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Association of outdoor air pollution with the medical expense of ischemic stroke: The case study of an industrial city in western China

Siyu Zeng, Li Luo, Fang Chen, Yue Li, Mei Chen and Xiaozhou He

International Journal of Health Planning and Management, 2021, vol. 36, issue 3, 715-728

Abstract: Ischemic stroke, the most frequent cause of severe disability, imposes a significant mental and economic burden on patients and their families. There is increasing evidence to indicate that air pollution contributes to the risk of ischemic stroke. This study aimed to examine the correlation between air pollution and the expense imposed by an ischemic stroke. Data were obtained from hospitals and environmental monitoring stations in an industry city, Longspring, in western China. We used a generalized additive model to estimate the associations between the two factors, measured during 2015–2017. Counter‐intuitively, the medical expenses arising from ischemia were negatively associated with the level of air pollution. The corresponding ER for per interquartile range increase of PM2.5, PM10, SO2, and NO2 in lag10 was −0.17% (95% confidence interval (95% CI −0.31%, −0.03%), −0.11% (95% CI −0.2%, −0.02%), −1.04% (95% CI −1.92%, −0.17%) and −0.44% (95% CI −0.66%, −0.22%), respectively (p

Date: 2021
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