Impact of air pollution and meteorological factors on different populations and acute and chronic respiratory diseases in Zhengzhou City

Abstract

Abstract: Objective To explore the influence of air pollutants and meteorological factors on the outpatient visits of respiratory diseases in Zhengzhou City. Methods Based on the data of air pollutants and meteorological factors in Zhengzhou City from October 28,2013 to May 1,2018,the distributed lag non-linear models（DLNM） was used to analyze the exposure-lag effect between air pollutants,meteorological factors and outpatient visits of respiratory system,and the stratified analysis was conducted according to sex,age and acute and chronic respiratory diseases. Results Under the best lag day,for every 10 μg/m³ increase in CO,NO₂,SO₂,inhalable particulate matter（PM₁₀） and fine particulate matter（PM_2.5）,the relative risk（RR） value was 1.126（95%CI：1.011-1.254）,1.014（95%CI：1.011-1.018）,1.006（95%CI：1.002-1.010）,1.001（95%CI：1.000-1.002）,1.001（95%CI：1.000-1.001）,respectively. The atmospheric O₃ concentration had no significant effect on the number of outpatients. The low temperature and low relative humidity（RH） had a greater impact on the outpatient visits of respiratory diseases. The subgroup analysis showd,females were particularly vulnerable to PM_2.5,PM₁₀,SO₂,and NO₂,while CO had a greater impact on males. PM_2.5,PM₁₀,NO₂ and CO had a greater impact on population with chronic respiratory diseases,aged <19 years old and aged ≥60 years old. SO₂ had a greater impact on population with acute respiratory diseases,aged 19-<60 years old and aged ≥60 years old. The low temperature and low RH had a greater impact on females and people aged ≥60 years old. Conclusion The air pollutants and meteorological factors have a significant impact on the outpatient visits of respiratory diseases,and female and people aged <19 and ≥60 years old are more sensitive.

Key words: Respiratory diseases, Air pollutants, Meteorological factor, Distributed lag non-linear model

CLC Number:

R181.3⁺4

LIN Shan-shan, HE Hui-hui, JIA Rui, DU Juan, MA Ning-yi, LI Ya. Impact of air pollution and meteorological factors on different populations and acute and chronic respiratory diseases in Zhengzhou City. [J]OCCUPATION AND HEALTH, 2023, 39(5): 577-583.

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