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Acute Effects of Particulate Air Pollution on Ischemic Heart Disease Hospitalizations in Shanghai, China

Author

Listed:
  • Anyang Xu

    (Department of Prevention, School of Medicine, Tongji University, Shanghai 200092, China
    Heart, Lung and Blood Vessel Center, Tongji University School of Medicine, Shanghai 200092, China)

  • Zhe Mu

    (Shanghai Key Laboratory of Meteorology and Health, Shanghai Meteorological Service, Shanghai 200000, China)

  • Bo Jiang

    (Department of Prevention, School of Medicine, Tongji University, Shanghai 200092, China
    Heart, Lung and Blood Vessel Center, Tongji University School of Medicine, Shanghai 200092, China)

  • Wei Wang

    (Department of Prevention, School of Medicine, Tongji University, Shanghai 200092, China
    Heart, Lung and Blood Vessel Center, Tongji University School of Medicine, Shanghai 200092, China)

  • Han Yu

    (Department of Prevention, School of Medicine, Tongji University, Shanghai 200092, China
    Heart, Lung and Blood Vessel Center, Tongji University School of Medicine, Shanghai 200092, China)

  • Lijuan Zhang

    (Department of Prevention, School of Medicine, Tongji University, Shanghai 200092, China
    Heart, Lung and Blood Vessel Center, Tongji University School of Medicine, Shanghai 200092, China)

  • Jue Li

    (Department of Prevention, School of Medicine, Tongji University, Shanghai 200092, China
    Heart, Lung and Blood Vessel Center, Tongji University School of Medicine, Shanghai 200092, China)

Abstract

Background: Air pollution has been demonstrated to be a major risk factor for the development of cardiovascular and respiratory diseases worldwide. This study examines the relationship between the exposure to fine particulate matter (PM) and patient hospitalizations as a result of ischemic heart disease (IHD) during 2013–2014 in Shanghai, China. Methods: Daily IHD hospitalization data were acquired from the Shanghai Health Insurance Bureau (SHIB) from 1 January 2013 to 21 December 2014. Daily average concentrations of air pollution as well as meteorological data were obtained from the database of Shanghai Environmental Monitoring Center (SEMC) during the same time period, and all data were analyzed using standard epidemiological methodology. Generalized linear model (GLM) adjusted for time trends, weather conditions, and medical insurance policy was used to estimate the immediate and delayed effects of PMs on IHD hospitalizations, and the effects of PMs were also examined based on gender, age group and seasonal variation. Results: A total of 188,198 IHD hospitalizations were recorded during 2013–2014 in Shanghai, China. During this period, the average concentrations of the fine particulate matter with aerodynamic diameter of <10 μm (PM 10 ) and ≤2.5 (PM 2.5 ) were 76 µg/m 3 and 56.3 µg/m 3 , respectively. The effect of PMs was strongest on days when a 10 μg/m 3 increment increase of PM 2.5 and PM 10 , which coincided with an increase in IHD hospitalizations by 0.25% (95% CI: 0.10%, 0.39%) and 0.57% (95% CI: 0.46%, 0.68%), respectively. Furthermore, the effect of PMs was significantly greater in males and people between 41 and 65 years old. Conclusions : Hospitalizations of IHD was strongly associated with short-term exposure to high levels of PM 10 and PM 2.5 during 2013–2014 in Shanghai, China.

Suggested Citation

  • Anyang Xu & Zhe Mu & Bo Jiang & Wei Wang & Han Yu & Lijuan Zhang & Jue Li, 2017. "Acute Effects of Particulate Air Pollution on Ischemic Heart Disease Hospitalizations in Shanghai, China," IJERPH, MDPI, vol. 14(2), pages 1-11, February.
    • Handle: RePEc:gam:jijerp:v:14:y:2017:i:2:p:168-:d:89764
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    Citations

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    Cited by:

    1. Hua Wang & Changwei Tian & Wenming Wang & Xiaoming Luo, 2019. "Temporal Cross-Correlations between Ambient Air Pollutants and Seasonality of Tuberculosis: A Time-Series Analysis," IJERPH, MDPI, vol. 16(9), pages 1-11, May.
    2. Marissa Parry & Donna Green & Ying Zhang & Andrew Hayen, 2019. "Does Particulate Matter Modify the Short-Term Association between Heat Waves and Hospital Admissions for Cardiovascular Diseases in Greater Sydney, Australia?," IJERPH, MDPI, vol. 16(18), pages 1-16, September.
    3. Xuyan Wang & Chuanhua Yu & Yunquan Zhang & Fang Shi & Runtang Meng & Yong Yu, 2020. "Attributable Risk and Economic Cost of Cardiovascular Hospital Admissions Due to Ambient Particulate Matter in Wuhan, China," IJERPH, MDPI, vol. 17(15), pages 1-14, July.
    4. Wanglin Xu & Xingyuan Liu & Zenghui Huang & Yating Du & Biao Zhang & Qiaomai Wang & Jing Xiang & Yuliang Zou & Lu Ma, 2021. "Acute Effects of Air Pollution on Ischemic Heart Disease Hospitalizations: A Population-Based Time-Series Study in Wuhan, China, 2017–2018," IJERPH, MDPI, vol. 18(23), pages 1-14, November.
    5. Herman Bagula & Toyib Olaniyan & Kees de Hoogh & Apolline Saucy & Bhawoodien Parker & Joy Leaner & Martin Röösli & Mohamed Aqiel Dalvie, 2021. "Ambient Air Pollution and Cardiorespiratory Outcomes amongst Adults Residing in Four Informal Settlements in the Western Province of South Africa," IJERPH, MDPI, vol. 18(24), pages 1-13, December.

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