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Excessive admission burden of unspecified asthma attributable to air pollution: an evidence from Chengdu in China

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Abstract

The association of asthma health outcome and air pollution has been widely investigated. Meanwhile, from a macro perspective, it cannot be ignored the enormous pressure on regional medical services resulting from a large number of hospitalization needs after the exposure to air pollution. This study is aimed at assessing the admission risk and excessive burden attributable to ambient air pollution in different unspecified asthma groups. We analyzed 6,663 medical claims of unspecified asthma patients from different levels of hospitals, air pollution, and meteorological conditions in Chengdu of China during 2014. The distinct impacts of air pollution on hospital admissions stratified by gender and age were revealed. When air pollution attacks, female patients and young and middle-aged patients (≤65) are more vulnerable to PM10 and SO2. In contrast to patients suffering from asthmatic bronchitis, the patients suffering from bronchial asthma are more susceptible to air pollution. And the percentage changes of admissions attributable to PM2.5, PM10, and SO2 reached by 1.046 (95%CI: 1.0088, 1.0846), 1.0419 (95%CI: 1.0117, 1.073), and 1.4049 (95%CI: 1.1011, 1.7925). Based on the WHO’s air quality standards, the excessive admission burden of unspecified asthma due to overexposure to PM2.5, PM10, and SO2 were estimated by 15.42% (95%CI: 1.81%, 25.92%), 20.50% (95%CI: 6.80%, 30.92%), and 10.13% (95%CI: 1.67%, 14.96%), respectively. It is concluded that female patients and young and middle-aged patients suffering from bronchial asthma are susceptible to PM10, PM2.5, and SO2, causing the excessive admission burden in Chengdu of China.

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Acknowledgments

The authors would like to thank these cooperative institutes for providing medical insurance data, air pollution data, and meteorological data. And we would like to thank the editors and anonymous reviewers for their insightful and constructive comments.

Funding

This research was supported in part by the National Natural Science Foundation of China (Grant No. 71532007, Grant No. 71131006, and Grant No. 71172197).

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Authors and Affiliations

  1. Business School, Sichuan University, Chengdu City, 610065, People’s Republic of China

    Zhilin Yong & Li Luo

  2. West China Hospital, Sichuan University, Chengdu City, 610041, People’s Republic of China

    Chunyang Li, Yonghong Gu & Songze Wu

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  1. Zhilin Yong
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Correspondence to Zhilin Yong.

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Yong, Z., Luo, L., Li, C. et al. Excessive admission burden of unspecified asthma attributable to air pollution: an evidence from Chengdu in China. Air Qual Atmos Health 14, 1133–1147 (2021). https://doi.org/10.1007/s11869-021-00997-w

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