urban-suburban discrepancies in health outcomes from air pollutant exposure.

Suggested Citation

  • Peng Liu & Xining Wang & Jiayin Fan & Wenxin Xiao & Yan Wang, 2016. "Effects of Air Pollution on Hospital Emergency Room Visits for Respiratory Diseases: Urban-Suburban Differences in Eastern China," IJERPH, MDPI, vol. 13(3), pages 1-12, March.
    • Handle: RePEc:gam:jijerp:v:13:y:2016:i:3:p:341-:d:66143
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    References listed on IDEAS

    as
    1. Cropper, Maureen L. & Simon, Nathalie B. & Alberini, Anna & Sharma, P. K., 1997. "The health effects of air pollution in Delhi, India," Policy Research Working Paper Series 1860, The World Bank.
    2. Arden Pope III, C., 1989. "Respiratory disease associated with community air pollution and a steel mill, Utah Valley," American Journal of Public Health, American Public Health Association, vol. 79(5), pages 623-628.
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    Cited by:

    1. Lili Du & Yan Wang & Zhicheng Wu & Chenxiao Hou & Huiting Mao & Tao Li & Xiaoling Nie, 2019. "PM 2.5 -Bound Toxic Elements in an Urban City in East China: Concentrations, Sources, and Health Risks," IJERPH, MDPI, vol. 16(1), pages 1-13, January.
    2. Lisha Luo & Yunquan Zhang & Junfeng Jiang & Hanghang Luan & Chuanhua Yu & Peihong Nan & Bin Luo & Mao You, 2018. "Short-Term Effects of Ambient Air Pollution on Hospitalization for Respiratory Disease in Taiyuan, China: A Time-Series Analysis," IJERPH, MDPI, vol. 15(10), pages 1-14, October.
    3. Ran Li & Ning Jiang & Qichen Liu & Jing Huang & Xinbiao Guo & Fan Liu & Zhancheng Gao, 2017. "Impact of Air Pollutants on Outpatient Visits for Acute Respiratory Outcomes," IJERPH, MDPI, vol. 14(1), pages 1-11, January.
    4. Sajith Priyankara & Mahesh Senarathna & Rohan Jayaratne & Lidia Morawska & Sachith Abeysundara & Rohan Weerasooriya & Luke D. Knibbs & Shyamali C. Dharmage & Duminda Yasaratne & Gayan Bowatte, 2021. "Ambient PM 2.5 and PM 10 Exposure and Respiratory Disease Hospitalization in Kandy, Sri Lanka," IJERPH, MDPI, vol. 18(18), pages 1-13, September.

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