Associations of short-term exposure to air pollution with risk of pulmonary space-occupying lesions morbidity based on a time-series study

Abstract Background Pulmonary space-occupying lesions are typical chronic pulmonary diseases that contribute significantly to healthcare resource use and impose a large disease burden in China. A time-series ecological trend study was conducted to investigate the associations between environmental f...

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Main Authors: Xu Zhang, Zijie Pei, Yan Wang, Yaxian Pang, Haiyan Hao, Qingping Liu, Mengqi Wu, Rong Zhang, Helin Zhang
Format: Article
Language:English
Published: BMC 2025-01-01
Series:BMC Public Health
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Online Access:https://doi.org/10.1186/s12889-024-21245-7
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author Xu Zhang
Zijie Pei
Yan Wang
Yaxian Pang
Haiyan Hao
Qingping Liu
Mengqi Wu
Rong Zhang
Helin Zhang
author_facet Xu Zhang
Zijie Pei
Yan Wang
Yaxian Pang
Haiyan Hao
Qingping Liu
Mengqi Wu
Rong Zhang
Helin Zhang
author_sort Xu Zhang
collection DOAJ
description Abstract Background Pulmonary space-occupying lesions are typical chronic pulmonary diseases that contribute significantly to healthcare resource use and impose a large disease burden in China. A time-series ecological trend study was conducted to investigate the associations between environmental factors and hospitalizations for pulmonary space-occupying lesions in North of China from 2014 to 2022. Methods The DLNM was used to quantify the association of environmental factors with lung cancer admissions. The heating-, age-, gender-, malignancy-specific effects were further estimated to identify the susceptible groups. Results During the study period, fluctuations in air pollutants and climate conditions closely mirrored changes in hospitalizations for pulmonary space-occupying lesions. Totally, the distributed lag surface showed clear positive associations between pulmonary tumor hospitalization and PM2.5 (RRlag30: 1.000912; 95%CI: 1.000076, 1.00175), PM10 (RRlag30: 1.002246; 95%CI: 1.000474, 1.004021), SO2 (RRlag30: 1.002714; 95%CI: 1.001071, 1.004414), CO (RRlag30: 1.002231; 95%CI: 1.000592, 1.003873). Additionally, the associations between air pollutants and hospitalizations for pulmonary space-occupying lesions were significantly stronger during the heating season. Population aged 65 or older, females and those diagnosed with malignancies were more vulnerable for the risk of pulmonary space-occupying lesions diseases due to air pollution exposure. Conclusions The present study illustrated risk and burden for pulmonary space-occupying lesions hospitalization associated with air pollution, especially among population aged ≥ 65, or female.
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spelling doaj-art-cb4df4f90d884918a6ecc086f39af4612025-01-12T12:43:19ZengBMCBMC Public Health1471-24582025-01-0125111210.1186/s12889-024-21245-7Associations of short-term exposure to air pollution with risk of pulmonary space-occupying lesions morbidity based on a time-series studyXu Zhang0Zijie Pei1Yan Wang2Yaxian Pang3Haiyan Hao4Qingping Liu5Mengqi Wu6Rong Zhang7Helin Zhang8Department of Thoracic Surgery, the 2nd Hospital of Hebei Medical UniversityDepartment of Thoracic Surgery, the 2nd Hospital of Hebei Medical UniversityDepartment of Toxicology, Hebei Medical UniversityDepartment of Toxicology, Hebei Medical UniversityDepartment of Toxicology, Hebei Medical UniversityDepartment of Toxicology, Hebei Medical UniversityDepartment of Toxicology, Hebei Medical UniversityDepartment of Toxicology, Hebei Medical UniversityDepartment of Thoracic Surgery, the 2nd Hospital of Hebei Medical UniversityAbstract Background Pulmonary space-occupying lesions are typical chronic pulmonary diseases that contribute significantly to healthcare resource use and impose a large disease burden in China. A time-series ecological trend study was conducted to investigate the associations between environmental factors and hospitalizations for pulmonary space-occupying lesions in North of China from 2014 to 2022. Methods The DLNM was used to quantify the association of environmental factors with lung cancer admissions. The heating-, age-, gender-, malignancy-specific effects were further estimated to identify the susceptible groups. Results During the study period, fluctuations in air pollutants and climate conditions closely mirrored changes in hospitalizations for pulmonary space-occupying lesions. Totally, the distributed lag surface showed clear positive associations between pulmonary tumor hospitalization and PM2.5 (RRlag30: 1.000912; 95%CI: 1.000076, 1.00175), PM10 (RRlag30: 1.002246; 95%CI: 1.000474, 1.004021), SO2 (RRlag30: 1.002714; 95%CI: 1.001071, 1.004414), CO (RRlag30: 1.002231; 95%CI: 1.000592, 1.003873). Additionally, the associations between air pollutants and hospitalizations for pulmonary space-occupying lesions were significantly stronger during the heating season. Population aged 65 or older, females and those diagnosed with malignancies were more vulnerable for the risk of pulmonary space-occupying lesions diseases due to air pollution exposure. Conclusions The present study illustrated risk and burden for pulmonary space-occupying lesions hospitalization associated with air pollution, especially among population aged ≥ 65, or female.https://doi.org/10.1186/s12889-024-21245-7Air pollutionPulmonary space-occupying lesionsTime-series studyHeating seasonElderlyFemale
spellingShingle Xu Zhang
Zijie Pei
Yan Wang
Yaxian Pang
Haiyan Hao
Qingping Liu
Mengqi Wu
Rong Zhang
Helin Zhang
Associations of short-term exposure to air pollution with risk of pulmonary space-occupying lesions morbidity based on a time-series study
BMC Public Health
Air pollution
Pulmonary space-occupying lesions
Time-series study
Heating season
Elderly
Female
title Associations of short-term exposure to air pollution with risk of pulmonary space-occupying lesions morbidity based on a time-series study
title_full Associations of short-term exposure to air pollution with risk of pulmonary space-occupying lesions morbidity based on a time-series study
title_fullStr Associations of short-term exposure to air pollution with risk of pulmonary space-occupying lesions morbidity based on a time-series study
title_full_unstemmed Associations of short-term exposure to air pollution with risk of pulmonary space-occupying lesions morbidity based on a time-series study
title_short Associations of short-term exposure to air pollution with risk of pulmonary space-occupying lesions morbidity based on a time-series study
title_sort associations of short term exposure to air pollution with risk of pulmonary space occupying lesions morbidity based on a time series study
topic Air pollution
Pulmonary space-occupying lesions
Time-series study
Heating season
Elderly
Female
url https://doi.org/10.1186/s12889-024-21245-7
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