Effects of Air Pollution on Hospital Emergency Room Visits for Respiratory Diseases: Urban-Suburban Differences in Eastern China.
Effects of Air Pollution on Hospital Emergency Room Visits for Respiratory Diseases: Urban-Suburban Differences in Eastern China.
复制标题
空气污染对呼吸系统疾病医院急诊就诊的影响：中国东部城市与郊区的差异
DOI：
10.3390/ijerph13030341
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发表时间：
2016-03-19
影响因子：
--
通讯作者：
Wang Y
中科院分区：
文献类型：
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作者：
Liu P;Wang X;Fan J;Xiao W;Wang Y
对2013 - 2014年济南市城区和郊区空气污染物（PM2. 5、SO2和NO2）与呼吸系统疾病急诊就诊率（ERVs）的关系进行了研究。本研究使用广义加性模型（GAM）和泊松回归进行分析，该模型控制了长期趋势，“星期几”效应和气象参数。PM2.5、SO2和NO2每增加10 μg/m3，（95%置信区间（CI）：0.7%，2.1%），1.2%（95% CI：0.5%，1.9%）和2.5%（95%：0.8%，4.2%）城市人口的ERV增长，分别为1.5%，（95%：0.4%，2.6%），0.8%（95%：-0.7%，2.3%）和3.1%（95%：0.5%，5.7%）的郊区人口的ERV分别上升。按性别分层分析发现，城市地区女性比男性更容易受到空气污染的影响，而郊区则相反。我们的研究结果表明，呼吸系统疾病ERV的增加与济南市的空气污染物水平有关，空气污染物暴露的健康结果可能存在一些城乡差异。
A study on the relationships between ambient air pollutants (PM2.5, SO2 and NO2) 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/m3 in PM2.5, SO2 and NO2 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.