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Acute effects of ambient air pollution on outpatients with chronic rhinitis in Xinxiang, China

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Abstract

Air pollution exposure leads to increased mortality and morbidity rates of respiratory diseases. Most of the evidence was founded on acute diseases such as acute lower respiratory diseases. However, limited studies have been conducted to evaluate the effects of air pollution on chronic respiratory diseases. This time-series study was conducted to examine the acute effects of 6 criteria ambient air pollutants on hospital outpatients with chronic rhinitis (CR) in Xinxiang, China. We retrieved 223,826 outpatient records of patients with respiratory diseases, of which 62,901 were those of patients with CR. Results showed that the current 10-μg/m3 increase in fine particulate matter (PM2.5), inhalable particulate matter (PM10), sulfur dioxide (SO2), nitrogen dioxide (NO2), and carbon monoxide (CO) corresponds to 0.67% (95% confidence interval [CI]: 0.15–1.18%), 0.58% (95% CI: 0.24–0.92%), 1.89% (95% CI: 0.52–3.27%), 3.01% (95% CI: 1.66–4.35%), and 0.06% (95% CI: 0.03–0.10%) increments in outpatients with CR, respectively. In addition, the effects in the male were stronger than those in the female. Higher effect estimates were observed in the old (≥ 65 years of age) and younger (< 15 years of age) groups. Our study confirmed the association between air pollution and outpatients with CR in Xinxiang, China. More stringent air pollution control measures must be implemented.

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Data availability

The datasets used and analyzed during the current study are available from the corresponding author on reasonable request.

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Funding

This study was supported by the Ph.D. Research Project of Xinxiang Medical University (XYBSKYZZ201804), Key Scientific Research Projects in Universities of Henan (19B330004), and Peak Subject Project of Public Health in Xinxiang Medical University.

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Author notes

  1. Mengxue Lu and Huijuan Yang contributed equally to this work.

Authors and Affiliations

  1. Henan International Collaborative Laboratory for Health Effects and Intervention of Air Pollution, School of Public Health, Xinxiang Medical University, Xinxiang, 453003, Henan Province, China

    Mengxue Lu, Huijuan Yang, Jingyao Wang, Zhen An, Juan Li, Zhineng Wu, Qian Zhao, Huijun Li, Desheng Zhai, Weidong Wu & Jie Song

  2. Chinese Center for Disease Control and Prevention, National Institute of Environmental Health, Beijing, 100021, China

    Yue Liu

Authors
  1. Mengxue Lu
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  2. Huijuan Yang
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  5. Juan Li
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Contributions

LM: Methodology, data curation, validation, visualization, formal analysis, and writing—original draft. YH: Data cleaning, methodology, and writing—review. WJ: Data collection and data cleaning. AZ: Methodology and validation. LJ: Data cleaning and methodology. WZ: Software, validation, and visualization. ZQ: Data cleaning and validation. LH: Data cleaning and validation. ZD: Data collection, data cleaning, and Validation. LY: Data collection and data cleaning. WW: Methodology and validation. SJ: Conceptualization, supervision, writing—review and editing, project administration, and validation. All authors read and approved the final manuscript.

Corresponding author

Correspondence to Jie Song.

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Lu, M., Yang, H., Wang, J. et al. Acute effects of ambient air pollution on outpatients with chronic rhinitis in Xinxiang, China. Environ Sci Pollut Res 28, 9889–9897 (2021). https://doi.org/10.1007/s11356-020-11534-0

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