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Association between Dry Eye Disease, Air Pollution and Weather Changes in Taiwan

Author

Listed:
  • Jia-Yu Zhong

    (Department of Public Health, Tzu Chi University, 701, Sec. 3, Zhongyang Road, Hualien City 97004, Taiwan)

  • Yuan-Chieh Lee

    (Department of Ophthalmology and Visual Science, Tzu Chi University, 701, Sec. 3, Zhongyang Road, Hualien City 97004, Taiwan
    Department of Ophthalmology, Buddhist Tzu Chi General Hospital, 707, Sec. 3, Zhongyang Rd., Hualien City 97002, Taiwan)

  • Chia-Jung Hsieh

    (Department of Public Health, Tzu Chi University, 701, Sec. 3, Zhongyang Road, Hualien City 97004, Taiwan)

  • Chun-Chieh Tseng

    (Department of Public Health, Tzu Chi University, 701, Sec. 3, Zhongyang Road, Hualien City 97004, Taiwan)

  • Lih-Ming Yiin

    (Department of Public Health, Tzu Chi University, 701, Sec. 3, Zhongyang Road, Hualien City 97004, Taiwan)

Abstract

Dry eye disease (DED) has become a common eye disease in recent years and appears to be influenced by environmental factors. This study aimed to examine the association between the first occurrence of DED, air pollution and weather changes in Taiwan. We used the systematic sampling cohort database containing 1,000,000 insureds of the National Health Insurance of Taiwan from 2004 to 2013, and identified a total of 25,818 eligible DED subjects. Environmental data, including those of air pollutants, temperature and relative humidity, were retrieved from the environmental monitoring stations adjacent to subjects’ locations of clinics as exposure information. We applied the case-crossover design, which used the same subjects experiencing exposures on diagnosis days as cases and those on other days as controls. The descriptive statistics showed that the first occurrences of DED were the most for the elderly by age (53.6%), women by gender (68.9%), and spring by season (25.9%). Multivariate conditional logistic regression analyses indicated that carbon monoxide (CO), nitrogen dioxide (NO 2 ), and temperature were positively associated with DED ( p < 0.05), while relative humidity was negatively related ( p < 0.001). Because CO and NO 2 together are considered a surrogate of traffic emission, which is easier to control than the uprising temperature, it is suggested that efficient management and control of traffic emission may lower the probability of DED occurrence.

Suggested Citation

  • Jia-Yu Zhong & Yuan-Chieh Lee & Chia-Jung Hsieh & Chun-Chieh Tseng & Lih-Ming Yiin, 2018. "Association between Dry Eye Disease, Air Pollution and Weather Changes in Taiwan," IJERPH, MDPI, vol. 15(10), pages 1-10, October.
    • Handle: RePEc:gam:jijerp:v:15:y:2018:i:10:p:2269-:d:176034
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    References listed on IDEAS

    as
    1. Hui-Ying Chung & Chia-Jung Hsieh & Chun-Chieh Tseng & Lih-Ming Yiin, 2016. "Association between the First Occurrence of Allergic Rhinitis in Preschool Children and Air Pollution in Taiwan," IJERPH, MDPI, vol. 13(3), pages 1-9, February.
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    Cited by:

    1. Chia-Ching Lin & Chien-Chih Chiu & Po-Yen Lee & Kuo-Jen Chen & Chen-Xi He & Sheng-Kai Hsu & Kai-Chun Cheng, 2022. "The Adverse Effects of Air Pollution on the Eye: A Review," IJERPH, MDPI, vol. 19(3), pages 1-14, January.
    2. Lucía Echevarría-Lucas & José Mᵃ Senciales-González & María Eloísa Medialdea-Hurtado & Jesús Rodrigo-Comino, 2021. "Impact of Climate Change on Eye Diseases and Associated Economical Costs," IJERPH, MDPI, vol. 18(13), pages 1-25, July.
    3. Jong-Sang Youn & Jeong-Won Seo & Wonjun Park & SeJoon Park & Ki-Joon Jeon, 2020. "Prediction Model for Dry Eye Syndrome Incidence Rate Using Air Pollutants and Meteorological Factors in South Korea: Analysis of Sub-Region Deviations," IJERPH, MDPI, vol. 17(14), pages 1-12, July.
    4. Yin, Peng & Xie, Jingchao & Ji, Ying & Liu, Jiaping & Hou, Qixian & Zhao, Shanshan & Jing, Pengfei, 2023. "Winter indoor thermal environment and heating demand of low-quality centrally heated houses in cold climates," Applied Energy, Elsevier, vol. 331(C).
    5. Chi-Jung Chung & Ning-Yi Hsia & Chih-Da Wu & Ting-Ju Lai & Jein-Wen Chen & Hui-Tsung Hsu, 2021. "Exposure to Ambient NO 2 Increases the Risk of Dry Eye Syndrome in Females: An 11-Year Population-Based Study," IJERPH, MDPI, vol. 18(13), pages 1-14, June.
    6. Jinyoung Shin & Hyungwoo Lee & Hyeongsu Kim, 2020. "Association between Exposure to Ambient Air Pollution and Age-Related Cataract: A Nationwide Population-Based Retrospective Cohort Study," IJERPH, MDPI, vol. 17(24), pages 1-11, December.

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