Long-term exposure to air pollution and greenness in association with respiratory emergency room visits and hospitalizations: The Life-GAP project

被引：0

作者：

Xu, Shanshan ^{[1
]}

Marcon, Alessandro ^{[2
]}

Bertelsen, Randi Jacobsen ^{[3
]}

Benediktsdottir, Bryndis ^{[4
,5
]}

Brandt, Jorgen ^{[6
]}

Frohn, Lise Marie ^{[6
]}

Geels, Camilla ^{[6
]}

Gislason, Thorarinn ^{[4
,5
]}

Heinrich, Joachim ^{[7
,8
]}

Holm, Mathias ^{[9
]}

Janson, Christer ^{[10
]}

Markevych, Iana ^{[11
,12
,13
]}

Modig, Lars ^{[14
]}

Orru, Hans ^{[15
]}

Schlunssen, Vivi

Sigsgaard, Torben ^{[16
]}

Johannessen, Ane ^{[17
]}

机构：

[1] Univ Bergen, Ctr Int Hlth, Dept Global Publ Hlth & Primary Care, Bergen, Norway

[2] Univ Verona, Dept Diagnost & Publ Hlth, Unit Epidemiol & Med Stat, Verona, Italy

[3] Univ Bergen, Dept Clin Sci, Bergen, Norway

[4] Landspitali Natl Univ Hosp Iceland, Dept Resp Med & Sleep, Reykjavik, Iceland

[5] Univ Iceland, Med Fac, Reykjavik, Iceland

[6] Aarhus Univ, Dept Environm Sci, Roskilde, Denmark

[7] Ludwig Maximilian Univ Munich, Univ Hosp, Inst & Clin Occupat Social & Environm Med, Munich, Germany

[8] Univ Melbourne, Melbourne Sch Populat & Global Hlth, Allergy & Lung Hlth Unit, Melbourne, Vic, Australia

[9] Univ Gothenburg, Sch Publ Hlth & Community Med, Occupat & Environm Med, Inst Med,Sahlgrenska Acad, Gothenburg, Sweden

[10] Uppsala Univ, Dept Med Sci Resp Allergy & Sleep Res, Uppsala, Sweden

[11] Jagiellonian Univ, Inst Psychol, Krakow, Poland

[12] Med Univ Plovdiv, Strateg Res & Innovat Program Dev MU Plovdiv, Hlth & Qual Life Green & Sustainable Environm, Plovdiv, Bulgaria

[13] Med Univ Plovdiv, Res Inst, Environm Hlth Div, Plovdiv, Bulgaria

[14] Umea Univ, Dept Publ Hlth & Clin Med, Sect Sustainable Hlth, Umea, Sweden

[15] Univ Tartu, Inst Family Med & Publ Hlth, Fac Med, Dept Publ Hlth, Tartu, Estonia

[16] Aarhus Univ, Danish Ramazzini Ctr, Dept Publ Hlth, Res Unit Environm Occupat & Hlth, Aarhus, Denmark

[17] Univ Bergen, Dept Global Publ Hlth & Primary Care, Bergen, Norway

来源：

ENVIRONMENTAL RESEARCH | 2025年 / 270卷

关键词：

Air pollution; Emergency room visits; Green space; Hay fever; Hospital admissions; Longitudinal study; ADMISSIONS;

D O I：

10.1016/j.envres.2025.120938

中图分类号：

X [环境科学、安全科学];

学科分类号：

08 ; 0830 ;

摘要：

Background: Air pollution has been linked to respiratory diseases, while the effects of greenness remain inconclusive. Objective: We investigated the associations between exposure to particulate matter (PM2.5 and PM10), black carbon (BC), nitrogen dioxide (NO2), ozone (O3), and greenness (normalized difference vegetation index, NDVI) with respiratory emergency room visits and hospitalizations across seven Northern European centers in the European Community Respiratory Health Survey (ECRHS) study. Methods: We used modified mixed-effects Poisson regression to analyze associations of exposure in 1990, 2000 and mean exposure 1990-2000 with respiratory outcomes recorded duing ECRHS phases II and III. We assessed interactions of air pollution and greenness, and of atopic status (defined by nasal allergies and hay fever status) and greenness, on these outcomes. Results: The analysis included 1675 participants, resulting in 119 emergency visits and 48 hospitalizations. Increased PM2.5 by 5 mu g/m3 was associated with higher relative risk (RR) of emergency visits (1990: RR 1.16, 95% CI: 1.00-1.35; 2000: RR 1.24, 95% CI: 0.98-1.57; 1990-2000: RR 1.17, 95% CI: 0.97-1.41) and hospitalizations (1990: RR 1.42, 95% CI: 1.00-2.01; 2000: RR 2.20, 95% CI: 1.43-3.38; 1990-2000: RR 1.44, 95% CI: 1.04-2.00). Similar trends were observed for PM10, BC, and NO2, with only PM10 showing significant associations with hospitalizations across all periods. No associations were found for O3. Greenness exposure was linked to more emergency visits in 2000 but to fewer hospitalizations in 1990. Significant interactions were observed between greenness and atopic status for emergency visits, and between NDVI with O3 and BC for some time windows. Conclusion: Long-term exposure to particulate matter was associated with increased emergency room visits and hospitalizations. Significant associations were observed for BC and NO2 with hospitalizations. No link was found with O3. Greenness indicated a lower risk of hospitalizations, but increased risks for emergency visits for those with atopic status.

引用

页数：11

共 48 条

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