Impacts of PM10 exposure on hospitalization for acute bronchitis in Ankara, Türkiye

Year 2024, Volume: 5 Issue: 1, 1 - 5, 30.04.2024

Hilal Arslan , Adnan Ağır Göksel Demir

https://doi.org/10.51753/flsrt.1322260

Abstract

The purpose of this study is to investigate the relationship between PM10 exposure and acute bronchitis admissions in Ankara, Türkiye. PM10 data and daily acute bronchitis admissions were obtained in Ankara for 2020-2021. A generalized additive model was applied to estimate the effects of daily PM10 concentration on hospital admissions for acute bronchitis. The Distributed Lag Non-linear Model was utilized to evaluate the lagged effects of PM10 concentration. Additionally, the model was adjusted for stratified analyses according to gender and age groups. Relative risks with corresponding 95% confidence intervals (CIs) were obtained for each 10 μg/m3 increment in PM10 values. A rise of 10 μg/m3 in PM10 concentrations was significantly linked with an elevated risk of acute bronchitis with relative risks observed at lag3 (RR: 1.010, 95% CI: 1.001-1.019) and lag4 (RR: 1.010, 95% CI: 1.002-1.019). There were associations for middle-aged individuals (45 to 64 years), with a 0.5% increase in risk at lag3 (RR: 1.005; 95% CI: 1.001-1.009) and lag4 (RR: 1.005; 95% CI: 1.001-1.010). PM10 exposure could increase the risk of acute bronchitis and better air quality would be beneficial to human health.

Keywords

Acute bronchitis, Ankara, generalized additive model, PM10, Türkiye

References

• Akkose, G., Akgul, C. M., & Dino, I. G. (2021). Educational building retrofit under climate change and urban heat island effect. Journal of Building Engineering, 40, 102294.
• Arslan H. (2023). Impacts of Meteorological Parameters on Tropospheric Ozone Concentrations in Çanakkale, International Journal of Advances in Engineering and Pure Sciences, 35 (1). 10-17.
• Arslan, H., & Toltar, A. (2023). The influence of meteorological parameters on PM2. 5 and PM10 values in Ümraniye and Silivri districts of İstanbul. Environmental Research and Technology, 6(4), 288-301.
• Arslan, H., Baltaci, H., Sahin, U. A., & Onat, B. (2022). The relationship between air pollutants and respiratory diseases for the western Turkey. Atmospheric Pollution Research, 13(2), 101322.
• Bai, L., Su, X., Zhao, D., Zhang, Y., Cheng, Q., Zhang, H., ... & Su, H. (2018). Exposure to traffic-related air pollution and acute bronchitis in children: season and age as modifiers. Journal of Epidemiology and Community Health, 72(5), 426-433.
• Baltaci, H., Arslan, H., & Akkoyunlu, B. O. (2022). High PM 10 source regions and their influence on respiratory diseases in Canakkale, Turkey. International Journal of Environmental Science and Technology, 1-10.
• Capraz, O., & Deniz, A. (2021). Assessment of hospitalizations from asthma, chronic obstructive pulmonary disease and acute bronchitis in relation to air pollution in İstanbul, Turkey. Sustainable Cities and Society, 72, 103040.
• Castagna, J., Senatore, A., Bencardino, M., & Mendicino, G. (2021). Concurrent influence of different natural sources on the particulate matter in the central mediterranean region during a wildfire season. Atmosphere, 12(2), 144.
• Chung, H. W., Hsieh, H. M., Lee, C. H., Lin, Y. C., Tsao, Y. H., Feng, M. C., & Hung, C. H. (2023). Air pollution after acute bronchiolitis is a risk factor for preschool asthma: a nested case-control study. Environmental Health, 22(1), 83.
• Dark Report, (2019). Air Pollution and Health Impacts, https://www.temizhavahakki.org/wp-content/uploads/2019/08/Hava-Kirlilig%CC%86i-ve-Sag%CC%86l%C4%B1k-Etkileri-Kara-Rapor-2019.pdf, Last Accessed on March 18, 2024.
• Gasparrini A. (2011). Distributed lag linear and non-linear models in r: The package dlnm. Journal of Statistical Software, 43(8):1-20.
• Guo, L. J., Zhao, A., Chen, R. J., Kan, H. D., & Kuang X. Y. (2014). Association between ambient air pollution and outpatient visits for acute bronchitis in a Chinese City. Biomedical and Environmental Sciences, 27(11), 833-840.
• He, Y., Jiang, W., Liao, J. Q., Jing, L., Li, J., & Yang, L. (2022). Short-term effects of air pollutants on hospital admissions for acute bronchitis in children: a multi-city time-series study in Southwest China. World Journal of Pediatrics, 18(6), 426-434.
• He, Y., Jiang, W., Gao, X., Lin, C., Li, J., & Yang, L. (2023). Short-term effects and economic burden of air pollutants on acute lower respiratory tract infections in children in Southwest China: a time-series study. Environmental Health, 22(1), 6.
• Hertz-Picciotto, I., Baker, R. J., Yap, P. S., Dostál, M., Joad, J. P., Lipsett, M., ... & Šrám, R. (2007). Early childhood lower respiratory illness and air pollution. Environmental Health Perspectives, 115(10), 1510-1518.
• Hooper, L. G., Young, M. T., Keller, J. P., Szpiro, A. A., O’Brien, K. M., Sandler, D. P., ... & London, S. J. (2018). Ambient air pollution and chronic bronchitis in a cohort of US women. Environmental Health Perspectives, 126(2), 027005.
• Jo, E. J., Lee, W. S., Jo, H. Y., Kim, C. H., Eom, J. S., Mok, J. H., ... & Park, H. K. (2017). Effects of particulate matter on respiratory disease and the impact of meteorological factors in Busan, Korea. Respiratory Medicine, 124, 79-87.
• Lestari, P., Arrohman, M. K., Damayanti, S., & Klimont, Z. (2022). Emissions and spatial distribution of air pollutants from anthropogenic sources in Jakarta, Atmospheric Pollution Research, 13, 9.
• Leung, S. Y., Lau, S. Y. F., Kwok, K. L., Mohammad, K. N., Chan, P. K. S., & Chong, K. C. (2021). Short-term association among meteorological variation, outdoor air pollution and acute bronchiolitis in children in a subtropical setting. Thorax, 76 (4): 360-369.
• Liu D. J., & Zhai G. (2022). Association between air pollution and hospital admissions for hypertension in Lanzhou, China. Environmental Science and Pollution Research, 29, 11976–1198.
• Mészáros, D., Markos, J., FitzGerald, D. G., Walters, E. H., & Wood-Baker, R. (2015). An observational study of PM10 and hospital admissions for acute exacerbations of chronic respiratory disease in Tasmania, Australia 1992-2002. BMJ Open Respiratory Research, 2(1), e000063.
• Mohajan, H. (2018). Acid rain is a local environment pollution but global concern. published in: Open Science Journal of Analytical Chemistry, 3, 5, 47-55.
• Muñoz, F., & Carvalho, M. S. (2009). Effect of exposure time to PM10 on emergency admissions for acute bronchitis. Cadernos de Saúde Pública, 25(3), 529-539.
• National Oceanic and Atmospheric Administration. (2021). What is Air Pollution?, Retrieved from https://www.noaa.gov/education/resource-collections/air-quality/, Last Accessed on March 18, 2024.
• Ostro, B., Roth, L., Malig, B., & Marty, M. (2009). The effects of fine particle components on respiratory hospital admissions in children. Environmental Health Perspectives, 117(3), 475-480.
• Savita, (2021). Impacts of air pollutants on forest ecosystem and role in ecological imbalance. In: Tiwari S., Saxena P. (eds) Air Pollution and Its Complications (pp. 129-142). Springer, Cham.
• Saxena, P., Sonwani, S., Saxena, P., & Sonwani, S. (2019). Primary criteria air pollutants: environmental health effects. Criteria Air Pollutants and Their Impact oın Environmental Health, 49-82.
• Shakerkhatibi, M., Seifipour, H., Sabeti, Z., Kahe, D., Asghari Jafarabadi, M., Zoroufchi Benis, K., & Hajaghazadeh, M. (2021). Correlation of ambient particulate matters (PM10, PM2. 5) with respiratory hospital admissions: a case-crossover study in Urmia, Iran. In: Human and Ecological Risk Assessment: An International Journal, 27(8), 2184-2201.
• Shammas, N. K., Wang L. K., & Wang M. H. S. (2020). Sources, chemistry and control of acid rain in the environment. In: Hung, Y. T., Wang L. K. (eds) Handbook of Environment and Waste Management (pp. 1-26). World Scientific.
• Shams, S. R., Kalantary, S., Jahani, A., Shams, S. M. P., Kalantari, B., Singh, D., ... & Choi, Y. (2023). Assessing the effectiveness of artificial neural networks (ANN) and multiple linear regressions (MLR) in forcasting AQI and PM10 and evaluating health impacts through AirQ+ (case study: Tehran). Environmental Pollution, 338, 122623.
• WHO, (2021). Official Website of World Health Organization, Air Pollution, Retrieved from https://www.who.int/health-topics/air-pollution#tab=tab_1, Last Accessed on March 18, 2024.
• Zhang, P., & Zhou, X. (2022). Pricing air pollution: evidence from short-term exposure to air pollution on hospitalization of acute bronchitis and chronic obstructive pulmonary disease in southwestern China, International Health, 14(6), 572-579.
• Zhang, W., Ling, J., Zhang, R. Dong J., Zhang, L., Chen, R., & Ruan, Y. (2023). Short-term effects of air pollution on hospitalization for acute lower respiratory infections in children: a time-series analysis study from Lanzhou, China. BMC Public Health, 23(1629), 1-11.
• Zhou, M., Jiang, W., Gao, W., Gao, X., Ma, M., & Ma, X. (2021). Anthropogenic emission inventory of multiple air pollutants and their spatiotemporal variations in 2017 for the Shandong Province, China. Environmental Pollution, 288, 117666.