Air pollution and pediatric respiratory hospital admissions in Bursa, Turkey: A time series study.

Eda Ünal, Aysel Özdemir, Narges Khanjani, Maryam Dastoorpoor, Güven Özkaya
Author Information
  1. Eda Ünal: Department of Nursing, Bursa Uludag University Institute of Health Sciences, Bursa, Turkey. ORCID
  2. Aysel Özdemir: Department of Public Health Nursing, Bursa Uludag University, Faculty of Health Sciences, Bursa, Turkey. ORCID
  3. Narges Khanjani: Environmental Health Engineering Research Center, Kerman University of Medical Sciences, Kerman, Iran. ORCID
  4. Maryam Dastoorpoor: Department of Biostatistics and Epidemiology, Air Pollution and Respiratory Diseases Research Center, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran. ORCID
  5. Güven Özkaya: Department of Biostatistics, Bursa Uludag University Medical Faculty, Bursa, Turkey. ORCID

Abstract

We aimed to investigate the relation between air pollution and the number of daily hospitalizations due to pneumonia, asthma, bronchitis in children aged 0-18 in Bursa city of Turkey, between the years 2013-2018. The daily values of air pollutants (PM10, SO2, NO2, NOx, CO, and O3) from 2013 until 2018, were obtained. Adjusted Quasi-Poisson regression models including distributed lags, controlled for climate variables were used for data analysis. Increases in SO2, ozone, PMs, and nitrogen oxides were associated with pneumonia hospitalizations, increases in SO2 NOx and PMs were associated with asthma hospitalizations, and increases in SO2 and ozone were associated with bronchitis hospitalizations. Male hospitalization was related with SO2, ozone, and NOx; while female hospitalization was only related with SO2. This study showed that short-term exposure to air pollution is associated with an increased risk of pneumonia, asthma, and bronchitis hospitalization among children in Bursa.

Keywords

MeSH Term

Child
Male
Female
Humans
Time Factors
Turkey
Air Pollution
Air Pollutants
Ozone
Hospitalization
Pneumonia
Asthma
Bronchitis
Hospitals
Nitrogen Dioxide
Particulate Matter

Chemicals

Air Pollutants
Ozone
Nitrogen Dioxide
Particulate Matter

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