Abstract
Association between fine particulate matter (PM2.5) and respiratory health has attracted great concern in China. Substantial epidemiological evidences confirm the correlational relationship between PM2.5 and respiratory disease in many Chinese cities. However, the causative impact of PM2.5 on respiratory disease remains uncertain and comparative analysis is limited. This study aims to explore and compare the correlational relationship as well as the causal connection between PM2.5 and upper respiratory tract infection (URTI) in two typical cities (Beijing, Shenzhen) with rather different ambient air environment conditions. The distributed lag nonlinear model (DLNM) was used to detect the correlational relationship between PM2.5 and URTI by revealing the lag effect pattern of PM2.5 on URTI. The convergent cross mapping (CCM) method was applied to explore the causal connection between PM2.5 and URTI. The results from DLNM indicate that an increase of 10 μg/m3 in PM2.5 concentration is associated with an increase of 1.86% (95% confidence interval: 0.74%-2.99%) in URTI at a lag of 13 days in Beijing, compared with 2.68% (95% confidence interval: 0.99–4.39%) at a lag of 1 day in Shenzhen. The causality detection with CCM quantitatively demonstrates the significant causative influence of PM2.5 on URTI in both two cities. Findings from the two methods consistently show that people living in low-concentration areas (Shenzhen) are less tolerant to PM2.5 exposure than those in high-concentration areas (Beijing). In general, our study highlights the adverse health effects of PM2.5 pollution on the general public in cities with various PM2.5 levels and emphasizes the needs for the government to provide appropriate solutions to control PM2.5 pollution, even in cities with low PM2.5 concentration.
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References
Atkinson RW, Mills IC, Walton HA, Anderson HR (2015) Fine particle components and health: a systematic review and meta-analysis of epidemiological time series studies of daily mortality and hospital admissions. J Expo Sci Environ Epidemiol 25:208–214
Burnett RT, Pope CR, Ezzati M, Olives C, Lim SS, Mehta S, Shin HH, Singh G, Hubbell B, Brauer M, Anderson HR, Smith KR, Balmes JR, Bruce NG, Kan H, Laden F, Prüss-Ustün A, Turner MC, Gapstur SM, Diver WR, Cohen A (2014) An integrated risk function for estimating the global burden of disease attributable to ambient fine particulate matter exposure. Environ Health Perspect 122:397–403
Cai J, Peng C, Yu S, Pei Y, Liu N, Wu Y, Fu Y, Cheng J (2019) Association between PM2.5 exposure and all-cause, non-accidental, accidental, different respiratory diseases, sex and age mortality in Shenzhen, China. Int J Environ Res Public Health 16(3):401
Chai G, He H, Sha Y, Zhai G, Zong S (2019) Effect of PM2.5 on daily outpatient visits for respiratory diseases in Lanzhou, China. Sci. Total Environ 649:1563–1572
Chen G, Song G, Jiang L, Zhang Y, Zhao N, Chen B, Kan H (2008) Short-term effects of ambient gaseous pollutants and particylate matter on daily mortality in Shanghai. China J Occup Health 50:41–47
Chen Z, Cai J, Gao B, Xu B, Dai S, He B, Xie X (2017) Detecting the causality influence of individual meteorological factors on local PM2.5 concentration in the Jing-Jin-Ji region. Sci Rep 7(1):40735
Cheng J, Su H, Xu Z (2021) Intraday effects of outdoor air pollution on acute upper and lower respiratory infections in Australian children. Environ Pollut 268:115698
Cohen AJ, Brauer M, Burnett R, Anderson HR, Frostad J, Estep K, Balakrishnan K, Brunekreef B, Dandona L, Dandona R, Feigin V, Freedman G, Hubbell B, Jobling A, Kan H, Knibbs L, Liu Y, Martin R, Morawska L, Pope CA III, Shin H, Straif K, Shaddick G, Thomas M, van Dingenen R, van Donkelaar A, Vos T, Murray CJL, Forouzanfar MH (2017) Estimates and 25-year trends of the global burden of disease attributable to ambient air pollution: an analysis of data from the Global Burden of Diseases Study. Lancet 389(10082):1907–1918
Dan M, Fusaroli R, Tylén K, Roepstorff A, Sherson JF (2017) Causal inference from noisy time-series data — testing the convergent cross-mapping algorithm in the presence of noise and external influence. Futur Gener Comput Syst 73:52–62
Deyle ER, Sugihara G (2011) Generalized theorems for nonlinear state space reconstruction. PLoS One 6(3):e18295
Dominici F, Mittleman MA (2012) China’s air quality dilemma: reconciling economic growth with environmental protection. JAMA 307(19):2100–2102
Duan Z, Gao X, Du H, Qin F, Chen J, Ju Y (2015) Analysis on the relationship between PM2.5 concentration in ambient air and hospital outpatients with respiratory diseases in Chengdu. Mod. Prev. Med. 42(4):611–614
Feng J, Sun H, Du Y, Zhang X, Di H (2018) Analysis on the acute effects of PM2.5 pollutants concentration on mortality of residents in Shijiazhuang. Mod Prev Med 45(4):603–608
Gasparrini A, Armstrong B, Kenward MG (2010) Distributed lag non-linear models. Stat Med 29(21):2224–2234
Granger CWJ (1980) Testing for causality: a personal viewpoint. J Econom Dyn Contro 2:329–352
Huang YC (2014) Outdoor air pollution: a global perspective. J Occup Environ Med 56:S3–S7
Kim KN, Kim S, Lim YH, Song IG, Hong YC (2020) Effects of short-term fine particulate matter exposure on acute respiratory infection in children. Int J Hyg Environ Health 229:113571
Kioumourtzoglou MA, Schwartz J, James P, Dominici F, Zanobetti A (2016) PM2.5 and mortality in 207 US cities: Modification by temperature and city characteristics. Epidemiology 27:221–227
Lall R, Ito K, Thurston G (2010) Distributed lag analyses of daily hospital admissions and source-apportioned fine particle air pollution. Environ Health Perspect 119(4):455–460
Li Y, Ma Z, Zheng C, Shang Y (2015) Ambient temperature enhanced acute cardiovascular-respiratory mortality effects of PM2.5 in Beijing China. Int J Biometeorol 59(12):1761–1770
Li T, Yan M, Sun Q, Anderson GB (2018) Mortality risks from a spectrum of causes associated with wide-ranging exposure to fine particulate matter: a case-crossover study in Beijing, China. Environ Int 111:52–59
Li M, Tang J, Yang H, Zhao L, Liu Y, Xu H, Fan Y, Hong J, Long Z, Li X, Zhang J, Guo W, Liu M, Yang L, Lai X, Zhang X (2020) Short-term exposure to ambient particulate matter and outpatient visits for respiratory diseases among children: a time-series study in five Chinese cities. Chemosphere 263:128214
Lin H, Ma W, Qiu H, Vaughn MG, Nelson EJ, Qian Z, Tian L (2016) Is standard deviation of daily PM2.5 concentration associated with respiratory mortality? Environ Pollut 216:208–214
Lin H, Liu T, Xiao J, Zeng W, Li X, Guo L, Xu Y, Zhang Y, Vaughn MG, Nelson EJ, Qian Z, Ma W (2016b) Quantifying short-term and long-term health benefits of attaining ambient fine particulate pollution standards in Guangzhou. China Atmos Environ 137:38–44
Liu M, Huang Y, Ma Z, Jin Z, Liu X, Wang H, Liu Y, Wang J, Jantunen M, BiDr J, Kinney PL (2016) Spatial and temporal trends in the mortality burden of air pollution in China: 2004–2012. Environ Int 98:75–81
Liu J, Li Y, Li J, Liu Y, Tao N, Song W, Cui L, Li H (2019) Association between ambient PM2.5 and children’s hospital admissions for respiratory diseases in Jinan, China. Environ Sci Pollut Res 26:24112–24120
Lu F, Liu Y, Li X, Dong S (2017) A case-crossover study on air pollution and outpatient visits for respiratory diseases. J Environ Hyg 7(5):408–412
Ma Y, Chen R, Pan G, Xu X, Song W, Chen B, Kan H (2011) Fine particulate air pollution and daily mortality in Shenyang, China. Sci Total Environ 409(13):2473–2477
Maher MC, Hernandez RD (2015) CauseMap: fast inference of causality from complex time series. PeerJ 3:e824
Michikawa T, Yamazaki S, Ueda K, Yoshino A, Sugata S, Saito S, Hoshi J, Nitta H, Takami A (2020) Effects of exposure to chemical components of fine particulate matter on mortality in Tokyo: a case-crossover study. Sci Total Environ 755:142489
Ministry of Environmental Protection of the People’s Republic of China (MEP) (2012) Ambient Air quality standards (on trial). in national environmental protection standards of the People’s Republic of China, GB3095 edn. Ministry of Environmental Protection of the People’s Republic of China (MEP), Beijing
Qian Z, He Q, Lin HM, Kong L, Liao D, Yang N (2007) Short-term effects of gaseous pollutants on cause-specific mortality in Wuhan, China. J Air Waste Manage Assoc 57:785–793
Ren Z, Liu X, Liu T, Chen D, Jiao K, Wang X, Suo J, Yang H, Liao J, Ma, L. (2020) Effect of ambient fine particulate (PM2.5) on hospital admissions for respiratory and cardiovascular diseases in Wuhan, China. Res Square.
Shaddick G, Thomas ML, Amini H, Broday D, Cohen A, Frostad J, Green A, Gumy S, Liu Y, Martin RV, Pruss-Ustun A, Simpson D, van Donkelaar A, Brauer M (2018) Data integration for the assessment of population exposure to ambient air pollution for global burden of disease assessment. Environ Sci Technol 52(16):9069–9078
Shang Y, Sun Z, Cao J, Wang X, Zhong L, Bi X (2013) Systematic review of Chinese studies of short-term exposure to air pollution and daily mortality. Environ Int 54:100–111
Shrestha SL (2007) Time series modelling of respiratory hospital admissions and geometrically weighted distributed lag effects from ambient particulate air pollution within Kathmandu Valley. Nepal Environ Model Assess 12(3):239–251
Song C, He J, Wu L, Jin T, Chen X, Li R, Ren P, Zhang L, Mao H (2017) Health burden attributable to ambient PM 2.5 in China. Environ Pollut. 223:575–586
Sugihara G, May RM (1990) Nonlinear forecasting as a way of distinguishing chaos from measurement error in time series. Nature 344(6268):734–741
Sugihara G, May R, Ye H, Hsieh C, Deyle E, Fogarty M, Munch S (2012) Detecting causality in complex ecosystems. Science 338:496–500
Sui X, Zhang J, Zhang Q, Sun S, Lei R, Zhang C, Cheng H, Ding L, Ding R, Xiao C, Li X, Cao J (2021) The short-term effect of PM 2.5/O 3 on daily mortality from 2013 to 2018 in Hefei, China. Environ Geochem Health 43(1):153–169
Sun J, Zhang N, Yan X, Wang M, Wang J (2020) The effect of ambient fine particulate matter (PM2.5) on respiratory diseases in China: a systematic review and meta-analysis. Stoch Env Res Risk A 34:593–610
Tao Y, Mi S, Zhou S, Wang S, Xie X (2013) Air pollution and hospital admissions for respiratory diseases in Lanzhou, China. Environ Pollut 185:196–201
Vanderweele TJ, Arah OA (2011) Bias formulas for sensitivity analysis of unmeasured confounding for general outcomes, treatments, and confounders. Epidemiology 22:42–52
Wang J, Chen S, Zhu M, Miao C, Song Y, He H (2018) Particulate matter and respiratory diseases: How Far have We gone? J Pulm Respir Med 8(4):465
WHO Regional Office for Europe (2013) Review of evidence on health aspects of air pollution—REVIHAAP Project. WHO Regional Office for Europe, Copenhagen, pp 38–41
Wood, S.N. Generalized additive models: an introduction with R, (2nd ed.). Chapman and Hall/CRC. 2017. https://doi.org/10.1201/9781315370279
Wu H, Tan A, Huang L, Xiao W, Liang X, Ning T (2017) Time-series analysis on association between atmospheric pollutants and daily mortality among residents in Zhuhai. J Environ Health 34(9):797–800
Xia X, Yao L (2019) Spatio-temporal differences in health effect of ambient PM2.5 pollution on acute respiratory infection between children and adults. IEEE Access 7:25718–25726
Xia X, Zhang A, Liang S, Qi Q, Jiang L, Ye Y (2017a) The association between air pollution and population health risk for respiratory infection: a case study of Shenzhen, China. Int J Environ Res Public Health 14(9):950
Xia X, Qi Q, Liang H, Zhang A, Jiang L, Ye Y, Liu C, Huang Y (2017b) Pattern of spatial distribution and temporal variation of atmospheric pollutants during 2013 in Shenzhen, China. ISPRS Int J Geo-Inf 6(1):2
Xu Q, Li X, Wang S, Wang C, Huang F, Gao Q, Wu L, Tao L, Guo J, Wang W, Guo X (2016) Fine particulate air pollution and hospital emergency room visits for respiratory disease in urban areas in Beijing, China, in 2013. PLoS One 11(4):e0153099
Yang C, Yang X, Shen X (2017) A time-series study on association between ambient air pollutants and hospital outpatients in a district of Shanghai. J Environ Occup Med 34(3):235–238
Yang H, Yan C, Li M, Zhao L, Long Z, Fan Y, Zhang Z, Chen R, Huang Y, Lu C, Zhang J, Tang J, Liu H, Liu M, Guo W, Yang L, Zhang X (2021) Short term effects of air pollutants on hospital admissions for respiratory diseases among children: a multi-city time-series study in China. Int J Hyg Environ Health 231:113638
Yu H, Chien L (2016) Short-term population-based non-linear concentration-response associations between fine particulate matter and respiratory diseases in Taipei (Taiwan): a spatiotemporal analysis. J Expo Sci Environ Epidemiol 26(2):197–206
Yu Y, Yao S, Dong H, Wang L, Wang C, Ji X, Ji M, Yao X, Zhang Z (2018) Association between short-term exposure to particulate matter air pollution and cause-specific mortality in Changzhou, China. Environ Res 170:7–15
Zhang Y, Ding Z, Xiang Q, Wang W, Huang L, Mao F (2019) Short-term effects of ambient PM1 and PM2.5 air pollution on hospital admission for respiratory diseases: case-crossover evidence from Shenzhen, China. Int J Hyg Environ Health 224:113418
Zhu F, Chen L, Qian Z, Liao Y, Zhang Z, McMillin SE, Wang X, Lin H (2021) Acute effects of particulate matter with different sizes on respiratory mortality in Shenzhen, China. Environ Sci Pollut Res Int 28:37195–37203
Funding
This work is jointly supported by grants from the National Natural Science Foundation of China (grant number 41771380), Key Special Project for Introduced Talents Team of Southern Marine Science and Engineering Guangdong Laboratory (grant number GML2019ZD0301), the GDAS’ Project of Science and Technology Development (grant numbers 2020GDASYL-20200103003, 2020GDASYL-20200103006), the China Postdoctoral Science Foundation (grant number 2020M682628), a grant from State Key Laboratory of Resources and Environmental Information System, the National Postdoctoral Program for Innovative Talents (grant number BX20200100), China, and the Open Research Fund of National Earth Observation Data Center (grant number NODAOP2020002).
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XX and LY developed the concept of research work. XX, LY, and JL conceived and designed the study, collected the data, and carried out research works. XX and JL analyzed the data. LY provided oversight for the research. XX prepared the initial draft of the manuscript. YXL, WJ, and YL revised the subsequent versions of the manuscript. All authors read and approved the final manuscript.
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Xia, X., Yao, L., Lu, J. et al. Observed causative impact of fine particulate matter on acute upper respiratory disease: a comparative study in two typical cities in China. Environ Sci Pollut Res 29, 11185–11195 (2022). https://doi.org/10.1007/s11356-021-16450-5
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DOI: https://doi.org/10.1007/s11356-021-16450-5