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Temporal Heterogeneity of Short-Term Effects of Particulate Matter on Stroke Outpatients in Seven Major Cities of the Republic of Korea

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  • Yongsoo Choi

    (School of Health Policy and Management, College of Health Science, Korea University, 145, Anam-ro, Seongbuk-gu, Seoul 02481, Korea)

  • Garam Byun

    (Interdisciplinary Program in Precision Public Health, Korea University, 145, Anam-ro, Seongbuk-gu, Seoul 02481, Korea)

  • Jong-Tae Lee

    (School of Health Policy and Management, College of Health Science, Korea University, 145, Anam-ro, Seongbuk-gu, Seoul 02481, Korea
    Interdisciplinary Program in Precision Public Health, Korea University, 145, Anam-ro, Seongbuk-gu, Seoul 02481, Korea)

Abstract

Although particulate matter (PM) is a major risk factor for stroke, its effects on hospital outpatients admitted for stroke have not been documented in Korea. In addition, recent studies have reported that the effects of PM 10 on circulatory mortality changed over time. We aimed to estimate the effects of PM 10 on stroke and their temporal heterogeneity in seven major cities of Korea during the period 2002–2015. The study period was divided into five years of moving time windows, and city-specific PM 10 effects on ischemic and hemorrhagic stroke outpatients were calculated. We pooled the estimates using meta-analysis and plotted them into a sequence to identify their temporal trends. A 10 µg/m 3 increase of PM 10 was significantly associated with increments in hospital outpatients admitted for ischemic stroke (0.24%, 95% CI: 0.04%, 0.44%), but not for hemorrhagic stroke (0.33%, 95% CI: −0.06%, 0.73%). Effect estimates for strokes increased during the period 2003–2013 but decreased after. For the first time, we have estimated the effects of PM 10 on hospital outpatients admitted for stroke in Korea. The observed temporal trend in PM 10 effects was similar to patterns of circulatory mortality, suggesting that the temporal heterogeneity in PM 10 effects might be due to systematic causes rather than random fluctuations.

Suggested Citation

  • Yongsoo Choi & Garam Byun & Jong-Tae Lee, 2022. "Temporal Heterogeneity of Short-Term Effects of Particulate Matter on Stroke Outpatients in Seven Major Cities of the Republic of Korea," IJERPH, MDPI, vol. 19(19), pages 1-9, September.
  • Handle: RePEc:gam:jijerp:v:19:y:2022:i:19:p:12316-:d:927574
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    References listed on IDEAS

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    1. Daniel Trnka, 2020. "Policies, regulatory framework and enforcement for air quality management: The case of Korea," OECD Environment Working Papers 158, OECD Publishing.
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