| Autor: |
Liu J; Department of Respiratory and Critical Care Medicine, Shandong Provincial Hospital Affiliated to Shandong University, Jinan, 250021, China.; School of Medicine and Life Sciences, University of Jinan-Shandong Academy of Medical Sciences, Jinan, 250062, Shandong, China., Li Y; Department of Respiratory and Critical Care Medicine, Shandong Provincial Hospital Affiliated to Shandong University, Jinan, 250021, China., Li J; Pediatric Intensive Care Unit, Jinan Children's Hospital, Jinan, 250022, Shandong, China., Liu Y; Department of Respiratory and Critical Care Medicine, Shandong Provincial Hospital Affiliated to Shandong University, Jinan, 250021, China., Tao N; Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, 100730, China., Song W; School of medicine, Shandong University, Jinan, 250000, Shandong, China., Cui L; Department of Environmental Health, Jinan Municipal Center for Disease Control and Prevention, Jinan, 250021, Shandong, China. cll602@163.com., Li H; Department of Respiratory and Critical Care Medicine, Shandong Provincial Hospital Affiliated to Shandong University, Jinan, 250021, China. lihuaichen@163.com.; School of Medicine and Life Sciences, University of Jinan-Shandong Academy of Medical Sciences, Jinan, 250062, Shandong, China. lihuaichen@163.com. |
| Abstrakt: |
To determine the association between daily air pollution and the hospital admissions for respiratory diseases in children aged from 0 to 17 years in Jinan, China. Generalized linear models were used to explore the acute effects of ambient fine particulate matter (PM 2.5 ) on the children's hospital admissions for respiratory diseases. We evaluated the lag associations (including lag 0 to lag 3, lag 01, and lag 03) between daily PM 2.5 and the number of children's hospital admissions for respiratory diseases, and stratified by gender, age group (baby group: age 0-1 years; child group: age 1-5 years; student group: age 6-17 years), and cause-specific disease (including upper infection, pneumonia, and acute bronchitis) during 2011-2015. PM 2.5 had significant positive impacts on the number of children's hospital admissions for respiratory disease. The results showed that per 10 μg/m 3 increase of PM 2.5 at lag 1 was associated with an increase in total and male hospital admissions of 0.23% (95% CI, 0.02%-0.45%) and 0.32% (95% CI, 0.04%-0.06%). The corresponding risk of the student group (age 6-17 years) hospital admissions was increased 0.90% (95% CI, 0.39%-1.42%) at lag 1 day. The corresponding risk of the upper infection was increased 0.96% (95% CI, 0.37-1.55%) at lag 1 day. Males and student groups (age 6-17 years) were more vulnerable to PM 2.5 exposure. Upper infection admission was identified as the sensitive disease for children. It is a better way to reduce children's outdoor activities to avoid health effects when the air pollution increases. |
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