An association between air pollution and daily outpatient visits for respiratory disease in a heavy industry area

PLoS One. 2013 Oct 25;8(10):e75220. doi: 10.1371/journal.pone.0075220. eCollection 2013.

Abstract

In this work we used daily outpatient data from the Landseed Hospital in a heavily industrial area in northern Taiwan to study the associations between daily outpatient visits and air pollution in the context of a heavily polluted atmospheric environment in Chung-Li area during the period 2007-2011. We test the normality of each data set, control for the confounding factors, and calculate correlation coefficient between the outpatient visits and air pollution and meteorology, and use multiple linear regression analysis to seek significance of these associations. Our results show that temperature and relative humidity tend to be negatively associated with respiratory diseases. NO and [Formula: see text] are two main air pollutants that are positively associated with respiratory diseases, followed by [Formula: see text], [Formula: see text], [Formula: see text], CO, and [Formula: see text]. Young outpatients (age 0-15 years) are most sensitive to changing air pollution and meteorology factors, followed by the eldest (age [Formula: see text]66 years) and age 16-65 years of outpatients. Outpatients for COPD diseases are most sensitive to air pollution and meteorology factors, followed by allergic rhinitis, asthma, and pneumonia diseases. In the context of sex difference to air pollution and meteorological factors, male outpatients are more sensitive than female outpatients in the 16-65 age groups, while female outpatients are more sensitive than male outpatients in the young 0-15 age groups and in the eldest age groups. In total, female outpatients are more sensitive to air pollution and meteorological factors than male outpatients.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Aged, 80 and over
  • Air Pollution / adverse effects*
  • Ambulatory Care*
  • Child
  • Child, Preschool
  • Environmental Monitoring
  • Extraction and Processing Industry
  • Female
  • Geography
  • Humans
  • Infant
  • Infant, Newborn
  • Male
  • Middle Aged
  • Outpatients*
  • Particulate Matter / analysis
  • Respiratory Tract Diseases / diagnosis
  • Respiratory Tract Diseases / epidemiology*
  • Respiratory Tract Diseases / etiology*
  • Young Adult

Substances

  • Particulate Matter

Grants and funding

This work was supported by National Central University-Landseed Hospital-100-A-004 and National Central University-Landseed Hospital-101-A-006. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.