"Effects of air pollution on emergency visits for acute otitis media among children: a case-crossover study in Chongqing, China"

作者全名："Xiao, Ling; Su, Shuping; Chen, Cheng; Yao, Hongbing; Ding, Ling"

作者地址："[Xiao, Ling; Su, Shuping; Chen, Cheng; Yao, Hongbing; Ding, Ling] Chongqing Med Univ, Dept Otolaryngol Head & Neck Surg, Childrens Hosp, Chongqing, Peoples R China; [Xiao, Ling; Su, Shuping; Chen, Cheng; Yao, Hongbing; Ding, Ling] Natl Clin Res Ctr Child Hlth & Disorders, Chongqing, Peoples R China; [Xiao, Ling; Su, Shuping; Chen, Cheng; Yao, Hongbing; Ding, Ling] Minist Educ, Key Lab Child Dev & Disorders, Chongqing, Peoples R China; [Xiao, Ling; Su, Shuping; Chen, Cheng; Yao, Hongbing; Ding, Ling] Chongqing Key Lab Pediat, Chongqing, Peoples R China; [Xiao, Ling; Su, Shuping; Chen, Cheng; Yao, Hongbing; Ding, Ling] Chongqing Higher Inst Engn Res Ctr, Childrens Med Big Data Intelligent Applicat, Chongqing, Peoples R China"

通信作者："Ding, L (通讯作者)，Chongqing Med Univ, Dept Otolaryngol Head & Neck Surg, Childrens Hosp, Chongqing, Peoples R China.; Ding, L (通讯作者)，Natl Clin Res Ctr Child Hlth & Disorders, Chongqing, Peoples R China.; Ding, L (通讯作者)，Minist Educ, Key Lab Child Dev & Disorders, Chongqing, Peoples R China.; Ding, L (通讯作者)，Chongqing Key Lab Pediat, Chongqing, Peoples R China.; Ding, L (通讯作者)，Chongqing Higher Inst Engn Res Ctr, Childrens Med Big Data Intelligent Applicat, Chongqing, Peoples R China."

来源：FRONTIERS IN PUBLIC HEALTH

ESI学科分类：SOCIAL SCIENCES, GENERAL

WOS号：WOS:001090075800001

JCR分区：Q2

影响因子：3

年份：2023

卷号：11

期号：　

开始页：　

结束页：　

文献类型：Article

关键词：air pollution; air quality index; particulate matter; acute otitis media; children; case-crossover

摘要："BackgroundMany epidemiological studies have demonstrated the short-term effects of air pollution on acute otitis media (AOM) in children, but few studies have explored the association between AOM and air pollution in Chinese children. This study aimed to analyze the effects of air pollution on emergency visits for AOM among children through a time-stratified case-crossover design in Chongqing, China.MethodsThe outpatient medical records of children from nine main urban districts who presented with AOM between December 22, 2018 and December 21, 2021 were collected from the Children's Hospital of Chongqing Medical University. Data for air pollution variables, including the air quality index (AQI), particulate matter <= 10 mu m (PM10), PM2.5, SO2, CO, NO2 and O3 from 17 monitoring sites were collected. Data for meteorological factors as confounding variables also were collected. Conditional logistic regression was used to analyze the data with single-pollutant models, multi-pollutant models, and stratified analyses.ResultsIncreases in AQI, PM10, PM2.5, SO2, CO and NO2 were positively associated with emergency visits for AOM among children in single-pollutant models and stratified analyses. Increases in PM10, SO2, CO and NO2 were positively associated with emergency visits for AOM among children in multi-pollutant models. NO2 had the most statistically significant OR values in all models, whereas significant effects of O3 were observed only in seasonal stratification. In single-pollutant models, we found that the best lag periods were lag 0-7 for air pollution variables except for O3 and the largest OR values were 1.185 (95%CI: 1.129-1.245) for SO2 in single-pollutant models. In stratified analyses, there were no difference between groups in these statistically significant OR values through gender and age stratification, while the differences between seasons in these OR values of PM10, SO2, CO, NO2 and O3 were statistically significant. Children aged 0 years and 3-5 years represented the most susceptible population, and among the seasons, susceptibility was greater during Winter and Spring.ConclusionShort-term exposure to air pollution can increase emergency visits for AOM among children in Chongqing, China."

基金机构：　

基金资助正文：