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A Multifactorial Evaluation of the Effects of Air Pollution and Meteorological Factors on Asthma Exacerbation

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  • Hong-Ren Yu

    (Department of Pediatrics, Chang Gung Memorial Hospital-Kaohsiung Medical Center, Kaohsiung 83301, Taiwan
    Graduate Institute of Clinical Medical Sciences, College of Medicine, Chang Gung University, Kaohsiung 83301, Taiwan)

  • Chun-Hung Richard Lin

    (Department of Computer Science and Engineering, National Sun Yat-sen University, Kaohsiung 80424, Taiwan)

  • Jui-Hsiu Tsai

    (Department of Psychiatry, Dalin Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, Chia-Yi 62247, Taiwan
    PhD Program in Environmental and Occupation Medicine, (Taiwan) National Health Research Institutes and Kaohsiung Medical University, Kaohsiung 80737, Taiwan)

  • Yun-Ting Hsieh

    (Department of Computer Science and Engineering, National Sun Yat-sen University, Kaohsiung 80424, Taiwan)

  • Ti-An Tsai

    (Department of Pediatrics, Chang Gung Memorial Hospital-Kaohsiung Medical Center, Kaohsiung 83301, Taiwan)

  • Chang-Ku Tsai

    (Department of Pediatrics, Chang Gung Memorial Hospital-Kaohsiung Medical Center, Kaohsiung 83301, Taiwan)

  • Yi-Chen Lee

    (Department of Pediatrics, Chang Gung Memorial Hospital-Kaohsiung Medical Center, Kaohsiung 83301, Taiwan)

  • Ta-Yu Liu

    (Department of Pediatrics, Chang Gung Memorial Hospital-Kaohsiung Medical Center, Kaohsiung 83301, Taiwan)

  • Chih-Min Tsai

    (Department of Pediatrics, Chang Gung Memorial Hospital-Kaohsiung Medical Center, Kaohsiung 83301, Taiwan)

  • Chih-Cheng Chen

    (Department of Pediatrics, Chang Gung Memorial Hospital-Kaohsiung Medical Center, Kaohsiung 83301, Taiwan)

  • Chih-Hao Chang

    (Department of Respiratory Therapy, Chang Gung Memorial Hospital–Kaohsiung Medical Center, Kaohsiung 83301, Taiwan)

  • Te-Yao Hsu

    (Department of Obstetrics, Chang Gung Memorial Hospital-Kaohsiung Medical Center, Kaohsiung 83301, Taiwan)

  • Chen-Kuang Niu

    (Department of Pediatrics, Chang Gung Memorial Hospital-Kaohsiung Medical Center, Kaohsiung 83301, Taiwan)

Abstract

In the real world, dynamic changes in air pollutants and meteorological factors coexist simultaneously. Studies identifying the effects of individual pollutants on acute exacerbation (AE) of asthma may overlook the health effects of the overall combination. A comprehensive study examining the influence of air pollution and meteorological factors is required. Asthma AE data from emergency room visits were collected from the Taiwan National Health Insurance Research Database. Complete monitoring data for air pollutants (SO 2 ; NO 2 ; O 3 ; CO; PM 2.5 ; PM 10 ) and meteorological factors were collected from the Environmental Protection Agency monitoring stations. A bi-directional case-crossover analysis was used to investigate the effects of air pollution and meteorological factors on asthma AE. Among age group divisions, a 1 °C temperature increase was a protective factor for asthma ER visits with OR = 0.981 (95% CI, 0.971–0.991) and 0.985 (95% CI, 0.975–0.994) for pediatric and adult patients, respectively. Children, especially younger females, are more susceptible to asthma AE due to the effects of outdoor air pollution than adults. Meteorological factors are important modulators for asthma AE in both asthmatic children and adults. When studying the effects of air pollution on asthma AE, meteorological factors should be considered.

Suggested Citation

  • Hong-Ren Yu & Chun-Hung Richard Lin & Jui-Hsiu Tsai & Yun-Ting Hsieh & Ti-An Tsai & Chang-Ku Tsai & Yi-Chen Lee & Ta-Yu Liu & Chih-Min Tsai & Chih-Cheng Chen & Chih-Hao Chang & Te-Yao Hsu & Chen-Kuang, 2020. "A Multifactorial Evaluation of the Effects of Air Pollution and Meteorological Factors on Asthma Exacerbation," IJERPH, MDPI, vol. 17(11), pages 1-13, June.
    • Handle: RePEc:gam:jijerp:v:17:y:2020:i:11:p:4010-:d:367510
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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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