Ambient air pollution and daily hospital admissions for mental disorders in Shanghai, China

被引:126
作者
Chen, Chen [1 ,2 ]
Liu, Cong [1 ,2 ]
Chen, Renjie [1 ,2 ]
Wang, Weibing [1 ,2 ]
Li, Weihua [3 ]
Kan, Haidong [1 ,2 ,3 ]
Fu, Chaowei [1 ,2 ]
机构
[1] Fudan Univ, Minist Educ, Sch Publ Hlth, Key Lab Publ Hlth Safety, Shanghai 200032, Peoples R China
[2] Fudan Univ, Minist Hlth, Key Lab Hlth Technol Assessment, Shanghai 200032, Peoples R China
[3] Fudan Univ, Inst Reprod & Dev, Shanghai Inst Planned Parenthood Res, Key Lab Reprod Regulat Natl Populat & Family Plan, Shanghai 200032, Peoples R China
基金
中国国家自然科学基金;
关键词
Air pollution; Mental disorders; Hospital admission; Time-series study; EMERGENCY-DEPARTMENT VISITS; TIME-SERIES; PARTICULATE MATTER; GENETIC RISK; HEALTH; ASSOCIATION; EXPOSURE; MODIFIERS; PSYCHOSIS; SUICIDE;
D O I
10.1016/j.scitotenv.2017.09.098
中图分类号
X [环境科学、安全科学];
学科分类号
08 ; 0830 ;
摘要
Few studies have investigated the associations between ambient air pollution and mental disorders (MDs), especially in developing countries. We conducted a time-series study to explore the associations between six criteria air pollutants and daily hospital admissions for MDs in Shanghai, China, from 2013 to 2015. The MDs data were derived from the Shanghai Health Insurance System. We used over-dispersed, generalized additive models to estimate the associations after controlling for time trend, weather conditions, day of the week, and holidays. In addition, we evaluated the effect of modification by age, sex, and season. A total of 39,143 cases of hospital admissions for MDs were identified during the study period. A 10-mu g/m(3) increase in 2-day, moving-average concentration of inhalable particulate matter, sulfur dioxide (SO2), and carbon monoxide was significantly associated with increments of 1.27% [95% confidence interval (CI): 0.28%, 2.26%], 6.88% (95% CI, 2.75%, 11.00%), and 0.16% (95% CI: 0.02%, 0.30%) in daily hospital admissions for MDs, respectively. We observed positive but insignificant associations of fine particulate matter, nitrogen dioxide and ozone. The estimated association of SO2 was relatively robust to the adjustment of simultaneous exposure to other pollutants. We found generally stronger associations of air pollutants with MDs in warm seasons than in cool seasons. There were no significant differences in the associations between different sex and age groups. This study suggested that short-term exposure to air pollution, especially to sulfur dioxide, was associated with increased risk of hospital admissions for MDs in Shanghai, China. (C) 2017 Elsevier B.V. All rights reserved.
引用
收藏
页码:324 / 330
页数:7
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