Impact of Air Pollutants on Outpatient Visits for Pediatric Atopic Dermatitis in Lanzhou

Can LI, Fei WANG, Yuan HE, Chunrui SHI

Acta Academiae Medicinae Sinicae ›› 2024, Vol. 46 ›› Issue (3) : 361-369.

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Acta Academiae Medicinae Sinicae

Abbreviation (ISO4): Acta Academiae Medicinae Sinicae      Editor in chief: Xuetao CAO

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Acta Academiae Medicinae Sinicae ›› 2024, Vol. 46 ›› Issue (3) : 361-369. DOI: 10.3881/j.issn.1000-503X.15902
Original Articles

Impact of Air Pollutants on Outpatient Visits for Pediatric Atopic Dermatitis in Lanzhou

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Abstract

Objective To analyze the correlation between air pollutants and pediatric atopic dermatitis outpatient visits in Lanzhou,and provide scientific insights for the life guidance of the affected children and disease prevention by relevant departments.Methods A generalized additive model was employed to analyze the effects and lagged effects of air pollutants on pediatric atopic dermatitis outpatient visits in Lanzhou while controlling for confounding factors such as long-term trends,holiday effects,day of the week effects and meteorological factors.Results The effects of NO2,PM2.5,PM10,and SO2on pediatric atopic dermatitis outpatient visits were most significant on the current day(Lag0),but were not statistically significant(all P>0.05);CO also had the most significant effect on Lag0,and for every 10μg/m3increase in its concentration,the excess risk(ER)for pediatric atopic dermatitis outpatient visits was 0.05%(95%CI=0-0.10%,P=0.049);and O3exhibited the most significant effect on day 7 of the cumulative lag(Lag07),with a statistically significant increase in the ER for each 10μg/m3increase in its concentration of 7.40%(95%CI=5.31%-9.53%,P<0.001)for pediatric atopic dermatitis outpatient visits.Age stratification showed that children aged 0-3 years with atopic dermatitis were the most sensitive to CO,with an increased ER of 0.09%(95%CI=0.04%-0.15%,P<0.001)for every 10μg/m3increase in concentration,and children aged 7-14 years with atopic dermatitis were the most sensitive to O3,with an increased ER of 8.26%(95%CI=4.99%-11.64%,P<0.001)for every 10μg/m3increase in concentration.Seasonal stratification showed that CO exerted a stronger effect on pediatric atopic dermatitis outpatient visits in summer and fall,with ER values of 0.45%and 0.16%(both P<0.001),respectively,while O3had a significant effect on outpatient visits in winter,with an ER value of 20.48%(P<0.001).Conclusion Elevated daily average concentrations of air pollutants CO and O3in Lanzhou were positively correlated with the number of outpatient visits for atopic dermatitis in children,with significant seasonal effects and age-stratified sensitivities 。

Key words

atopic dermatitis / air pollutants / generalized additive model

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Can LI , Fei WANG , Yuan HE , et al. Impact of Air Pollutants on Outpatient Visits for Pediatric Atopic Dermatitis in Lanzhou[J]. Acta Academiae Medicinae Sinicae. 2024, 46(3): 361-369 https://doi.org/10.3881/j.issn.1000-503X.15902

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