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Attributable Risk and Economic Cost of Cardiovascular Hospital Admissions Due to Ambient Particulate Matter in Wuhan, China

Author

Listed:
  • Xuyan Wang

    (Department of Epidemiology and Biostatistics, School of Health Sciences, Wuhan University, Wuhan 430071, China)

  • Chuanhua Yu

    (Department of Epidemiology and Biostatistics, School of Health Sciences, Wuhan University, Wuhan 430071, China
    Global Health Institute, Wuhan University, Wuhan 430072, China)

  • Yunquan Zhang

    (Department of Epidemiology and Biostatistics, School of Public Health, Medical College, Wuhan University of Science and Technology, Wuhan 430065, China
    Hubei Province Key Laboratory of Occupational Hazard Identification and Control, Wuhan University of Science and Technology, Wuhan 430065, China)

  • Fang Shi

    (Department of Epidemiology and Biostatistics, School of Health Sciences, Wuhan University, Wuhan 430071, China)

  • Runtang Meng

    (Department of Preventive Medicine, School of Medicine, Hangzhou Normal University, Hangzhou 311121, China)

  • Yong Yu

    (School of Public Health and Management, Hubei University of Medicine, Shiyan 442000, China)

Abstract

Although the adverse effects of ambient particulate matter (PM) on cardiovascular disease (CVD) have been previously documented, information about their economic consequence was insufficient. This study aimed to evaluate the attributable risk and economic cost of cardiovascular hospitalizations due to ambient PM. Data of CVD hospitalizations and PM concentrations from 1 January 2015 to 31 December 2017 were collected in Wuhan, China. A generalized additive model was applied to quantify the PM-attributable CVD hospitalizations, and total attributable hospitalization costs were calculated via multiplying the total attributable cases by the case-average hospitalization costs. A total of 45,714 CVD hospitalizations were included in this study. The results showed that a 10 µg/m 3 increase in PM 2.5 and PM 10 concentrations at lag7 day, respectively, contributed to a 1.01% (95% confidence interval: 0.67–1.34) and 0.48% (0.26–0.70) increase in CVD hospitalizations. During the study period, 1487 and 983 CVD hospitalizations were attributable to PM 2.5 and PM 10 , equaling an economic cost of 29.27 and 19.34 million RMB (1 RMB = 0.1424 USD), respectively, and significant differences in PM-attributable hospitalizations and economic burden were found between gender and age groups. Our study added evidence in heavily polluted megacities regarding the increased health risk and economic cost of CVD hospitalizations associated with ambient particulate pollution.

Suggested Citation

  • 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.
    • Handle: RePEc:gam:jijerp:v:17:y:2020:i:15:p:5453-:d:391279
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    References listed on IDEAS

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    1. Lisha Luo & Yunquan Zhang & Junfeng Jiang & Hanghang Luan & Chuanhua Yu & Peihong Nan & Bin Luo & Mao You, 2018. "Short-Term Effects of Ambient Air Pollution on Hospitalization for Respiratory Disease in Taiyuan, China: A Time-Series Analysis," IJERPH, MDPI, vol. 15(10), pages 1-14, October.
    2. 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.
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    1. Kohei Hasegawa & Hirokazu Toubou & Teruomi Tsukahara & Tetsuo Nomiyama, 2021. "Short-Term Associations of Ambient Fine Particulate Matter (PM 2.5 ) with All-Cause Hospital Admissions and Total Charges in 12 Japanese Cities," IJERPH, MDPI, vol. 18(8), pages 1-11, April.

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