气候变化领域集成服务门户(CCPortal): Associations between fine particulate matter constituents and hospital outpatient and emergency room visits in Shanghai, China

CCPortal

DOI	10.1016/j.atmosenv.2021.118606
	Associations between fine particulate matter constituents and hospital outpatient and emergency room visits in Shanghai, China
	Yang D.; Liu C.; Peng L.; Ye X.; Zhou J.; Mao Z.; Yang S.; Kan H.; Fu Q.; Chen R.
发表日期	2021
ISSN	1352-2310
卷号	261
英文摘要	Background: Scarce evidence is available on the health effects of various chemical constituents of PM2.5 on hospital visits in China. Objectives: To examine the short-term associations between a wide range of PM2.5 constituents and hospital outpatient and emergency room visits in Shanghai. Methods: We obtained daily concentrations of PM2.5 total mass, organic carbon (OC), elemental carbon (EC), eight water-soluble ions and thirteen elemental constituents between January 1, 2014 and December 31, 2015. We analyzed the data using over dispersed generalized additive models with Poisson regression. Single-constituent, PM2.5-adjusted and constituent-residual models were built respectively to assess the associations. Exposure-response curves for the PM2.5 constituents with robust effects were graphed. Results: The average daily mean PM2.5 concentration was 63.3 μg/m3 in Shanghai during the study period. An interquartile range (IQR) increase in PM2.5 was associated with a 2.57% (95% confidence interval [CI]: 1.28%, 3.87%) increase in outpatient visits, and a 3.60% (95% CI: 2.16%, 5.03%) increase in emergency room visits. We observed robust and positive associations between Mg2+, Ca2+, six elemental components (Ca, Mn, Fe, Zn, Ga and Se) and outpatient visits. OC, EC, Cl−, Mg2+, Ca2+ and ten elemental components (Ca, Cr, Mn, Fe, Zn, Ga, As, Se, Pb, and Ni) were significantly and positively associated with emergency room visits. The exposure-response relationships were positive and generally linear for the above constituents. Conclusions: This time-series study in Shanghai demonstrated significant associations between various carbonaceous, water-soluble and elemental constituents of PM2.5 and hospital visits, providing evidence for source-specific control of particulate air pollution. © 2021 Elsevier Ltd
关键词	Chemical constituents Fine particulate matter Outpatient and emergency room visits Time-series studies
语种	英语
scopus关键词	Air pollution; Air pollution control; Organic carbon; Particles (particulate matter); Time series; Chemical constituents; Confidence interval; Elemental carbon; Emergency room visits; Fine particulate matter; Hospital visits; Organics; Outpatient and emergency room visit; PM$-2.5$; Time-series study; Emergency rooms; ammonia; arsenic; calcium; calcium ion; carbon; chloride ion; chromium; cuprous ion; gallium; iron; lead; magnesium ion; manganese; nickel; nitrate; organic carbon; potassium ion; selenium; silicon; sodium ion; sulfate; zinc; zinc ion; atmospheric pollution; concentration (composition); confidence interval; elemental carbon; hospital sector; organic carbon; particulate matter; public health; spatiotemporal analysis; air pollutant; Article; concentration (parameter); controlled study; correlational study; emergency ward; environmental temperature; hospitalization; human; nitrogen concentration; outpatient care; particulate matter 2.5; particulate matter exposure; relative humidity; time series analysis; weather; China; Shanghai
来源期刊	ATMOSPHERIC ENVIRONMENT
文献类型	期刊论文
条目标识符	http://gcip.llas.ac.cn/handle/2XKMVOVA/248317
作者单位	School of Public Health, Key Lab of Public Health Safety of the Ministry of Education, NHC Key Lab of Health Technology Assessment, Fudan University, Shanghai, 200032, China; Shanghai Key Laboratory of Meteorology and Health, Shanghai Meteorological Service200030, China; Shanghai Environmental Monitoring Center, Shanghai, 200235, China
推荐引用方式 GB/T 7714	Yang D.,Liu C.,Peng L.,et al. Associations between fine particulate matter constituents and hospital outpatient and emergency room visits in Shanghai, China[J],2021,261.
APA	Yang D..,Liu C..,Peng L..,Ye X..,Zhou J..,...&Chen R..(2021).Associations between fine particulate matter constituents and hospital outpatient and emergency room visits in Shanghai, China.ATMOSPHERIC ENVIRONMENT,261.
MLA	Yang D.,et al."Associations between fine particulate matter constituents and hospital outpatient and emergency room visits in Shanghai, China".ATMOSPHERIC ENVIRONMENT 261(2021).