中国广州地区大气污染对儿童门诊就诊的短期影响。
Short-term effect of ambient air pollution on outpatient visits for children in Guangzhou, China.
机构信息
Department of Preventive Medicine, School of Public Health, Guangzhou Medical University, Guangzhou, China.
Department of Clinical Medicine, Basic Medicine College, Zunyi Medical University, Zunyi, China.
出版信息
Front Public Health. 2023 Jan 20;11:1058368. doi: 10.3389/fpubh.2023.1058368. eCollection 2023.
This study examined the short-term relationship between ambient air pollutants and children's outpatient visits, and identified the effect of modifications by season. Daily recordings of air pollutants (CO, NO, O, SO, PM, and PM) and children's outpatient visit data were collected in Guangzhou from 2015 to 2019. A generalized additive model adjusted for potential confounding was introduced to verify the association between ambient air pollution and outpatient visits for children. Subgroup analysis by season was performed to evaluate the potential effects. A total of 5,483,014 children's outpatient visits were recorded. The results showed that a 10 μg/m increase in CO, NO, O, SO, PM, and PM corresponded with a 0.19% (95% CI: 0.15-0.24%), 2.46% (2.00-2.92%), 0.27% (0.07-0.46%), 7.16% (4.80-9.57%), 1.16% (0.83-1.49%), and 1.35% (0.88-1.82%) increase in children's outpatient visits on the lag0 of exposure, respectively. The relationships were stronger for O, PM, and PM in the warm seasons, and for CO, NO, and SO in the cool seasons. When adjusting for the co-pollutants, the effects of CO, NO, and PM were robust. The results of this study indicate that six air pollutants might increase the risk of children's outpatient visits in Guangzhou, China, especially in the cool season.
本研究考察了环境空气污染物与儿童门诊就诊之间的短期关系,并确定了季节变化的影响。2015 年至 2019 年期间,在广州收集了每日空气污染物(CO、NO、O、SO、PM 和 PM)记录和儿童门诊就诊数据。引入了一个经过潜在混杂因素调整的广义加性模型,以验证环境空气污染与儿童门诊就诊之间的关联。通过季节亚组分析评估潜在影响。共记录了 5483014 名儿童的门诊就诊记录。结果表明,CO、NO、O、SO、PM 和 PM 每增加 10μg/m,暴露滞后 0 天儿童门诊就诊率分别增加 0.19%(95%CI:0.15-0.24%)、2.46%(2.00-2.92%)、0.27%(0.07-0.46%)、7.16%(4.80-9.57%)、1.16%(0.83-1.49%)和 1.35%(0.88-1.82%)。在温暖季节,O、PM 和 PM 的相关性更强,在凉爽季节,CO、NO 和 SO 的相关性更强。在调整共同污染物后,CO、NO 和 PM 的影响仍然显著。本研究结果表明,六种空气污染物可能会增加中国广州儿童门诊就诊的风险,尤其是在凉爽季节。