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Fine Particulate Air Pollution and Hospital Admissions for Chronic Obstructive Pulmonary Disease: A Case-Crossover Study in Taipei

Author

Listed:
  • Shang-Shyue Tsai

    (Department of Healthcare Administration, I-Shou University, Kaohsiung 824, Taiwan)

  • Chih-Ching Chang

    (Department of Environmental and Occupational Health, National Cheng Kung University, Tainan 701, Taiwan)

  • Chun-Yuh Yang

    (Department of Public Health, College of Health Sciences, Kaohsiung Medical University, Kaohsiung 807, Taiwan
    Division of Environmental Health and Occupational Medicine, National Health Research Institute, Miaoli 350, Taiwan)

Abstract

We undertook this study to investigate whether there is an association between atmospheric fine particles (PM 2.5 ) levels and inpatient admissions for chronic obstructive pulmonary disease (COPD) in Taipei, Taiwan. Data on inpatient admissions for COPD and ambient on air pollution levels in Taipei were obtained for years 2006 to 2010. We estimated the relative risk of inpatient admissions for COPD using a case-crossover design with the following control variables: weather measures, day of the week, seasonality, and long-term time trends. For the single-pollutant model (not controlling for other atmospheric pollutants), COPD admissions were significantly and positively associated with higher PM 2.5 levels during both warm days (>23 °C) and cool days (<23 °C), with an interquartile range increase of 12% (95% CI = 8–16%) and 3% (95% CI = 0–7%) in COPD admissions, respectively. In the two-pollutant models, PM 2.5 remained significant even controlling for SO 2 or O 3 on both warm and cool days. Taken as a whole, our study demonstrates that higher levels of PM 2.5 may increase the risk of inpatient admissions for COPD.

Suggested Citation

  • Shang-Shyue Tsai & Chih-Ching Chang & Chun-Yuh Yang, 2013. "Fine Particulate Air Pollution and Hospital Admissions for Chronic Obstructive Pulmonary Disease: A Case-Crossover Study in Taipei," IJERPH, MDPI, vol. 10(11), pages 1-12, November.
    • Handle: RePEc:gam:jijerp:v:10:y:2013:i:11:p:6015-6026:d:30310
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    Citations

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    Cited by:

    1. Ching-Chang Cho & Wen-Yeh Hsieh & Chin-Hung Tsai & Cheng-Yi Chen & Hui-Fang Chang & Chih-Sheng Lin, 2018. "In Vitro and In Vivo Experimental Studies of PM 2.5 on Disease Progression," IJERPH, MDPI, vol. 15(7), pages 1-26, July.
    2. Marlene Cortez-Lugo & Matiana Ramírez-Aguilar & Rogelio Pérez-Padilla & Raúl Sansores-Martínez & Alejandra Ramírez-Venegas & Albino Barraza-Villarreal, 2015. "Effect of Personal Exposure to PM 2.5 on Respiratory Health in a Mexican Panel of Patients with COPD," IJERPH, MDPI, vol. 12(9), pages 1-13, August.
    3. Shang-Shyue Tsai & Chih-Ching Chang & Saou-Hsing Liou & Chun-Yuh Yang, 2014. "The Effects of Fine Particulate Air Pollution on Daily Mortality: A Case-Crossover Study in a Subtropical City, Taipei, Taiwan," IJERPH, MDPI, vol. 11(5), pages 1-13, May.
    4. Mike Z. He & Xiange Zeng & Kaiyue Zhang & Patrick L. Kinney, 2017. "Fine Particulate Matter Concentrations in Urban Chinese Cities, 2005–2016: A Systematic Review," IJERPH, MDPI, vol. 14(2), pages 1-14, February.
    5. Hang Qiu & Kun Tan & Feiyu Long & Liya Wang & Haiyan Yu & Ren Deng & Hu Long & Yanlong Zhang & Jingping Pan, 2018. "The Burden of COPD Morbidity Attributable to the Interaction between Ambient Air Pollution and Temperature in Chengdu, China," IJERPH, MDPI, vol. 15(3), pages 1-15, March.
    6. Meng-Hsuan Cheng & Hui-Fen Chiu & Chun-Yuh Yang, 2015. "Coarse Particulate Air Pollution Associated with Increased Risk of Hospital Admissions for Respiratory Diseases in a Tropical City, Kaohsiung, Taiwan," IJERPH, MDPI, vol. 12(10), pages 1-16, October.
    7. Su-Lun Hwang & Su-Er Guo & Miao-Ching Chi & Chiang-Ting Chou & Yu-Ching Lin & Chieh-Mo Lin & Yen-Li Chou, 2016. "Association between Atmospheric Fine Particulate Matter and Hospital Admissions for Chronic Obstructive Pulmonary Disease in Southwestern Taiwan: A Population-Based Study," IJERPH, MDPI, vol. 13(4), pages 1-9, March.
    8. Ran Li & Ning Jiang & Qichen Liu & Jing Huang & Xinbiao Guo & Fan Liu & Zhancheng Gao, 2017. "Impact of Air Pollutants on Outpatient Visits for Acute Respiratory Outcomes," IJERPH, MDPI, vol. 14(1), pages 1-11, January.
    9. Chih-Cheng Chen & Shang-Shyue Tsai & Chun-Yuh Yang, 2015. "Association between Fine Particulate Air Pollution and Daily Clinic Visits for Migraine in a Subtropical City: Taipei, Taiwan," IJERPH, MDPI, vol. 12(5), pages 1-12, April.

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