Ambient air pollution and hospitalization for chronic obstructive pulmonary disease: Benefits from Three-Year Action Plan

Background: Chronic obstructive pulmonary disease (COPD) hospitalization has been linked with ambient air pollution. However, the evidence on respiratory health benefits from air pollution control policy in China is limited. Objective: To investigate benefits from the Three-Year Action Plan to Win t...

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Autores principales:	Wenfeng Lu, Qi Tian, Ruijun Xu, Lan Qiu, Zhaoyu Fan, Shuguang Wang, Tingting Liu, Jiayi Li, Yingxin Li, Yaqi Wang, Chunxiang Shi, Yuewei Liu, Yun Zhou
Formato:	article
Lenguaje:	EN
Publicado:	Elsevier 2021
Materias:	Air pollution Three-Year Action Plan COPD hospitalization Environmental pollution TD172-193.5 Environmental sciences GE1-350
Acceso en línea:	https://doaj.org/article/34de54c433bb49e29f56c6d428e40653
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spelling	oai:doaj.org-article:34de54c433bb49e29f56c6d428e406532021-12-02T04:58:56ZAmbient air pollution and hospitalization for chronic obstructive pulmonary disease: Benefits from Three-Year Action Plan0147-651310.1016/j.ecoenv.2021.113034https://doaj.org/article/34de54c433bb49e29f56c6d428e406532021-12-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S0147651321011465https://doaj.org/toc/0147-6513Background: Chronic obstructive pulmonary disease (COPD) hospitalization has been linked with ambient air pollution. However, the evidence on respiratory health benefits from air pollution control policy in China is limited. Objective: To investigate benefits from the Three-Year Action Plan to Win the Battle for a Blue Sky (TYAP) for tackling COPD hospitalization due to ambient air pollution. Methods: We conducted a time-stratified case-crossover study of 138,015 COPD hospitalizations aged ≥ 60 years in Guangdong province, China during 2016–2019 to investigate respiratory health benefits from TYAP. Inverse distance weighting method was used to assess daily individual-level exposures to ambient air pollutants including particulate matter with an aerodynamic diameter ≤ 2.5 µm (PM2.5), particulate matter with an aerodynamic diameter ≤ 10 µm (PM10), sulfur dioxide (SO2), nitrogen dioxide (NO2), carbon monoxide (CO), and ozone (O3). Conditional logistic regression model was applied to analyze the associations between ambient air pollutants and COPD hospitalization. Results: TYAP can modify the associations. Each 10 μg/m3 increase of exposure to PM2.5, PM10, and NO2 and 1 mg/m3 increase of exposure to CO were significantly associated with 2.5%, 2.0%, 3.0%, and 14.4% increase in odds of COPD hospitalization before TYAP, respectively; while 1.0%, 0.9%, 1.5%, and 5.8% increase in odds during TYAP. We found prominent declines in health burden of COPD hospitalizations due to air pollution among the elderly after TYAP implication when compared with that before TYAP. Conclusion: Reduced levels of ambient air pollutants by TYAP can effectively lower the risk for COPD hospitalization among the elderly, which provides evidence on the respiratory health benefits from consistent and effective air pollution control policy.Wenfeng LuQi TianRuijun XuLan QiuZhaoyu FanShuguang WangTingting LiuJiayi LiYingxin LiYaqi WangChunxiang ShiYuewei LiuYun ZhouElsevierarticleAir pollutionThree-Year Action PlanCOPD hospitalizationEnvironmental pollutionTD172-193.5Environmental sciencesGE1-350ENEcotoxicology and Environmental Safety, Vol 228, Iss , Pp 113034- (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Air pollution Three-Year Action Plan COPD hospitalization Environmental pollution TD172-193.5 Environmental sciences GE1-350
spellingShingle	Air pollution Three-Year Action Plan COPD hospitalization Environmental pollution TD172-193.5 Environmental sciences GE1-350 Wenfeng Lu Qi Tian Ruijun Xu Lan Qiu Zhaoyu Fan Shuguang Wang Tingting Liu Jiayi Li Yingxin Li Yaqi Wang Chunxiang Shi Yuewei Liu Yun Zhou Ambient air pollution and hospitalization for chronic obstructive pulmonary disease: Benefits from Three-Year Action Plan
description	Background: Chronic obstructive pulmonary disease (COPD) hospitalization has been linked with ambient air pollution. However, the evidence on respiratory health benefits from air pollution control policy in China is limited. Objective: To investigate benefits from the Three-Year Action Plan to Win the Battle for a Blue Sky (TYAP) for tackling COPD hospitalization due to ambient air pollution. Methods: We conducted a time-stratified case-crossover study of 138,015 COPD hospitalizations aged ≥ 60 years in Guangdong province, China during 2016–2019 to investigate respiratory health benefits from TYAP. Inverse distance weighting method was used to assess daily individual-level exposures to ambient air pollutants including particulate matter with an aerodynamic diameter ≤ 2.5 µm (PM2.5), particulate matter with an aerodynamic diameter ≤ 10 µm (PM10), sulfur dioxide (SO2), nitrogen dioxide (NO2), carbon monoxide (CO), and ozone (O3). Conditional logistic regression model was applied to analyze the associations between ambient air pollutants and COPD hospitalization. Results: TYAP can modify the associations. Each 10 μg/m3 increase of exposure to PM2.5, PM10, and NO2 and 1 mg/m3 increase of exposure to CO were significantly associated with 2.5%, 2.0%, 3.0%, and 14.4% increase in odds of COPD hospitalization before TYAP, respectively; while 1.0%, 0.9%, 1.5%, and 5.8% increase in odds during TYAP. We found prominent declines in health burden of COPD hospitalizations due to air pollution among the elderly after TYAP implication when compared with that before TYAP. Conclusion: Reduced levels of ambient air pollutants by TYAP can effectively lower the risk for COPD hospitalization among the elderly, which provides evidence on the respiratory health benefits from consistent and effective air pollution control policy.
format	article
author	Wenfeng Lu Qi Tian Ruijun Xu Lan Qiu Zhaoyu Fan Shuguang Wang Tingting Liu Jiayi Li Yingxin Li Yaqi Wang Chunxiang Shi Yuewei Liu Yun Zhou
author_facet	Wenfeng Lu Qi Tian Ruijun Xu Lan Qiu Zhaoyu Fan Shuguang Wang Tingting Liu Jiayi Li Yingxin Li Yaqi Wang Chunxiang Shi Yuewei Liu Yun Zhou
author_sort	Wenfeng Lu
title	Ambient air pollution and hospitalization for chronic obstructive pulmonary disease: Benefits from Three-Year Action Plan
title_short	Ambient air pollution and hospitalization for chronic obstructive pulmonary disease: Benefits from Three-Year Action Plan
title_full	Ambient air pollution and hospitalization for chronic obstructive pulmonary disease: Benefits from Three-Year Action Plan
title_fullStr	Ambient air pollution and hospitalization for chronic obstructive pulmonary disease: Benefits from Three-Year Action Plan
title_full_unstemmed	Ambient air pollution and hospitalization for chronic obstructive pulmonary disease: Benefits from Three-Year Action Plan
title_sort	ambient air pollution and hospitalization for chronic obstructive pulmonary disease: benefits from three-year action plan
publisher	Elsevier
publishDate	2021
url	https://doaj.org/article/34de54c433bb49e29f56c6d428e40653
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Ambient air pollution and hospitalization for chronic obstructive pulmonary disease: Benefits from Three-Year Action Plan

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