Journal of Shandong University (Health Sciences) ›› 2018, Vol. 56 ›› Issue (11): 53-60.doi: 10.6040/j.issn.1671-7554.0.2018.356

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Impact of air pollution on the outpatient visits of adult internal medicine in Wuxi City: a time series study

YOU Yingqi1,2, ZHU Jingying2, ZHANG Xuhui2, ZHANG Xi2, ZHOU Weijie1,2   

  1. 1. School of Public Health, Nanjing Medical University, Nanjing 211166, Jiangsu, China;
    2.Wuxi Center for Disease Control and Prevention, Wuxi 214023, Jiangsu, China
  • Published:2022-09-27

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Abstract: Objective To explore the effect of air pollutants on the outpatient visits in adult internal medicine, and to provide a scientific basis for preventing the health damage of air pollutants to the population. Methods Data of atmospheric pollutants, daily outpatient visits of respiratory and circulatory diseases in Wuxi City from January 1, 2015 to December 31, 2016 were collected. The generalized additive model(GAM)method of time series Poisson distribution was used to control the mixing of long-term and seasonal variation trends, days of the week effect, meteorological factors and other pollutants. On the basis of impurity factors, the influence of air pollutants on the outpatient visits of respiratory and circulatory diseases was quantitatively analyzed. Results The effects of PM2.5, PM10, SO2 and NO2 on the daily outpatient visits of respiratory and circulatory diseases in Wuxi City from January 1, 2015 to December 31, 2016 were hysteretic and cumulative. PM2.5, PM10, SO2 and NO2 were all lagged behind the moving average of 0-5 days(lag05), 山 东 大 学 学 报 (医 学 版)56卷11期 -游颖琦,等.无锡市大气污染对成人内科门诊量影响的时间序列研究 \=-so that the excess risk(ER)of the daily outpatient visits of respiratory diseases reached the maximum, in which the daily outpatient visits of respiratory diseases increased by respective 0.44%(95% CI: 0.08%-0.80%), 0.47%(95%CI: 0.22%-0.72%), 3.85%(95%CI: 2.73%-4.98%)and 2.63%(95%CI: 2.00%-3.26%)with their concentration increase per 10 μg/m3. The moving average values of PM2.5, PM10, SO2 and NO2 were lagged 0-1 days(lag01), 0-1 days(lag01), 0-4 days(lag04), 0-4 days(lag04), respectively, which made the ER of the daily outpatient visits of circulatory system disease reach the maximum. With the concentration increase per 10 μg/m3, the daily outpatient visits of circulatory system diseases increased by 0.68%(95%CI: 0.52%-0.84%), 0.46%(95%CI: 0.34%-0.58%), 6.41%(95%CI: 5.66%-7.17%)and 4.22%(95%CI: 3.81%-4.63%). Conclusion Increased concentrations of PM2.5, PM10, SO2, and NO2 of air pollutants are associated with increased risk of outpatient visits in respiratory and circulatory diseases.

Key words: Time series research, Air pollution, Respiratory disease, Circulatory disease, Outpatient visits

CLC Number: 

  • R122.7
[1] 徐文体,李琳.PM10和PM2.5与人类健康效应关系的研究进展[J].职业与健康, 2014, 30(11): 1556-1559. XU Wenti, LI Lin. Research progress on the relationship between PM10, PM2.5 and human health efficacy[J]. Occupation and Health, 2014, 30(11): 1556-1559.
[2] 姜少睿,薛志钢,李薇,等.我国环境空气质量状况及大气污染对健康的影响[J]. 华北电力技术, 2015(8): 7-13. JIANG Shaorui, XUE Zhigang, LI Wei, et al. Enviromental air quality situation of China and the impact of pollution on health[J]. North China Electric Power, 2015(8): 7-13.
[3] 陈燕,薛旭,陈建新,等.南阳市灰霾天气污染特征及其健康效应[J].气象科技, 2010, 38(6): 737-740. CHEN Yan, XUE Xu, CHEN Jianxin, et al. Characteristics of pollution in haze weather and its effect on health in Nanyang[J]. Meteorological Science and Technology, 2010, 38(6): 737-740.
[4] 殷永文,程金平,段玉森,等.某市霾污染因子PM2.5引起居民健康危害的经济学评价[J].环境与健康杂志, 2011, 28(3): 250-252. YIN Yongwen, CHENG Jinping, DUAN Yusen, et al. Economic evaluation of residents health hazard caused by PM2.5 of haze pollution in a city[J]. Journal of Environment and Health, 2011, 28(3): 250-252.
[5] Ge W, Chen R, Song W, et al. Daily visibility and hospital admission in Shanghai, China[J]. Biomed Environ Sci, 2011, 24(2): 117-121.
[6] Huang W, Tan J, Kan H, et al. Visibility, air quality and daily mortality in Shanghai, China[J]. Sci Total Environ, 2009, 407(10): 3295-3300.
[7] 张燕萍,李晋芬,张志琴.太原市颗粒物空气污染与居民每日门诊率的暴露-反应关系[J].环境与健康杂志, 2008, 25(6): 479-482. ZHANG Yanping, LI Jinfen, ZHANG Zhiqin, et al. Exposure-response relationship between particulate pollution level and hospital outpatient visits in Taiyuan[J]. Journal of Environment and Health, 2008, 25(6): 479-482.
[8] 侯斌,戴灵真,王铮,等.西安市大气污染对城区居民每日死亡率影响的时间序列分析[J]. 环境与健康杂志, 2011, 12(8): 1039-1043. HOU Bin, DAI Lingzhen, WANG Zheng, et al. Time-series analysis of acute mortality effects of air pollution in Xian[J]. Journal of Environment and Health, 2011, 12(8): 1039-1043.
[9] Lee JT, Kim H, Hong YC, et al. Air pollution and daily mortality in seven major cities of Korea,1991-1997[J]. Environ Res, 2000, 84(3): 247-254.
[10] 中华人民共和国环境保护部.GB3095-2012环境空气质量标准[S].北京:中国环境科学出版社, 2012.
[11] 张莹,邵毅,王式功,等.北京市空气污染物对呼吸系统疾病门诊人数的影响[J]. 中国环境科学, 2014, 34(9): 2401-2407. ZHANG Ying, SHAO Yi, WANG Shigong, et al. Relationship between air pollutant and respiratory diseases hospital outpatient visits in Beijing[J]. China Environmental Science, 2014, 34(9): 2401-2407.
[12] 张江华,郭常义,许慧慧,等.上海市大气污染与某医院呼吸系统疾病门诊量关系的时间序列研究[J].环境与职业医学, 2014, 31(11): 846-851. ZHANG Jianghua, GUO Changyi, XU Huihui, et al. Time-series analysis on association between air pollution and outpatient visits for respiratory diseases in a hospital in Shanghai[J]. Journal of Environmental & Occupational Medicine, 2014, 31(11):846-851.
[13] 马关培,邹宝兰,许振成,等.广州市某区医院呼吸系统疾病门诊人数与大气污染关系的时间序列研究[J].环境与健康杂志, 2012, 29(6): 526-528. MA Guanpei, ZOU Baolan, XU Zhencheng, et al. Association of respiratory diseases outpatient visits and air pollution in a district, Guangzhou: a time-series study[J]. Journal of Environment and Health, 2012, 29(6): 526-528.
[14] 张旭辉,周伟杰,张熙.无锡市大气污染物对人群日死亡数和日就诊数影响的时间序列分析研究[J].环境卫生学杂志, 2016, 6(6): 407-411. ZHANG Xuhui, ZHOU Weijie, ZHANG Xi. Time-series analysis on effects of air pollutants on daily mortality and daily outpatient visits in Wuxi, China[J]. Journal of Environmental Hygiene, 2016, 6(6): 407-411.
[15] 杨旭,康延臻,王式功,等.郑州市大气污染特征及其与气象条件的关系[J].兰州大学学报(自然科学版), 2017, 53(3): 348-354. YANG Xu, KANG Yanzhen, WANG Shigong, et al. Air pollution characteristics in Zhengzhou City and their relationship with meteorological factors[J]. Journal of Lanzhou University(Natural Science), 2017, 53(3): 348-354.
[16] Hong YC, Lee JT, Kim H, et al. Effects of air pollutants on acute stroke mortality[J]. Environ Health Perspect, 2002, 110(2): 187-191.
[17] 彭朝琼,余淑苑,张振,等.深圳市大气PM10浓度对呼吸系统疾病日门诊量的影响[J].卫生研究, 2011, 40(4): 485-488. PENG Zhaoqiong, YU Shuyuan, ZHANG Zhen, et al. Effect of ambient air PM10 concentration on the hospital outpatient visit of respiratory diseases in Shenzhen City[J]. Journal of Hygiene Research, 2011, 40(4): 485-488.
[18] 王艳,张宜升,李欣鹏.济南城区空气污染对呼吸道疾病门诊量的影响[J].中国环境科学, 2008, 28(6): 571-576. WANG Yan, ZHANG Yisheng, LI Xinpeng. The effect of air pollution on hospital visits for respiratory symptoms in urban areas of Jinan[J]. China Environmental Science, 2008, 28(6): 571-576.
[19] LIN YK, CHANG SC, LIN C, et al. Comparing ozone metrics on associations with outpatient visits for respiratory diseases in Taipei Metropolitan area[J]. Environ Pollut, 2013,177: 177-184. doi: 10.1016/j.envpol.2012.12.010.
[20] 臧涛.六安市大气部分空气质量指标与某医院总门诊量、呼吸内科和心血管内科门诊量关系的时间序列分析[D].合肥:安徽医科大学, 2015.
[21] 彭朝琼,蔡军芳,余淑苑,等.深圳市空气中PM2.5与医院呼吸系统疾病门诊日就诊人次的关系研究[J].中华预防医学杂志, 2016, 50(10): 784-789. PENG Chaoqiong, CAI Junfang, YU Shuyuan, et al. Impact of PM2.5 on daily outpatient numbers for respiratory diseases in Shenzhen, China[J]. Chin J Epidemiol, 2016, 50(10): 784-789.
[22] Wong TW, Tam W, Tak SYI, et al. Association between air pollution and general practitioner visits for respiratory diseases in Hong Kong[J]. Thorax, 2006, 61(7): 585-591.
[23] 臧涛,尹纯礼,李林林,等.六安市大气污染与医院心血管门诊关系时间序列分析[J].环境卫生学杂志, 2016, 6(3): 214-218. ZANG Tao, YIN Chunli, LI Linlin, et al. Time series analysis on relationship between air pollution and outpatient visits for cardiovascular diseases in a hospital in Liuan City[J]. Journal of Environ Mental Hygiene, 2016, 6(3): 214-218.
[24] Donkelaar AV, Martin RV, Brauer M, et al. Global estimates of ambient fine particulate matter concent-rations from satellite-based aerosol optical depth: development and appIication[J]. Environ Health Perspect, 2010, 118(6): 847-855.
[25] Mohebbi M, Wolfe R, Jolley D. A poisson regression approach for modelling spatial autocorrelation between geographically referenced observations[J]. BMC Med Res Methodol, 2011, 11(1): 133. doi: 10.1186/1471-2288-11-133.
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