Spatial patterns and effects of air pollution and meteorological factors on hospitalization for chronic lung diseases in Beijing, China.

Abstract

Chronic obstructive pulmonary disease (COPD), lung cancer (LC) and tuberculosis (TB) are common chronic lung diseases that generate a large disease burden and significant health care resource use in China. The aim of this study was to quantify spatial patterns and effects of air pollution and meteorological factors on hospitalization of COPD, LC and TB in Beijing. Daily counts of hospitalization for 2010 were obtained from the Beijing Urban Employees Basic Medical Insurance (UEBMI) system. Bayesian hierarchical Poisson regression models were applied to identify spatial patterns of hospitalization for COPD, LC and TB at the district level and explore associations with inhalable particulate matter (aerodynamic diameter <10 μm, PM10), sulfur dioxide (SO2), nitrogen dioxide (NO2), mean temperature and relative humidity. There were 18,882, 14,295 and 2,940 counts of hospitalizations for COPD, LC and TB respectively, in Beijing in 2010. Clusters of high relative risk were in different locations for the three diseases. The effect of relative humidity on COPD hospitalization was most significant with a relative risk (RR) of 1.070 (95%CI: 1.054, 1.086) per one percent increase. For lung cancer hospitalization, exposure to ambient SO2 was associated with a RR of 1.034 (95%CI: 1.011, 1.058) per μg m-3 increase. For tuberculosis, the effect of mean temperature was significant with a RR of 1.107 (95%CI: 1.038, 1.180) per °C increase. Risk factors and spatial patterns were different for hospitalization of non-infectious and infectious chronic lung disease in Beijing. Even over a short time period (one year), associations were apparent with air pollution and meteorological factors.

• Authors: Lin Tian, Chuan Yang, Zijun Zhou, Ziting Wu, Xiaochuan Pan, Archie C A Clements
• Journal: Science China. Life sciences (Sci China Life Sci) Vol. 62 Issue 10 Pg. 1381-1388 (Oct 2019) ISSN: 1869-1889 [Electronic] China
• PMID: 30671885 (Publication Type: Journal Article)

Chemical References

• Air Pollutants
• Particulate Matter
• Sulfur Dioxide
• Nitrogen Dioxide

Topics

• Air Pollutants (adverse effects)
• Air Pollution (adverse effects)
• Beijing
• Environmental Exposure (adverse effects)
• Geography
• Hospitalization (statistics & numerical data)
• Humans
• Humidity
• Lung Diseases (chemically induced, etiology, mortality)
• Lung Neoplasms (chemically induced, etiology, mortality)
• Meteorological Concepts
• Models, Statistical
• Nitrogen Dioxide (adverse effects, chemistry)
• Particulate Matter (adverse effects)
• Pulmonary Disease, Chronic Obstructive (chemically induced, etiology, mortality)
• Risk Factors
• Seasons
• Sulfur Dioxide (adverse effects, chemistry)
• Temperature
• Tuberculosis (chemically induced, etiology, mortality)