Abstract
Ambient air pollution has been regarded as an important cause of the morbidity and mortality of respiratory diseases. In the current work, a total of 469,490 respiratory emergency room (ER) visits in Lanzhou, China from Jan 1, 2013 to Dec 31, 2016 were collected. A generalized additive model (GAM) was used to investigate the association between O3 and respiratory ER visits for the different gender and age subgroups. The results showed that: (a) with per inter-quartile range (IQR) (31 µg/m3) increase in O3, the greatest relative risk (RR) of respiratory ER visits for the total was 1.014 (95% CI 1.008–1.020) at lag 4 days. Females and 16-to-45-year-olds were relatively more sensitive to O3; (b) the significant lag effects were found in single-day lag models, with the highest RR values for different groups were observed at lag 3-lag 5 days. The multi-day cumulative lag effects were stronger for the total; (c) in the multiple-pollutant models, the effects of O3 were generally increased when introducing other pollutants (PM10, PM2.5, SO2 and NO2) for adjustment. This study demonstrated that short-term exposure to O3 increased the RR of respiratory ER visits in Lanzhou, China.
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This research is supported by National Natural Science Foundation of China (Grant Nos. 41975141) and the Open Project Program of Shanghai Key. Laboratory of Meteorology and Health (QXJK201705).
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Yuxia Ma designed and carried out the research; Jiahui Shen set up models; Yifan Zhang, Hang Wang and Heping Li analyzed data; Yifan Cheng and Yongtao Guo assembled data; Yuxia Ma and Jiahui Shen wrote and revised the manuscript.
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Ma, Y., Shen, J., Zhang, Y. et al. Short-term effect of ambient ozone pollution on respiratory diseases in western China. Environ Geochem Health 44, 4129–4140 (2022). https://doi.org/10.1007/s10653-021-01174-9
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DOI: https://doi.org/10.1007/s10653-021-01174-9