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Short-term Effects of Ambient Air Pollution on Emergency Department Visits for Asthma: An Assessment of Effect Modification by Prior Allergic Disease History

DC Field Value Language
dc.contributor.author김창수-
dc.contributor.author손정우-
dc.contributor.author신동천-
dc.contributor.author노주환-
dc.date.accessioned2017-10-26T07:37:04Z-
dc.date.available2017-10-26T07:37:04Z-
dc.date.issued2016-
dc.identifier.issn1975-8375-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/152284-
dc.description.abstractObjectives : The goal of this study was to investigate the short-term effect of ambient air pollution on emergency department (ED) visits in Seoul for asthma according to patients’ prior history of allergic diseases. Methods : Data on ED visits from 2005 to 2009 were obtained from the Health Insurance Review and Assessment Service. To evaluate the risk of ED visits for asthma related to ambient air pollutants (carbon monoxide [CO], nitrogen dioxide [NO2], ozone [O3], sulfur dioxide [SO2], and particulate matter with an aerodynamic diameter <10 μm [PM10]), a generalized additive model with a Poisson distribution was used; a single-lag model and a cumulative-effect model (average concentration over the previous 1-7 days) were also explored. The percent increase and 95% confidence interval (CI) were calculated for each interquartile range (IQR) increment in the concentration of each air pollutant. Subgroup analyses were done by age, gender, the presence of allergic disease, and season. Results : A total of 33 751 asthma attack cases were observed during the study period. The strongest association was a 9.6% increase (95% CI, 6.9% to 12.3%) in the risk of ED visits for asthma per IQR increase in O3 concentration. IQR changes in NO2 and PM10 concentrations were also significantly associated with ED visits in the cumulative lag 7 model. Among patients with a prior history of allergic rhinitis or atopic dermatitis, the risk of ED visits for asthma per IQR increase in PM10 concentration was higher (3.9%; 95% CI, 1.2% to 6.7%) than in patients with no such history. Conclusions : Ambient air pollutants were positively associated with ED visits for asthma, especially among subjects with a prior history of allergic rhinitis or atopic dermatitis.-
dc.description.statementOfResponsibilityopen-
dc.formatapplication/pdf-
dc.languageEnglish-
dc.publisher대한예방의학회-
dc.relation.isPartOfJournal of Preventive Medicine and Public Health-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.rights.urihttps://creativecommons.org/licenses/by-nc-nd/2.0/kr/-
dc.subject.MESHAdolescent-
dc.subject.MESHAdult-
dc.subject.MESHAge Factors-
dc.subject.MESHAged-
dc.subject.MESHAir Pollutants/analysis-
dc.subject.MESHAir Pollutants/toxicity*-
dc.subject.MESHAsthma/diagnosis*-
dc.subject.MESHAsthma/etiology-
dc.subject.MESHChild-
dc.subject.MESHChild, Preschool-
dc.subject.MESHDatabases, Factual-
dc.subject.MESHDermatitis, Atopic/pathology-
dc.subject.MESHEmergency Service, Hospital-
dc.subject.MESHFemale-
dc.subject.MESHHumans-
dc.subject.MESHInfant-
dc.subject.MESHMale-
dc.subject.MESHMiddle Aged-
dc.subject.MESHOzone/toxicity-
dc.subject.MESHParticulate Matter/analysis-
dc.subject.MESHParticulate Matter/toxicity-
dc.subject.MESHRhinitis, Allergic/pathology-
dc.subject.MESHRisk-
dc.subject.MESHSeasons-
dc.subject.MESHSex Factors-
dc.subject.MESHYoung Adult-
dc.titleShort-term Effects of Ambient Air Pollution on Emergency Department Visits for Asthma: An Assessment of Effect Modification by Prior Allergic Disease History-
dc.typeArticle-
dc.publisher.locationKorea-
dc.contributor.collegeCollege of Medicine-
dc.contributor.departmentDept. of Preventive Medicine-
dc.contributor.googleauthorJuhwan Noh-
dc.contributor.googleauthorJungwoo Sohn-
dc.contributor.googleauthorJaelim Cho-
dc.contributor.googleauthorSeong-Kyung Cho-
dc.contributor.googleauthorYoon Jung Choi-
dc.contributor.googleauthorChangsoo Kim-
dc.contributor.googleauthorDong Chun Shin-
dc.identifier.doi10.3961/jpmph.16.038-
dc.contributor.localIdA01992-
dc.contributor.localIdA02096-
dc.contributor.localIdA01042-
dc.relation.journalcodeJ01716-
dc.relation.journalsince2004~-
dc.identifier.pmid27744674-
dc.relation.journalbefore~2004 Korean Journal of Preventive Medicine (예방의학회지)-
dc.subject.keywordAir pollution-
dc.subject.keywordAsthma-
dc.subject.keywordEffect modifier-
dc.subject.keywordEmergencies-
dc.subject.keywordKorea-
dc.subject.keywordTime series analysis-
dc.contributor.alternativeNameKim, Chang Soo-
dc.contributor.alternativeNameSohn, Jung Woo-
dc.contributor.alternativeNameShin, Dong Chun-
dc.contributor.affiliatedAuthorSohn, Jung Woo-
dc.contributor.affiliatedAuthorShin, Dong Chun-
dc.contributor.affiliatedAuthorKim, Chang Soo-
dc.citation.volume49-
dc.citation.number5-
dc.citation.startPage329-
dc.citation.endPage341-
dc.identifier.bibliographicCitationJournal of Preventive Medicine and Public Health, Vol.49(5) : 329-341, 2016-
dc.date.modified2017-10-24-
dc.identifier.rimsid48019-
dc.type.rimsART-
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Preventive Medicine (예방의학교실) > 1. Journal Papers

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