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Spatial patterns and effects of air pollution and meteorological factors on hospitalization for chronic lung diseases in Beijing, China

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Abstract

Chronic obstructive pulmonary disease (COPD), lung cancer (LC) and tuberculosis (TB) are common chronic lung diseases that generate a large disease burden and significant health care resource use in China. The aim of this study was to quantify spatial patterns and effects of air pollution and meteorological factors on hospitalization of COPD, LC and TB in Beijing. Daily counts of hospitalization for 2010 were obtained from the Beijing Urban Employees Basic Medical Insurance (UEBMI) system. Bayesian hierarchical Poisson regression models were applied to identify spatial patterns of hospitalization for COPD, LC and TB at the district level and explore associations with inhalable particulate matter (aerodynamic diameter <10 μm, PM10), sulfur dioxide (SO2), nitrogen dioxide (NO2), mean temperature and relative humidity. There were 18,882, 14,295 and 2,940 counts of hospitalizations for COPD, LC and TB respectively, in Beijing in 2010. Clusters of high relative risk were in different locations for the three diseases. The effect of relative humidity on COPD hospitalization was most significant with a relative risk (RR) of 1.070 (95%CI: 1.054, 1.086) per one percent increase. For lung cancer hospitalization, exposure to ambient SO2 was associated with a RR of 1.034 (95%CI: 1.011, 1.058) per μg m–3 increase. For tuberculosis, the effect of mean temperature was significant with a RR of 1.107 (95%CI: 1.038, 1.180) per °C increase. Risk factors and spatial patterns were different for hospitalization of non-infectious and infectious chronic lung disease in Beijing. Even over a short time period (one year), associations were apparent with air pollution and meteorological factors.

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Authors and Affiliations

  1. Department of Occupational and Environmental Health, School of Public Health, Peking University, Beijing, 100191, China

    Lin Tian, Ziting Wu & Xiaochuan Pan

  2. Institute for Packaging Materials and Pharmaceutical Excipients Control, National Institutes for Food and Drug Control, Beijing, 100150, China

    Lin Tian

  3. Peking University Third Hospital, Beijing, 100083, China

    Chuan Yang

  4. Department of Health Policy and Management, School of Public Health, Peking University, Beijing, 100191, China

    Chuan Yang & Zijun Zhou

  5. Research School of Population Health, College of Medicine, Biology and Environment, The Australian National University, Canberra, Australian Capital Territory, Qld, 4006, Australia

    Archie C. A. Clements

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  1. Lin Tian
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  2. Chuan Yang
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  3. Zijun Zhou
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  4. Ziting Wu
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  5. Xiaochuan Pan
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  6. Archie C. A. Clements
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Correspondence to Xiaochuan Pan.

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Tian, L., Yang, C., Zhou, Z. et al. Spatial patterns and effects of air pollution and meteorological factors on hospitalization for chronic lung diseases in Beijing, China. Sci. China Life Sci. 62, 1381–1388 (2019). https://doi.org/10.1007/s11427-018-9413-y

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  • DOI: https://doi.org/10.1007/s11427-018-9413-y

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