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Association between Exposure to Particulate Matter Air Pollution during Early Childhood and Risk of Attention-Deficit/Hyperactivity Disorder in Taiwan

Author

Listed:
  • Hueng-Chuen Fan

    (Department of Pediatrics, Tungs’ Taichung Metroharbor Hospital, Wuchi, Taichung 435, Taiwan
    Department of Rehabilitation, Jen-Teh Junior College of Medicine, Nursing and Management, Miaoli 356, Taiwan
    Department of Life Sciences, Agricultural Biotechnology Center, National Chung Hsing University, Taichung 402, Taiwan
    These authors contributed equally to this work.)

  • Chuan-Mu Chen

    (The iEGG and Animal Biotechnology Center, and Rong Hsing Research Center for Translational Medicine, National Chung Hsing University, Taichung 402, Taiwan
    Ph.D. Program in Translational Medicine, Department of Life Sciences, National Chung Hsing University, Taichung 402, Taiwan
    Rong Hsing Research Center for Translational Medicine, College of Life Sciences, National Chung Hsing University, Taichung 402, Taiwan
    These authors contributed equally to this work.)

  • Jeng-Dau Tsai

    (School of Medicine, Chung Shan Medical University, Taichung 402, Taiwan
    Department of Pediatrics, Chung Shan Medical University Hospital, Taichung 402, Taiwan)

  • Kuo-Liang Chiang

    (Department of Pediatric Neurology, Kuang-Tien General Hospital, Taichung 433, Taiwan
    Department of Nutrition, Hungkuang University, Taichung 433, Taiwan)

  • Stella Chin-Shaw Tsai

    (Ph.D. Program in Translational Medicine, Department of Life Sciences, National Chung Hsing University, Taichung 402, Taiwan
    Rong Hsing Research Center for Translational Medicine, College of Life Sciences, National Chung Hsing University, Taichung 402, Taiwan
    Department of Otolaryngology, Tungs’ Taichung MetroHarbor Hospital, Taichung 435, Taiwan)

  • Ching-Ying Huang

    (Department of Food Science and Biotechnology, National Chung Hsing University, Taichung 402, Taiwan)

  • Cheng-Li Lin

    (Management Office for Health Data, China Medical University Hospital, Taichung 404, Taiwan)

  • Chung Y. Hsu

    (Graduate Institute of Clinical Medical Science, China Medical University, Taichung 404, Taiwan)

  • Kuang-Hsi Chang

    (Ph.D. Program in Translational Medicine, Department of Life Sciences, National Chung Hsing University, Taichung 402, Taiwan
    Department of Medical Research, Tungs’ Taichung MetroHarbor Hospital, Taichung 435, Taiwan
    Center for General Education, China Medical University, Taichung 404, Taiwan
    General Education Center, Jen-Teh Junior College of Medicine, Nursing and Management, Miaoli 356, Taiwan)

Abstract

(1) Background: Recently, a growing number of studies have provided evidence to suggest a strong correlation between air pollution exposure and attention-deficit/hyperactivity disorder (ADHD). In this study, we assessed the relationship between early-life exposure to particulate matter (PM) 10 , PM 2 . 5 , and ADHD; (2) Methods: The National Health Insurance Research Database (NHIRD) contains the medical records, drug information, inspection data, etc., of the people of Taiwan, and, thus, could serve as an important research resource. Air pollution data were based on daily data from the Environmental Protection Administration Executive Yuan, R.O.C. (Taiwan). These included particulate matter (PM 2.5 and PM 10 ). The two databases were merged according to the living area of the insured and the location of the air quality monitoring station; (3) Results: The highest levels of air pollutants, including PM 2.5 (adjusted hazard ratio (aHR) = 1.79; 95% confidence interval (CI) = 1.58–2.02) and PM 10 (aHR = 1.53; 95% CI = 1.37–1.70), had a significantly higher risk of ADHD; (4) Conclusions: As such, measures for air quality control that meet the WHO air quality guidelines should be strictly and uniformly implemented by Taiwanese government authorities.

Suggested Citation

  • Hueng-Chuen Fan & Chuan-Mu Chen & Jeng-Dau Tsai & Kuo-Liang Chiang & Stella Chin-Shaw Tsai & Ching-Ying Huang & Cheng-Li Lin & Chung Y. Hsu & Kuang-Hsi Chang, 2022. "Association between Exposure to Particulate Matter Air Pollution during Early Childhood and Risk of Attention-Deficit/Hyperactivity Disorder in Taiwan," IJERPH, MDPI, vol. 19(23), pages 1-10, December.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:23:p:16138-:d:991512
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    References listed on IDEAS

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    1. Pengxiang Zhao & Mei-Po Kwan & Suhong Zhou, 2018. "The Uncertain Geographic Context Problem in the Analysis of the Relationships between Obesity and the Built Environment in Guangzhou," IJERPH, MDPI, vol. 15(2), pages 1-20, February.
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    Cited by:

    1. Sunyoung Jeong & Sungryong Bae & Eui-Cheol Shin & Jong-Hwa Lee & Jung-Heun Ha, 2023. "Ellagic Acid Prevents Particulate Matter-Induced Pulmonary Inflammation and Hyperactivity in Mice: A Pilot Study," IJERPH, MDPI, vol. 20(5), pages 1-16, March.

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