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The Association between Ambient Air Pollution and Allergic Rhinitis: Further Epidemiological Evidence from Changchun, Northeastern China

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  • Bo Teng

    (Department of Otolaryngology Head and Neck Surgery, The Second Hospital, Jilin University, Changchun, 130041, China)

  • Xuelei Zhang

    (Key Laboratory of Wetland Ecology and Environment, Northeast Institute of Geography and Agroecology, Chinese Academy of Sciences, Changchun 130102, China
    Center for Spatial Information Science and Systems, George Mason University, Fairfax, VA 22030, USA)

  • Chunhui Yi

    (Department of Pathology, Mount Sinai West, New York City, NY 10019, USA)

  • Yan Zhang

    (Department of Otolaryngology Head and Neck Surgery, The First Hospital, Jilin University, Changchun 130021, China)

  • Shufeng Ye

    (Department of Otolaryngology Head and Neck Surgery, The Second Hospital, Jilin University, Changchun, 130041, China)

  • Yafang Wang

    (Department of Otolaryngology Head and Neck Surgery, The Second Hospital, Jilin University, Changchun, 130041, China)

  • Daniel Q. Tong

    (Center for Spatial Information Science and Systems, George Mason University, Fairfax, VA 22030, USA
    U.S. NOAA Air Resources Laboratory, College Park, MD 20740, USA)

  • Binfeng Lu

    (Department of Otolaryngology Head and Neck Surgery, The Second Hospital, Jilin University, Changchun, 130041, China
    Department of Immunology, University of Pittsburgh School of Medicine, Pittsburgh, PA 15261, USA)

Abstract

With the continuous rapid urbanization process over the last three decades, outdoors air pollution has become a progressively more serious public health hazard in China. To investigate the possible associations, lag effects and seasonal differences of urban air quality on respiratory health (allergic rhinitis) in Changchun, a city in Northeastern China, we carried out a time-series analysis of the incidents of allergic rhinitis (AR) from 2013 to 2015. Environmental monitoring showed that PM 2.5 and PM 10 were the major air pollutants in Changchun, followed by SO 2 , NO 2 and O 3 . The results also demonstrated that the daily concentrations of air pollutants had obvious seasonal differences. PM 10 had higher daily mean concentrations in spring (May, dust storms), autumn (October, straw burning) and winter (November to April, coal burning). The mean daily number of outpatient AR visits in the warm season was higher than in the cold season. The prevalence of allergic rhinitis was significantly associated with PM 2.5 , PM 10 , SO 2 and NO 2 , and the increased mobility was 10.2% (95% CI, 5.5%–15.1%), 4.9% (95% CI, 0.8%–9.2%), 8.5% (95% CI, −1.8%–19.8%) and 11.1% (95% CI, 5.8%–16.5%) for exposure to each 1-Standard Deviation (1-SD) increase of pollutant, respectively. Weakly or no significant associations were observed for CO and O 3 . As for lag effects, the highest Relative Risks (RRs) of AR from SO 2 , NO 2 , PM 10 and PM 2.5 were on the same day, and the highest RR from CO was on day 4 (L4). The results also indicated that the concentration of air pollutants might contribute to the development of AR. To summarize, this study provides further evidence of the significant association between ambient particulate pollutants (PM 2.5 and PM 10 , which are usually present in high concentrations) and the prevalence of respiratory effects (allergic rhinitis) in the city of Changchun, located in Northeastern China. Environmental control and public health strategies should be enforced to address this increasingly challenging problem.

Suggested Citation

  • Bo Teng & Xuelei Zhang & Chunhui Yi & Yan Zhang & Shufeng Ye & Yafang Wang & Daniel Q. Tong & Binfeng Lu, 2017. "The Association between Ambient Air Pollution and Allergic Rhinitis: Further Epidemiological Evidence from Changchun, Northeastern China," IJERPH, MDPI, vol. 14(3), pages 1-18, February.
    • Handle: RePEc:gam:jijerp:v:14:y:2017:i:3:p:226-:d:91294
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    References listed on IDEAS

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    1. Kuo-Ying Wang & Tang-Tat Chau, 2013. "An Association between Air Pollution and Daily Outpatient Visits for Respiratory Disease in a Heavy Industry Area," PLOS ONE, Public Library of Science, vol. 8(10), pages 1-25, October.
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    Cited by:

    1. Jianxing Yu & Fangying Song & Yingying Li & Zhou Zheng & Huanhuan Jia & Yuzhe Sun & Lina Jin & Xihe Yu, 2020. "Multimorbidity Analysis of 13 Systemic Diseases in Northeast China," IJERPH, MDPI, vol. 17(6), pages 1-12, March.
    2. Jacopo Mariani & Simona Iodice & Laura Cantone & Giulia Solazzo & Paolo Marraccini & Emanuele Conforti & Pallav A. Bulsara & Maria Stella Lombardi & Robert P. Howlin & Valentina Bollati & Luca Ferrari, 2021. "Particulate Matter Exposure and Allergic Rhinitis: The Role of Plasmatic Extracellular Vesicles and Bacterial Nasal Microbiome," IJERPH, MDPI, vol. 18(20), pages 1-19, October.
    3. Ruo-Ling Li & Yung-Chyuan Ho & Ci-Wen Luo & Shiuan-Shinn Lee & Yu-Hsiang Kuan, 2019. "Influence of PM 2.5 Exposure Level on the Association between Alzheimer’s Disease and Allergic Rhinitis: A National Population-Based Cohort Study," IJERPH, MDPI, vol. 16(18), pages 1-11, September.

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