The association of long-term exposure to outdoor air pollution with all-cause GP visits and hospital admissions by ethnicity and country of birth in the United Kingdom.
The association of long-term exposure to outdoor air pollution with all-cause GP visits and hospital admissions by ethnicity and country of birth in the United Kingdom.
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DOI：
10.1371/journal.pone.0275414
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发表时间：
2023
期刊：
影响因子：
3.7
通讯作者：
中科院分区：
文献类型：
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作者：
空气污染与健康状况不佳有关。然而，需要更多的研究来揭示长期暴露于室外空气污染与研究较少的健康结果（如住院和全科医生（GP）访问）之间的关联，以及与其他人群相比，这种关联是否对少数民族更强。本研究调查了英国（UK）各种族空气污染与全因GP访问和住院之间的关系。我们使用了来自“英国家庭纵向研究”的个人层面纵向数据，其中包括46，442名成年人，他们在五年（2015-2019）中提供了140，466份回复。这些数据与NO2，SO2和颗粒物（PM10，PM2.5）室外污染的年度浓度有关，使用每个人居住的下超输出区（LSOA）。多水平混合效应有序逻辑模型被用来评估空气污染和全因GP访问和住院之间的关联。我们发现，NO2年浓度每增加1 μg/m3，（OR = 1.008; 95%CI = 1.004-1.012），SO2（OR = 1.048; 95%CI = 1.014-1.083）、PM10（OR = 1.011; 95%CI = 1.003-1.018）和PM2.5（OR = 1.018; 95%CI = 1.007-1.029）污染物。随着NO2（OR = 1.010; 95%CI = 1.006-1.014）和SO2（OR = 1.114; 95%CI = 1.077-1.152）污染物暴露量的增加，也观察到GP就诊的几率更高。观察到的关联在不同种族群体之间没有差异，但按出生国划分，在英国以外出生的人比在英国出生的人更明显。这项研究支持更高的户外空气污染暴露与全因住院率和全科医生就诊率增加之间的关联。更长随访时间的进一步纵向研究可能能够揭示种族对长期室外空气污染与住院和GP访问之间关联的影响的更明确结论。
Air pollution is associated with poor health. Yet, more research is needed to reveal the association of long-term exposure to outdoor air pollution with less studied health outcomes like hospital admissions and general-practitioner (GP) visits and whether this association is stronger for ethnic minorities compared to the rest of population. This study investigates the association between air pollution and all-cause GP visits and hospital admissions by ethnicity in the United-Kingdom (UK). We used individual-level longitudinal data from the “UK Household Longitudinal Study” including 46,442 adult individuals who provided 140,466 responses across five years (2015–2019). This data was linked to yearly concentrations of NO2, SO2, and particulate-matter (PM10, PM2.5) outdoor pollution using the Lower Super Output Area (LSOA) of residence for each individual. Multilevel mixed-effects ordered logistic models were used to assess the association between air pollution and all-cause GP visits and hospital admissions. We found higher odds of hospital admissions per 1 μg/m3 increase in annual concentrations of NO2 (OR = 1.008; 95%CI = 1.004–1.012), SO2 (OR = 1.048; 95%CI = 1.014–1.083), PM10 (OR = 1.011; 95%CI = 1.003–1.018), and PM2.5 (OR = 1.018; 95%CI = 1.007–1.029) pollutants. Higher odds of GP visits were also observed with increased exposure to NO2 (OR = 1.010; 95%CI = 1.006–1.014) and SO2 (OR = 1.114; 95%CI = 1.077–1.152) pollutants. The observed associations did not differ across ethnic groups, but by country of birth, they were more pronounced in individuals born outside UK than those born in UK. This study supports an association between higher exposure to outdoor air pollution and increased all-cause hospital admissions and GP visits. Further longitudinal studies with longer follow-up time periods may be able to reveal more definite conclusions on the influence of ethnicity on the association between long-term outdoor air pollution and both hospital admissions and GP visits.
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影响因子：
10.4
作者：
Andersen ZJ;de Nazelle A;Mendez MA;Garcia-Aymerich J;Hertel O;Tjønneland A;Overvad K;Raaschou-Nielsen O;Nieuwenhuijsen MJ
通讯作者：
Nieuwenhuijsen MJ
影响因子：
4.4
作者：
Afoakwah, Clifford;Nghiem, Son;Byrnes, Joshua
通讯作者：
Byrnes, Joshua
影响因子：
4.5
作者：
通讯作者：
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DOI：
10.1186/s12940-021-00730-1
发表时间：
2021-05-07
期刊：
Environmental health : a global access science source
影响因子：
--
作者：
Ashworth M;Analitis A;Whitney D;Samoli E;Zafeiratou S;Atkinson R;Dimakopoulou K;Beavers S;Schwartz J;Katsouyanni K;STEAM project research group
通讯作者：
STEAM project research group
影响因子：
5.8
作者：
Cruz, A. M. J.;Sarmento, S.;Wolterbeek, H.
通讯作者：
Wolterbeek, H.