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Short-Term Associations between Air Pollution Concentrations and Respiratory Health-Comparing Primary Health Care Visits, Hospital Admissions, and Emergency Department Visits in a Multi-Municipality Study
Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine, Occupational and Environmental Medicine. Center for Primary Health Care Research, Department of Clinical Science, Malmö, Lund University, Malmö, Sweden.
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2017 (English)In: International Journal of Environmental Research and Public Health, ISSN 1661-7827, E-ISSN 1660-4601, Vol. 14, no 6, 587Article in journal (Refereed) Published
Abstract [en]

Acute effects of air pollution on respiratory health have traditionally been investigated with data on inpatient admissions, emergency room visits, and mortality. In this study, we aim to describe the total acute effects of air pollution on health care use for respiratory symptoms (ICD10-J00-J99). This will be done by investigating primary health care (PHC) visits, inpatient admissions, and emergency room visits together in five municipalities in southern Sweden, using a case-crossover design. Between 2005 and 2010, there were 81,019 visits to primary health care, 38,217 emergency room visits, and 25,271 inpatient admissions for respiratory symptoms in the study area. There was a 1.85% increase (95% CI: 0.52 to 3.20) in the number of primary health care visits associated with a 10 mu g/m(3) increase in nitrogen dioxide (NO2) levels in Malmo, but not in the other municipalities. Air pollution levels were generally not associated with emergency room visits or inpatient admissions, with one exception (in Helsingborg there was a 2.52% increase in emergency room visits for respiratory symptoms associated with a 10 mu g/m(3) increase in PM10). In conclusion, the results give weak support for short-term effects of air pollution on health care use associated with respiratory health symptoms in the study area.

Place, publisher, year, edition, pages
MDPI AG , 2017. Vol. 14, no 6, 587
Keyword [en]
air pollution, primary health care, respiratory health, hospital admissions and ER visits, case crossover
National Category
Environmental Sciences Environmental Health and Occupational Health
Identifiers
URN: urn:nbn:se:umu:diva-137807DOI: 10.3390/ijerph14060587ISI: 000404107600035OAI: oai:DiVA.org:umu-137807DiVA: diva2:1128581
Available from: 2017-07-26 Created: 2017-07-26 Last updated: 2017-08-08Bibliographically approved

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Oudin Åström, DanielOudin, Anna
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CiteExportLink to record
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Citation style
  • apa
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  • de-DE
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Output format
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