Impacts of short-term air pollution exposure on appendicitis admissions

Evidence from one of the most polluted cities in mainland China

Dados Bibliográficos

ID22078773
AutoresYanhu Ji (0000-0001-5045-2919, Shantou University), Xuefeng Su (0000-0002-2044-6646), Fengying Zhang (0000-0002-5087-3884, China National Environmental Monitoring Center), Zepeng Huang (0000-0001-9997-649X, Shantou University), Xiaowei Zhang (0000-0001-6314-654X, Shantou University), Yueliang Chen (0000-0001-8556-358X, Shantou University), Ziyi Song (0000-0003-4306-4648, Shantou University), Liping Li (0000-0003-3306-779X, Shantou University, autor correspondente)
Ano2023
Volume11
Páginas1144310-1144310
Data de publicação2023-03-16
Peer ReviewedSim
Open AccessSim
TipoARTICLE
PeriódicoFrontiers in Public Health (JOURNAL)
Identificadores do periódicoISSN: 2296-2565 • E-ISSN: 2296-2565
EditoraFrontiers Media SA (PUBLISHER • CH)
DOI10.3389/fpubh.2023.1144310
PMID37006531
OpenAlexW4327618504
IdiomaEN
Citações recebidas6
Referências citadas41

Background Emerging evidence indicates that air pollutants contribute to the development and progression of gastrointestinal diseases. However, there is scarce evidence of an association with appendicitis in mainland China. Methods In this study, Linfen city, one of the most polluted cities in mainland China, was selected as the study site to explore whether air pollutants could affect appendicitis admissions and to identify susceptible populations. Daily data on appendicitis admissions and three principal air pollutants, including inhalable particulate matter (PM 10 ), nitrogen dioxide (NO 2 ), and sulfur dioxide (SO 2 ) were collected in Linfen, China. The impacts of air pollutants on appendicitis were studied by using a generalized additive model (GAM) combined with the quasi-Poisson function. Stratified analyses were also performed by sex, age, and season. Results We observed a positive association between air pollution and appendicitis admissions. For a 10 μg/m 3 increase in pollutants at lag01, the corresponding relative risks (RRs) and 95% confidence intervals (95% CIs) were 1.0179 (1.0129–1.0230) for PM 10 , 1.0236 (1.0184–1.0288) for SO 2 , and 1.0979 (1.0704–1.1262) for NO 2 . Males and people aged 21–39 years were more susceptible to air pollutants. Regarding seasons, the effects seemed to be stronger during the cold season, but there was no statistically significant difference between the seasonal groups. Conclusions Our findings indicated that short-term air pollution exposure was significantly correlated with appendicitis admissions, and active air pollution interventions should be implemented to reduce appendicitis hospitalizations, especially for males and people aged 21–39 years

Air pollution · Appendicitis · China · Environmental health · Geography · Mainland China · Poisson regression · Pollutant · Population · Air Quality and Health Impacts · Appendicitis Diagnosis and Management · Climate Change and Health Impacts · Environmental Science · Medicine · Epidemiology · Internal Medicine · Pollution · Surgery