嘉兴市大气NO<sub>2</sub>对呼吸系统疾病门诊量的影响分析

doi:10.3969/j.issn.1006-5253.2024.03.007

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Abstract Objective To analyze the effect of nitrogen dioxide (NO₂) on hospital visits for respiratory diseases in Jiaxing.Methods We collected daily air NO₂ monitoring data, meteorological factors and hospital visits for respiratory diseases in Jiaxing from 2019 to 2021．We used Wilcoxon rank sum test and generalized addition model (GAM) to analyze the acute effects of air NO₂ on hospital visits for respiratory diseases.Results The average daily concentration of NO₂ exceeded the standard for 9 days. The daily hospital visits for respiratory diseases and childhood respiratory diseases on days when air NO₂ exceeded the national standard were higher than those on qualified days. In the single-day lag effect analysis, the excess risk (ER) of daily hospital visits for respiratory diseases and adult respiratory diseases both reached the maximum on lag4, while the ER of daily hospital visits for childhood respiratory diseases reached the maximum on lag3 with ER(95%CI) being 2.23% (1.52%-2.94%), 1.73%(1.06%-2.41%) and 2.73%(1.73%-3.74%) with NO₂ concentration increase per 10 μg/m3, respectively. In the cumulative lag effect analysis, the ER of daily hospital visits for respiratory diseases, adult and childhood respiratory diseases all reached the maximum on lag07, with ER(95%CI) being 5.35%(4.06%6.66%), 3.47%(2.25%-4.70%) and 7.17%(5.31%-9.07%) with NO₂ concentration increase per 10 μg/m³, respectively. The maximum ER of hospital visits for childhood respiratory diseases was higher than that for adults.Conclusion The increase of NO₂ concentration in Jiaxing may lead to an increase in hospital visits for respiratory diseases with a lag effect, and the health protection of children′s respiratory system should be especially strengthened.

Key words： nitrogen dioxide respiratory diseases hospital visit Wilcoxon rank sum test generalized additive model

Received: 02 January 2024

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	Articles by authors
	Hong Weiwei
	Wu Yikang
	Zhu Ze
	Wang Xibei
	Wu Daming
	Zhou Zhehua

Cite this article:

Hong Weiwei,Wu Yikang,Zhu Ze, et al. Analysis on effect of air NO₂ on hospital visits for respiratory diseases in Jiaxing[J]. journal1, 2024, 31(3): 189-192.

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http://manu58.magtech.com.cn/Jwk_zgyytj/EN/10.3969/j.issn.1006-5253.2024.03.007 OR http://manu58.magtech.com.cn/Jwk_zgyytj/EN/Y2024/V31/I3/189

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