Short-term effects of air pollutants and meteorological factors on outpatients with allergic airway disease in Ningbo, China, 2015-2021.

Public Health

School of Public Health, Health Science Center, Ningbo University, Ningbo, Zhejiang Province, China; The Key Laboratory of Modern Toxicology of Ministry of Education, Nanjing Medical University, 101 Longmian Avenue, Nanjing, China; Department of Psychiatry, Affiliated Kangning Hospital of Ningbo University, Ningbo, 315201, Zhejiang, China; Department of Psychiatry, Ningbo Kangning Hospital, Ningbo, 315201, Zhejiang, China. Electronic address:

Published: November 2024

AI Article Synopsis

  • The study investigates the short-term impacts of air pollutants and weather conditions on daily outpatient visits for allergic airway diseases (AAD) like allergic rhinitis, asthma, and chronic rhinosinusitis.
  • Using data from over 4.5 million outpatient visits, researchers applied a statistical model to analyze how different air pollutants affected these visits over time, focusing on the cumulative lag effects.
  • Results showed that certain pollutants, particularly sulfur dioxide (SO), significantly increased AAD visits, especially among children aged 0-18, indicating the need for protective measures during poor air quality events, particularly in cold and dry conditions.

Article Abstract

Objectives: The allergic airway disease, such as allergic rhinitis, chronic rhinosinusitis, asthma, is a general term of a range of inflammatory disorders affecting the upper and lower airways and lung parenchyma. This study aimed to investigate the short-term effects of air pollutants and meteorological factors on AAD-related daily outpatient visits.

Study Design: An ecological study.

Methods: Data on outpatient visits due to AAD (n = 4,554,404) were collected from the platform of the Ningbo Health Information from January 1, 2015 to December 31, 2021. A Quasi-Poisson generalized additive regression model was established to analyze the lag effects of air pollution on daily outpatient visits for AAD. Restricted cubic spline functions were used to explore the potential non-linear relationships between air pollutants and meteorological and daily outpatient visits for AAD.

Results: PM, PM, SO, NO, or CO were associated with daily outpatient visits for AAD, and there was a significant increasing trend in the cumulative lag effects. SO had the largest effect at Lag07, with a 25.3% (95% CI: 21.6%-29.0%) increase in AAD for every 10 μg/m increase in exposure concentration. Subgroup analysis showed that the 0-18 years old age group had the strongest effects, especially for AR, and all effects were stronger in the cold season.

Conclusions: Given that patients aged 0-18 are more susceptible to environmental changes, protective measures specifically for children should be taken during dry and cold weather conditions with poor air quality.

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Source
http://dx.doi.org/10.1016/j.puhe.2024.07.020DOI Listing

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