Department of Economics, National Taipei University, New Taipei City 23741, Taiwan.
School of Medicine, Tzu Chi University, Hualien 97004, Taiwan.
Int J Environ Res Public Health. 2022 Jun 16;19(12):7403. doi: 10.3390/ijerph19127403.
The main purpose of this study was to examine the association between dust storms (DSs) and age-related macular degeneration (AMD) using a 5 year representative national dataset with one million participants, according to information on DS, meteorology, and air pollution in Taiwan. There were 18,855 AMD outpatient cases and 1080 AMD inpatient cases during 2008-2012. A Poisson time-series model was used for the analysis. The results show that AMD cases are significantly associated with exposure to dust storm events. Average daily numbers of wet and dry AMD outpatient cases increased from 6.03 and 4.26 on no-event days to 8.25 and 6.67, 2 days after DSs. Average daily numbers of wet and dry AMD inpatient cases increased from 0.26 and 0.33 on no-event days to 0.58 and 0.75, 1 day after DSs. Both genders and different age groups are all affected by the occurrence of DSs, especially 1 and 2 days after DS events. Women are at a higher risk of outpatient visits and hospitalizations for relatively severe wet AMD. Although AMD highly correlated with age, this study also found that dry AMD outpatient visits in people under the age of 50 were also found to be significantly associated with DS events. In order to protect the health of eyes and avoid AMD, one should reduce or avoid outdoor activities when DS events occur.
本研究旨在利用台湾地区五年的代表性全国性数据集(包含一百万名参与者),结合沙尘天气(DSs)、气象和空气污染信息,探讨 DSs 与年龄相关性黄斑变性(AMD)之间的关系。2008 年至 2012 年期间,共发现 18855 例 AMD 门诊病例和 1080 例 AMD 住院病例。采用泊松时间序列模型进行分析。结果表明,AMD 病例与暴露于沙尘天气事件显著相关。在无沙尘天气事件的情况下,每天湿型和干型 AMD 门诊病例数分别为 6.03 和 4.26,而在沙尘天气事件发生后两天,每天湿型和干型 AMD 门诊病例数分别增加至 8.25 和 6.67。在无沙尘天气事件的情况下,每天湿型和干型 AMD 住院病例数分别为 0.26 和 0.33,而在沙尘天气事件发生后一天,每天湿型和干型 AMD 住院病例数分别增加至 0.58 和 0.75。男女和不同年龄组均受到 DSs 发生的影响,尤其是在 DSs 发生后 1 至 2 天。女性门诊就诊和住院治疗湿性 AMD 的风险更高。尽管 AMD 与年龄高度相关,但本研究还发现,50 岁以下人群的干型 AMD 门诊就诊也与 DSs 事件显著相关。为了保护眼睛健康,避免 AMD,当 DSs 发生时,人们应减少或避免户外活动。