Association between ozone pollution and daily outpatient visits for respiratory system in a district of Shanghai

Abstract

ObjectiveTo analyze the effect of O3 pollution on outpatient visits for respiratory diseases in a district of Shanghai.MethodsWe collected the respiratory disease outpatient data， and atmospheric and meteorological data of from a suburban general hospital in Shanghai from 2015 to 2017. A time-series analysis by generalized additive model was conducted to examine the relationship between O3 pollution and daily outpatient visits.ResultsThe daily outpatient volume for respiratory diseases was 831. The daily 8 h median concentration of O3 was 101.04 μg·m-3. The excess relative risk was 0.461% （95%CI： 0.240%‒0.682%） at lag3. Stratified by gender and age， females， child and the aged had higher risk of respiratory diseases. In the double-pollutant model， PM2.5 and PM10 increased health effects， while CO reduced health effects.ConclusionThe increase of O3 concentration can increase the daily outpatient volume of respiratory diseases.

Keywords

• ozone
• generalized additive model
• respiratory disease
• outpatient visit