Assessment of Risk Hospitalization due to Acute Respiratory Incidents Related to Ozone Exposure in Silesian Voivodeship (Poland)

Ewa Niewiadomska, Małgorzata Kowalska, Adam Niewiadomski, Michał Skrzypek and Michał A. Kowalski
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Ewa Niewiadomska: Department of Epidemiology and Biostatistics, Faculty of Health Sciences in Bytom, Medical University of Silesia, 40-055 Katowice, Poland
Małgorzata Kowalska: Department of Epidemiology, Faculty of Medical Sciences in Katowice, Medical University of Silesia, 40-055 Katowice, Poland
Adam Niewiadomski: Institute of Information Technology, Lodz University of Technology, 90-924 Łódź, Poland
Michał Skrzypek: Department of Epidemiology and Biostatistics, Faculty of Health Sciences in Bytom, Medical University of Silesia, 40-055 Katowice, Poland
Michał A. Kowalski: Environmental Exposure Assessment Group, Institute of Epidemiology, Helmholtz Zentrum München, 85764 Neuherberg, Germany

IJERPH, 2020, vol. 17, issue 10, 1-13

Abstract: The main aim of this work is the estimation of health risks arising from exposure to ozone or other air pollutants by different statistical models taking into account delayed health effects. This paper presents the risk of hospitalization due to bronchitis and asthma exacerbation in adult inhabitants of Silesian Voivodeship from 1 January 2016 to 31 August 2017. Data were obtained from the daily register of hospitalizations for acute bronchitis (code J20–J21, International Classification of Diseases, Tenth Revision – ICD-10) and asthma (J45–J46) which is governed by the National Health Fund. Meteorological data and data on tropospheric ozone concentrations were obtained from the regional environmental monitoring database of the Provincial Inspector of Environmental Protection in Katowice. The paper includes descriptive and analytical statistical methods used in the estimation of health risk with a delayed effect: Almon Distributed Lag Model, the Poisson Distributed Lag Model, and Distributed Lag Non-Linear Model (DLNM). A significant relationship has only been confirmed by DLNM for bronchitis and a relatively short period (1–3 days) from exposure above the limit value (120 µg/m 3 ). The relative risk value was RR = 1.15 (95% CI 1.03–1.28) for a 2-day lag. However, conclusive findings require the continuation of the study over longer observation periods.

Keywords: ozone; health risk; Almon Distributed Lag Model; the Poisson Distributed Lag Model; and Distributed Lag Non-Linear Model (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2020
References: View references in EconPapers View complete reference list from CitEc
Citations: View citations in EconPapers (1)

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