Air pollution and hospital admissions and deaths due to respiratory infections in megacity of Tehran: A time series analysis

Introduction: Air pollution is one of the main causes for the significant increase of respiratory infections in Tehran. In the present study, we investigated the associations between short-term exposure to ambient air pollutants with the hospital admissions and deaths. Materials and methods: Hea...

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Autores principales: Zahra Namvar, Mostafa Hadei, Seyed Saeed Hashemi, Elahe Shahhosseini, Philip K. Hopke, Masoumeh Rahmatinia, Shahriyar Bazzazpour, Majid Kermani, Anooshiravan Mohseni Bandpey, Abbas Shahsavani
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Publicado: Tehran University of Medical Sciences 2021
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spelling oai:doaj.org-article:a0f1a6f3c2754a5aad1de4af3ebecfdc2021-11-20T05:13:31ZAir pollution and hospital admissions and deaths due to respiratory infections in megacity of Tehran: A time series analysis10.18502/japh.v6i1.76012476-3071https://doaj.org/article/a0f1a6f3c2754a5aad1de4af3ebecfdc2021-03-01T00:00:00Zhttps://japh.tums.ac.ir/index.php/japh/article/view/307https://doaj.org/toc/2476-3071 Introduction: Air pollution is one of the main causes for the significant increase of respiratory infections in Tehran. In the present study, we investigated the associations between short-term exposure to ambient air pollutants with the hospital admissions and deaths. Materials and methods: Health data from 39915 hospital admissions and 2459 registered deaths associated with these hospital admissions for respiratory infections were obtained from the Ministry of Health and Medical Education during 2014-2017. We used the distributed lag non-linear model (DLNM) for the analyses. Results: There was a statistically positive association between PM2.5 and AURI in the age group of 16 years and younger at lags 6 (RR 1.31; 1.05-1.64) and 7 (RR 1.50; 1.09-2.06). AURI admissions was associated with O3 in the age group of 16 and 65 years at lag 7 with RR 1.13 (1.00-1.27). ALRI admissions was associated with CO in the age group of 65 years and older at lag 0 with RR 1.12 (1.02-1.23). PM10 was associated with ALRI daily hospital admissions at lag 0 for males. ALRI admissions were associated with NO2 for females at lag 0. There was a positive association between ALRI deaths and SO2 in the age group of 65 years and older at lags 4 and 5 with RR 1.04 (1.00-1.09) and 1.03 (1.00-1.07), respectively. Conclusion: Exposure to outdoor air pollutiants including PM10, PM2.5, SO2, NO2, O3, and CO was associated with hospital admissions for AURI and ALRI at different lags. Moreover, exposure to SO2 was associated with deaths for ALRI. Zahra NamvarMostafa HadeiSeyed Saeed HashemiElahe ShahhosseiniPhilip K. HopkeMasoumeh RahmatiniaShahriyar BazzazpourMajid KermaniAnooshiravan Mohseni BandpeyAbbas ShahsavaniTehran University of Medical SciencesarticleOutdoor air pollutant; Respiratory diseases; Hospital admissions; DeathsEnvironmental technology. Sanitary engineeringTD1-1066ENJournal of Air Pollution and Health, Vol 6, Iss 1 (2021)
institution DOAJ
collection DOAJ
language EN
topic Outdoor air pollutant; Respiratory diseases; Hospital admissions; Deaths
Environmental technology. Sanitary engineering
TD1-1066
spellingShingle Outdoor air pollutant; Respiratory diseases; Hospital admissions; Deaths
Environmental technology. Sanitary engineering
TD1-1066
Zahra Namvar
Mostafa Hadei
Seyed Saeed Hashemi
Elahe Shahhosseini
Philip K. Hopke
Masoumeh Rahmatinia
Shahriyar Bazzazpour
Majid Kermani
Anooshiravan Mohseni Bandpey
Abbas Shahsavani
Air pollution and hospital admissions and deaths due to respiratory infections in megacity of Tehran: A time series analysis
description Introduction: Air pollution is one of the main causes for the significant increase of respiratory infections in Tehran. In the present study, we investigated the associations between short-term exposure to ambient air pollutants with the hospital admissions and deaths. Materials and methods: Health data from 39915 hospital admissions and 2459 registered deaths associated with these hospital admissions for respiratory infections were obtained from the Ministry of Health and Medical Education during 2014-2017. We used the distributed lag non-linear model (DLNM) for the analyses. Results: There was a statistically positive association between PM2.5 and AURI in the age group of 16 years and younger at lags 6 (RR 1.31; 1.05-1.64) and 7 (RR 1.50; 1.09-2.06). AURI admissions was associated with O3 in the age group of 16 and 65 years at lag 7 with RR 1.13 (1.00-1.27). ALRI admissions was associated with CO in the age group of 65 years and older at lag 0 with RR 1.12 (1.02-1.23). PM10 was associated with ALRI daily hospital admissions at lag 0 for males. ALRI admissions were associated with NO2 for females at lag 0. There was a positive association between ALRI deaths and SO2 in the age group of 65 years and older at lags 4 and 5 with RR 1.04 (1.00-1.09) and 1.03 (1.00-1.07), respectively. Conclusion: Exposure to outdoor air pollutiants including PM10, PM2.5, SO2, NO2, O3, and CO was associated with hospital admissions for AURI and ALRI at different lags. Moreover, exposure to SO2 was associated with deaths for ALRI.
format article
author Zahra Namvar
Mostafa Hadei
Seyed Saeed Hashemi
Elahe Shahhosseini
Philip K. Hopke
Masoumeh Rahmatinia
Shahriyar Bazzazpour
Majid Kermani
Anooshiravan Mohseni Bandpey
Abbas Shahsavani
author_facet Zahra Namvar
Mostafa Hadei
Seyed Saeed Hashemi
Elahe Shahhosseini
Philip K. Hopke
Masoumeh Rahmatinia
Shahriyar Bazzazpour
Majid Kermani
Anooshiravan Mohseni Bandpey
Abbas Shahsavani
author_sort Zahra Namvar
title Air pollution and hospital admissions and deaths due to respiratory infections in megacity of Tehran: A time series analysis
title_short Air pollution and hospital admissions and deaths due to respiratory infections in megacity of Tehran: A time series analysis
title_full Air pollution and hospital admissions and deaths due to respiratory infections in megacity of Tehran: A time series analysis
title_fullStr Air pollution and hospital admissions and deaths due to respiratory infections in megacity of Tehran: A time series analysis
title_full_unstemmed Air pollution and hospital admissions and deaths due to respiratory infections in megacity of Tehran: A time series analysis
title_sort air pollution and hospital admissions and deaths due to respiratory infections in megacity of tehran: a time series analysis
publisher Tehran University of Medical Sciences
publishDate 2021
url https://doaj.org/article/a0f1a6f3c2754a5aad1de4af3ebecfdc
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