The Impact of the 2013 Eastern China Smog on Outpatient Visits for Coronary Heart Disease in Shanghai, China

Fang Huang, Renjie Chen, Yuetian Shen, Haidong Kan and Xingya Kuang
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Fang Huang: Department of Occupational Medicine, Yangpu Hospital, Tongji University School of Medicine, Shanghai 200090, China
Renjie Chen: School of Public Health, Key Lab of Public Health Safety of the Ministry of Education, Fudan University, Shanghai 200032, China
Yuetian Shen: Department of Occupational Medicine, Yangpu Hospital, Tongji University School of Medicine, Shanghai 200090, China
Haidong Kan: School of Public Health, Key Lab of Public Health Safety of the Ministry of Education, Fudan University, Shanghai 200032, China
Xingya Kuang: Department of Occupational Medicine, Yangpu Hospital, Tongji University School of Medicine, Shanghai 200090, China

IJERPH, 2016, vol. 13, issue 7, 1-6

Abstract: There have been relatively few opportunities to examine the cardiovascular effects of an extreme air pollution event in China. We aimed to examine the impact of the 2013 Eastern China Smog occurring from 2 to 9 December 2013, on outpatient visits for coronary heart diseases (CHD) in a typical hospital in Shanghai, China. We used the over-dispersed, generalized additive model to estimate the relative risk (RR) of the 2013 Eastern China Smog on the outpatient visits by comparing the smog period (2–9 December 2013; 8 days) to the non-smog period (1 November–1 December 2013, and 10 December–28 February 2014; 112 days). This model also controlled for time trends, days of the week, holidays, and meteorological factors. A stratification analysis was performed to estimate sex- and age-specific RRs. The daily average PM 2.5 (fine particulate matter with an aerodynamic diameter less than 2.5 ?m) concentrations during the smog period were 212 ?g/m 3 , which were three times higher than during the non-smog period (76 ?g/m 3 ). The smog in Eastern China in 2013 was significantly associated with an increased risk of outpatient visits for CHD. For example, the RR was 1.18 (95% CI: 1.04, 1.32) on lag 0 day. There were similar effects on males and females. Our analyses provided preliminary evidence that smog constituted a significant risk factor of CHD in China.

Keywords: smog; air pollution; coronary heart disease; outpatient visits; time-series (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2016
References: View references in EconPapers View complete reference list from CitEc
Citations: View citations in EconPapers (2)

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