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The Short-Term Effects of Ambient Air Pollutants on Childhood Asthma Hospitalization in Taiwan: A National Study

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  • Ching-Yen Kuo

    (Department of Information Management, Yuan Ze University, 135 Yuan-Tung Road, Jung-Li, Taoyuan 320, Taiwan
    Department of Medical Administration, Taoyuan General Hospital, Ministry of Health and Welfare, 1492 Zhongshan Road, Taoyuan Dist., Taoyuan 330, Taiwan)

  • Chin-Kan Chan

    (Department of Pediatrics, Taoyuan General Hospital, Ministry of Health and Welfare, 1492 Zhongshan Road, Taoyuan Dist., Taoyuan 330, Taiwan
    Department of Biotechnology, Ming Chuan University, 5 De Ming Road, Gui Shan Dist., Taoyuan 333, Taiwan)

  • Chiung-Yi Wu

    (Department of Information Management, Yuan Ze University, 135 Yuan-Tung Road, Jung-Li, Taoyuan 320, Taiwan)

  • Dinh-Van Phan

    (Department of Information Management, Yuan Ze University, 135 Yuan-Tung Road, Jung-Li, Taoyuan 320, Taiwan
    Innovation Center for Big Data and Digital Convergence, Yuan Ze University, 135 Yuan-Tung Road, Jung-Li, Taoyuan 320, Taiwan
    University of Economics, The University of Danang, 71 Ngu Hanh Son Street, Danang 550000, Vietnam)

  • Chien-Lung Chan

    (Department of Information Management, Yuan Ze University, 135 Yuan-Tung Road, Jung-Li, Taoyuan 320, Taiwan
    Innovation Center for Big Data and Digital Convergence, Yuan Ze University, 135 Yuan-Tung Road, Jung-Li, Taoyuan 320, Taiwan)

Abstract

This investigation determined the effects of air pollution on childhood asthma hospitalization in regions with differing air pollution levels in Taiwan over a long time period. Data of childhood hospital admissions for asthma in patients aged 0–18 years and air quality in eight regions for the period 2001–2012 in Taiwan were collected. Poisson generalized linear regression analysis was employed to identify the relative risks of hospitalization due to asthma in children associated with exposure to varying levels of air pollutants with a change in the interquartile range after adjusting for temperature and relative humidity. Particulate matter ≤2.5 μm (PM 2.5 ), particulate matter ≤10 μm (PM 10 ), ozone (O 3 ), sulfur dioxide (SO 2 ), and nitrogen dioxide (NO 2 ), were positively associated with childhood asthma hospitalization, while O 3 was negatively associated with childhood asthma hospitalization. SO 2 was identified as the most significant risk factor. The relative risks for asthma hospitalization associated with air pollutants were higher among children aged 0–5 years than aged 6–18 years and were higher among males than females. The effects of air pollution on childhood asthma were greater in the higher-level air pollution regions, while no association was observed in the lower-level air pollution regions. These findings may prove important for policymakers involved in implementing policies to reduce air pollution.

Suggested Citation

  • Ching-Yen Kuo & Chin-Kan Chan & Chiung-Yi Wu & Dinh-Van Phan & Chien-Lung Chan, 2019. "The Short-Term Effects of Ambient Air Pollutants on Childhood Asthma Hospitalization in Taiwan: A National Study," IJERPH, MDPI, vol. 16(2), pages 1-13, January.
    • Handle: RePEc:gam:jijerp:v:16:y:2019:i:2:p:203-:d:197166
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    References listed on IDEAS

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    1. Pablo Orellano & Nancy Quaranta & Julieta Reynoso & Brenda Balbi & Julia Vasquez, 2017. "Effect of outdoor air pollution on asthma exacerbations in children and adults: Systematic review and multilevel meta-analysis," PLOS ONE, Public Library of Science, vol. 12(3), pages 1-15, March.
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    Cited by:

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    2. Juha Baek & Bita A. Kash & Xiaohui Xu & Mark Benden & Jon Roberts & Genny Carrillo, 2020. "Association between Ambient Air Pollution and Hospital Length of Stay among Children with Asthma in South Texas," IJERPH, MDPI, vol. 17(11), pages 1-17, May.
    3. Hiroshi Yamaguchi & Kandai Nozu & Shinya Ishiko & Atsushi Kondo & Takeshi Ninchoji & China Nagano & Hiroki Takeda & Ai Unzaki & Kazuto Ishibashi & Ichiro Morioka & Hiroaki Nagase & Kazumoto Iijima & A, 2021. "Impact of the State of Emergency during the COVID-19 Pandemic in 2020 on Asthma Exacerbations among Children in Kobe City, Japan," IJERPH, MDPI, vol. 18(21), pages 1-19, October.
    4. Keith April G. Arano & Shengjing Sun & Joaquin Ordieres-Mere & and Bing Gong, 2019. "The Use of the Internet of Things for Estimating Personal Pollution Exposure," IJERPH, MDPI, vol. 16(17), pages 1-25, August.
    5. Brandy M. Byrwa-Hill & Arvind Venkat & Albert A. Presto & Judith R. Rager & Deborah Gentile & Evelyn Talbott, 2020. "Lagged Association of Ambient Outdoor Air Pollutants with Asthma-Related Emergency Department Visits within the Pittsburgh Region," IJERPH, MDPI, vol. 17(22), pages 1-10, November.

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