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Acute Effects of Air Pollution on Ischemic Heart Disease Hospitalizations: A Population-Based Time-Series Study in Wuhan, China, 2017–2018

Author

Listed:
  • Wanglin Xu

    (School of Public Health, Wuhan University, Wuhan 430071, China
    These authors contributed equally to this work.)

  • Xingyuan Liu

    (Information Center of Health and Family Planning, Wuhan 430021, China
    These authors contributed equally to this work.)

  • Zenghui Huang

    (School of Public Health, Wuhan University, Wuhan 430071, China)

  • Yating Du

    (School of Public Health, Wuhan University, Wuhan 430071, China)

  • Biao Zhang

    (School of Public Health, Wuhan University, Wuhan 430071, China)

  • Qiaomai Wang

    (School of Public Health, Wuhan University, Wuhan 430071, China)

  • Jing Xiang

    (School of Public Health, Wuhan University, Wuhan 430071, China)

  • Yuliang Zou

    (School of Public Health, Wuhan University, Wuhan 430071, China)

  • Lu Ma

    (School of Public Health, Wuhan University, Wuhan 430071, China)

Abstract

Evidence of the acute effects of air pollutants on ischemic heart disease (IHD) hospitalizations based on the entire population of a megacity in central China is lacking. All IHD hospitalization records from 2017 to 2018 were obtained from the Wuhan Information Center of Health and Family Planning. Daily air pollutant concentrations and meteorological data were synchronously collected from the Wuhan Environmental Protection Bureau. A time-series study using generalized additive models was conducted to systematically examine the associations between air pollutants and IHD hospitalizations. Stratified analyses by gender, age, season, hypertension, diabetes, and hyperlipidemia were performed. In total, 139,616 IHD hospitalizations were included. Short-term exposure to air pollutants was positively associated with IHD hospitalizations. The age group ≥76 was at higher exposure risk, and the associations appeared to be more evident in cold seasons. PM 2.5 and PM 10 appeared to have greater effects on males and those without hypertension or diabetes, whereas NO 2 and SO 2 had greater effects on females and those with hypertension or diabetes. The risk of IHD hospitalization due to air pollutants was greater in people without hyperlipidemia. Our study provides new evidence of the effects of air pollution on the increased incidence of IHD in central China.

Suggested Citation

  • 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.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:23:p:12527-:d:689949
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    References listed on IDEAS

    as
    1. 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.
    2. Fangfang Huang & Yanxia Luo & Peng Tan & Qin Xu & Lixin Tao & Jin Guo & Feng Zhang & Xueqin Xie & Xiuhua Guo, 2017. "Gaseous Air Pollution and the Risk for Stroke Admissions: A Case-Crossover Study in Beijing, China," IJERPH, MDPI, vol. 14(2), pages 1-14, February.
    3. Pavel Otrisal & Constantin Bungau & Vladimír Obsel & Zdeněk Melicharik & Gabriela Tont, 2021. "Selected Respiratory Protective Devices: Respirators and Significance of Some Markings," Sustainability, MDPI, vol. 13(9), pages 1-21, April.
    Full references (including those not matched with items on IDEAS)

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