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Association between Atmospheric Fine Particulate Matter and Hospital Admissions for Chronic Obstructive Pulmonary Disease in Southwestern Taiwan: A Population-Based Study

Author

Listed:
  • Su-Lun Hwang

    (Department of Nursing, Chang Gung University of Science and Technology, Chiayi Campus, Chiayi County 613, Taiwan
    Chronic Diseases and Health Promotion Research Center, Chang Gung University of Science and Technology, Chiayi County 613, Taiwan)

  • Su-Er Guo

    (Department of Nursing, Chang Gung University of Science and Technology, Chiayi Campus, Chiayi County 613, Taiwan
    Chronic Diseases and Health Promotion Research Center, Chang Gung University of Science and Technology, Chiayi County 613, Taiwan)

  • Miao-Ching Chi

    (Chronic Diseases and Health Promotion Research Center, Chang Gung University of Science and Technology, Chiayi County 613, Taiwan
    Department of Respiratory Care, Chang Gung University of Science and Technology, Chiayi County 613, Taiwan)

  • Chiang-Ting Chou

    (Department of Nursing, Chang Gung University of Science and Technology, Chiayi Campus, Chiayi County 613, Taiwan
    Chronic Diseases and Health Promotion Research Center, Chang Gung University of Science and Technology, Chiayi County 613, Taiwan)

  • Yu-Ching Lin

    (Department of Respiratory Care, Chang Gung University of Science and Technology, Chiayi County 613, Taiwan
    Division of Pulmonary and Critical Care Medicine, Chang Gung Memorial Hospital, Chiayi County 613, Taiwan
    Department of Respiratory Care, Chang Gung University, Taoyuan 333, Taiwan)

  • Chieh-Mo Lin

    (Department of Nursing, Chang Gung University of Science and Technology, Chiayi Campus, Chiayi County 613, Taiwan
    Division of Pulmonary and Critical Care Medicine, Chang Gung Memorial Hospital, Chiayi County 613, Taiwan
    Graduate Institute of Clinical Medical Sciences, College of Medicine, Chang Gung University, Taoyuan 333, Taiwan)

  • Yen-Li Chou

    (Division of Pulmonary and Critical Care Medicine, Chang Gung Memorial Hospital, Chiayi County 613, Taiwan)

Abstract

Objectives : This paper reports on the findings of a population-based study to evaluate the relationship between atmospheric fine particulate matter (PM 2.5 ) levels and hospital admissions for chronic obstructive pulmonary disease (COPD) in southwestern Taiwan over a three-year period, 2008–2010. Methods : Data on hospital admissions for COPD and PM 2.5 levels were obtained from the National Health Insurance Research database (NHIRD) and the Environmental Protection Administration from 2008 to 2010, respectively. The lag structure of relative risks (RRs) of hospital admissions for COPD was estimated using a Poisson regression model. Results : During the study period, the overall average hospitalization rate of COPD and mean 24-h average level of PM 2.5 was 0.18% and 39.37 μg/m 3 , respectively. There were seasonal variations in PM 2.5 concentrations in southwestern Taiwan, with higher PM 2.5 concentrations in both spring (average: 48.54 μg/m 3 ) and winter (49.96 μg/m 3 ) than in summer (25.89 μg/m 3 ) and autumn (33.37 μg/m 3 ). Increased COPD admissions were significantly associated with PM 2.5 in both spring (February–April) and winter (October–January), with the relative risks (RRs) for every 10 μg/m 3 increase in PM 2.5 being 1.25 (95% CI = 1.22–1.27) and 1.24 (95% CI = 1.23–1.26), respectively, at a lag zero days ( i.e. , no lag days). Lag effects on COPD admissions were observed for PM 2.5 , with the elevated RRs beginning at lag zero days and larger RRs estimates tending to occur at longer lags (up to six days, i.e. , lag 0–5 days). Conclusions : In general, findings reveal an association between atmospheric fine particulate matter (PM 2.5 ) and hospital admissions for COPD in southwestern Taiwan, especially during both spring and winter seasons.

Suggested Citation

  • 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.
  • Handle: RePEc:gam:jijerp:v:13:y:2016:i:4:p:366-:d:66553
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    References listed on IDEAS

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    1. 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.
    2. Itai Kloog & Brent A Coull & Antonella Zanobetti & Petros Koutrakis & Joel D Schwartz, 2012. "Acute and Chronic Effects of Particles on Hospital Admissions in New-England," PLOS ONE, Public Library of Science, vol. 7(4), pages 1-8, April.
    3. 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. Cai-Rong Lou & Hong-Yu Liu & Yu-Feng Li & Yu-Ling Li, 2016. "Socioeconomic Drivers of PM 2.5 in the Accumulation Phase of Air Pollution Episodes in the Yangtze River Delta of China," IJERPH, MDPI, vol. 13(10), pages 1-19, September.
    2. Jiangfeng Hu & Zhao Wang & Yuehan Lian & Qinghua Huang, 2018. "Environmental Regulation, Foreign Direct Investment and Green Technological Progress—Evidence from Chinese Manufacturing Industries," IJERPH, MDPI, vol. 15(2), pages 1-14, January.
    3. Miao-Ching Chi & Su-Er Guo & Su-Lun Hwang & Chiang-Ting Chou & Chieh-Mo Lin & Yu-Ching Lin, 2016. "Exposure to Indoor Particulate Matter Worsens the Symptoms and Acute Exacerbations in Chronic Obstructive Pulmonary Disease Patients of Southwestern Taiwan: A Pilot Study," IJERPH, MDPI, vol. 14(1), pages 1-11, December.
    4. 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.
    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. Su-Er Guo & Miao-Ching Chi & Su-Lun Hwang & Chieh-Mo Lin & Yu-Ching Lin, 2020. "Effects of Particulate Matter Education on Self-Care Knowledge Regarding Air Pollution, Symptom Changes, and Indoor Air Quality among Patients with Chronic Obstructive Pulmonary Disease," IJERPH, MDPI, vol. 17(11), pages 1-15, June.

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