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Short-term effect of particular matter and sulfur dioxide exposure on asthma and/or chronic obstructive pulmonary disease hospital admissions in Center of Anatolia

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Abstract

We investigated the associations between the daily variations of coarse particulate matter (PM10) and/or sulfur dioxide (SO2) and hospital admissions for asthma and/or chronic obstructive pulmonary disease (COPD) diseases in Kirsehir, Center of Anatolia of Turkey. We analyzed the poison generalized linear model (GLM) to analyze the association between ambient air pollutants such as PM10 and SO2 and asthma and/or COPD admissions. We investigated single-lag days and multi-lag days for the risk increase in asthma, COPD, asthma, and/or COPD hospital admissions PM10, SO2, and PM10 with SO2 per 10 μg/m3. In single-lag day model a 10 μg/m3 increase in the current day (lag 0) concentrations of PM10 and SO2 corresponded to increase of 1.027 (95% CI:1.022–1.033) and 1.069 (95% CI:1.062, 1.077) for asthma. A 10 μg/m3 increase in the current day (lag 0) concentrations of PM10 and SO2 corresponded to increase of 1.029 (95% CI:1.022–1.035) and 1.065 (95% CI:1.056, 1.075) for COPD. A 10 μg/m3 increase in the current day (lag 0) concentrations of PM10 and SO2 corresponded to increase of 1.028 (95% CI:1.024–1.032) and 1.068 (95% CI:1.062, 1.074) for asthma and/or COPD. It was found that some lag structures were related with PM10 and SO2. Significant lags were detected in some lag structures from the previous first day until the previous eighth day (lag 1 to lag 7) in the asthma, COPD, and asthma and/or COPD hospital admissions in the model created with PM10 with SO2 both in the single-lag day model and in the multi-lag day model. Our study that used GLM in time series analysis showed that PM10 and/or SO2 short-term exposure in single-lag day and multi-lag day models was related with increased asthma, COPD, and asthma and/or COPD hospital admissions in the city between 2016 and 2019 until the previous-eighth day.

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Acknowledgments

The authors would like to acknowledge Yilmaz Mercan (MSc) for their valuable insights into the design and application of the graphics of this work.

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Authors and Affiliations

  1. Kirklareli University Health Sciences Institute Department of Public Health, 39000, Kirklareli, Turkey

    Yeliz Mercan

  2. Kirklareli University School of Health Department of Health Management, 39000, Kirklareli, Turkey

    Yeliz Mercan

  3. Kirsehir Ahi Evran University Faculty of Medicine Department of Public Health, 40100, Kirsehir, Turkey

    Ulken Tunga Babaoglu

  4. Kirsehir Ahi Evran University Faculty of Medicine Department of Chest Diseases, Kirsehir, 40100, Turkey

    Arzu Erturk

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  1. Yeliz Mercan
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  3. Arzu Erturk
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Correspondence to Yeliz Mercan.

Ethics declarations

Permission for the study was received from Kirsehir Ahi Evran Training and Research Hospital (Date: 24.10.2019, Decision No: 42884709-806.99). Ethical Approval was obtained from the Ethics Board of Clinical Research at Kirsehir Ahi Evran University (Date: 24.09.2019 and Decision No: 2019-16/168).

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Mercan, Y., Babaoglu, U.T. & Erturk, A. Short-term effect of particular matter and sulfur dioxide exposure on asthma and/or chronic obstructive pulmonary disease hospital admissions in Center of Anatolia. Environ Monit Assess 192, 646 (2020). https://doi.org/10.1007/s10661-020-08605-7

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