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Coarse Particulate Air Pollution Associated with Increased Risk of Hospital Admissions for Respiratory Diseases in a Tropical City, Kaohsiung, Taiwan

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  • Meng-Hsuan Cheng

    (Division of Pulmonary and Critical Medicine, Department of Internal Medicine, Kaohsiung Medical University Hospital, Kaohsiung 807, Taiwan
    Graduate Institute of Medicine, Kaohsiung Medical University, Kaohsiung 807, Taiwan)

  • Hui-Fen Chiu

    (Department of Pharmacology, College of Medicine, Kaohsiung Medical University, Kaohsiung 807, 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, Miaol 350, Taiwan)

Abstract

This study was undertaken to determine whether there was an association between coarse particles (PM 2.5–10 ) levels and frequency of hospital admissions for respiratory diseases (RD) in Kaohsiung, Taiwan. Hospital admissions for RD including chronic obstructive pulmonary disease (COPD), asthma, and pneumonia, and ambient air pollution data levels for Kaohsiung were obtained for the period from 2006 to 2010. The relative risk of hospital admissions for RD was estimated using a case-crossover approach, controlling for weather variables, day of the week, seasonality, and long-term time trends. For the single pollutant model (without adjustment for other pollutants), increased rate of admissions for RD were significantly associated with higher coarse PM levels only on cool days (<25 °C), with a 10 µg/m 3 elevation in PM 2.5–10 concentrations associated with a 3% (95% CI = 1%–5%) rise in COPD admissions, 4% (95% CI = 1%–7%) increase in asthma admissions, and 3% (95% CI = 2%–4%) rise in pneumonia admissions. No significant associations were found between coarse particle levels and the number of hospital admissions for RD on warm days. In the two-pollutant models, PM 2.5–10 levels remained significantly correlated with higher rate of RD admissions even controlling for sulfur dioxide, nitrogen dioxide, carbon monoxide, or ozone on cool days. This study provides evidence that higher levels of PM 2.5–10 enhance the risk of hospital admissions for RD on cool days.

Suggested Citation

  • 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.
  • Handle: RePEc:gam:jijerp:v:12:y:2015:i:10:p:13053-13068:d:57241
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    References listed on IDEAS

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    1. 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.
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    Cited by:

    1. Dayana Milena Agudelo-Castañeda & Elba Calesso Teixeira & Larissa Alves & Julián Alfredo Fernández-Niño & Laura Andrea Rodríguez-Villamizar, 2019. "Monthly-Term Associations Between Air Pollutants and Respiratory Morbidity in South Brazil 2013–2016: A Multi-City, Time-Series Analysis," IJERPH, MDPI, vol. 16(20), pages 1-13, October.
    2. Ching-Yen Kuo & Ren-Hao Pan & Chin-Kan Chan & Chiung-Yi Wu & Dinh-Van Phan & Chien-Lung Chan, 2018. "Application of a Time-Stratified Case-Crossover Design to Explore the Effects of Air Pollution and Season on Childhood Asthma Hospitalization in Cities of Differing Urban Patterns: Big Data Analytics ," IJERPH, MDPI, vol. 15(4), pages 1-15, March.
    3. 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.
    4. 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.
    5. Yii-Ting Huang & Chien-Chih Chen & Yu-Ni Ho & Ming-Ta Tsai & Chih-Min Tsai & Po-Chun Chuang & Fu-Jen Cheng, 2021. "Short-Term Effects of Particulate Matter and Its Constituents on Emergency Room Visits for Chronic Obstructive Pulmonary Disease: A Time-Stratified Case-Crossover Study in an Urban Area," IJERPH, MDPI, vol. 18(9), pages 1-12, April.
    6. Ming-Ta Tsai & Yu-Ni Ho & Charng-Yen Chiang & Po-Chun Chuang & Hsiu-Yung Pan & I-Min Chiu & Chih-Min Tsai & Fu-Jen Cheng, 2021. "Effects of Fine Particulate Matter and Its Components on Emergency Room Visits for Pediatric Pneumonia: A Time-Stratified Case-Crossover Study," IJERPH, MDPI, vol. 18(20), pages 1-12, October.

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