Dataset Information

Impact of air pollutants on pediatric admissions for Mycoplasma pneumonia: a cross-sectional study in Shanghai, China.

ABSTRACT: BACKGROUND:Children are especially vulnerable to pneumonia and the effects of air pollution. However, little is known about the impacts of air pollutants on pediatric admissions for Mycoplasma pneumonia. This study was conducted to investigate the impacts of air pollutants on pediatric hospital admissions for Mycoplasma pneumonia in Shanghai, China. METHODS:A cross-sectional design was applied to explore the association between pediatric hospital admissions and levels of air pollutants (fine particulate matter, particulate matter, ozone, sulfur dioxide, nitrogen dioxide, and carbon monoxide). Data on hospital admissions for pneumonia and levels of ambient air pollutants were obtained for the period of 2015 to 2018. Associations between pediatric admissions for Mycoplasma pneumonia and ambient air pollutants were calculated using logistic regression and described by the odds ratio and relevant 95% confidence interval. The hysteresis effects of air pollutants from the day of hospital admission to the previous 7?days were evaluated in single-pollutant models and multi-pollutant models with adjustments for weather variables and seasonality. Lag 0 was defined as the day of hospital admission, lag 1 was defined as the day before hospital admission, and so forth. RESULTS:In the single-pollutant models (without adjustment for other pollutants), pediatric hospital admissions for pneumonia were positively associated with elevated concentrations of nitrogen dioxide and fine particulate matter. A 0.5% increase in daily admissions per 10-?g/m3 increase in the nitrogen dioxide level occurred at lag 1 and lag 2, and a 0.3% increase in daily admissions per 10-?g/m3 increase in fine particulate matter occurred at lag 1. In the multi-pollutant models, nitrogen dioxide and fine particulate matter remained significant after inclusion of particulate matter, ozone, sulfur dioxide, and carbon monoxide. CONCLUSIONS:This study illustrated that higher levels of nitrogen dioxide and fine particulate matter increase the risk of pediatric hospitalization for Mycoplasma pneumonia in Shanghai, China. These findings imply that the high incidence of Mycoplasma pneumonia in children in Asia might be attributed to the high concentration of specific air pollutants in Asia.

SUBMITTER: Chen N

PROVIDER: S-EPMC7132958 | biostudies-literature | 2020 Apr

REPOSITORIES: biostudies-literature

ACCESS DATA

Publications

Impact of air pollutants on pediatric admissions for Mycoplasma pneumonia: a cross-sectional study in Shanghai, China.

Chen Ning N Shi Jianwei J Huang Jiaoling J Yu Wenya W Liu Rui R Gu Li L Yang Rong R Yu Zhaohu Z Liu Qian Q Yang Yan Y Cui Sainan S Wang Zhaoxin Z

BMC public health 20200406 1

<h4>Background</h4>Children are especially vulnerable to pneumonia and the effects of air pollution. However, little is known about the impacts of air pollutants on pediatric admissions for Mycoplasma pneumonia. This study was conducted to investigate the impacts of air pollutants on pediatric hospital admissions for Mycoplasma pneumonia in Shanghai, China.<h4>Methods</h4>A cross-sectional design was applied to explore the association between pediatric hospital admissions and levels of air pollu ...[more]

PMID: 32252726

Similar Datasets

Project description:BackgroundMyopia, strabismus, and ptosis are common pediatric eye diseases, which have a negative impact on children and adolescents in terms of visual function, mental health, and health-related quality of life (HRQoL). Therefore, this study focused on those pediatric eye diseases by analyzing their risk factors and HRQoL for the comprehensive management of myopia, strabismus, and ptosis.MethodsA total of 363 participants (2-18 years old) were included in this study for risk factors analysis of myopia, strabismus, and ptosis. We collected demographic characteristics, lifestyle habits and eye care habits of these children and analyzed them by using univariable and multivariable logistic regression. In addition, we applied the Chinese version of Pediatric Quality of Life Inventory-Version 4.0 (PedsQL 4.0) to assess HRQoL in 256 children with strabismus and ptosis. Univariable and multivariable linear regression models were applied to evaluate potential influencing factors of HRQoL.ResultsOf all the participants, 140 had myopia, 127 had strabismus, and 145 had ptosis. Based on the multivariable logistic regression analysis model, we found that the history of parental myopia and daily average near-distance eye usage time were risk factors for myopia, and increased body mass index (BMI) was identified as a risk factor for strabismus and ptosis. Individuals with ptosis possessed decreased HRQoL. The multivariable linear regression model suggested that daily average near-distance eye usage time, light intensity during visual tasks, and daily average sleep duration had potential influences on HRQoL.ConclusionThis is the first study to assess the risk factors and HRQoL of myopia, strabismus, and ptosis together. We identified risk factors for these common pediatric eye diseases to help doctors, parents, and teachers better manage them. Our study discovered that children with eye disorders exhibit a notably diminished HRQoL. Consequently, it emphasizes the necessity for increased social attention and mental health assistance for these children.

Project description:Recently released hourly particular matter (PM:PM2.5 and PM10) and gaseous pollutants (SO2, NO2, CO, and O3) data observed in Qingdao, Hangzhou, and Xiamen from 2015 to 2019 were utilized to reveal the current situation of air pollution over eastern coastal China. The PM pollution situation over the three metropolises ameliorated during studied period with the concentrations decreasing about 20-30%. Gas pollutants, excepting SO2, generally exhibit no evident reduction tendencies, and a more rigorous control standard on gaseous pollutants is neededEven for the year 2018 with low pollution levels among the study period, these levels (<10% of PM2.5, <6% of PM10, and <15% of O3) surpass the Grade II of the Chinese Ambient Air Quality Standard (CAAQS) over these metropolises of eastern coast China. No matter in which year, both SO2 and CO concentrations are always below the Grade-II standards. According to the comparative analysis of PM2.5/PM10 and PM2.5/CO during episode days and non-episode days, the formation of secondary aerosols associated with stagnant weather systems play an important role in the pollutant accumulation as haze episodes occurred. The stronger seasonal variations and higher magnitude occur in Qingdao and Hangzhou, while weaker seasonal variations and lower magnitudes occur in Xiamen. In Qingdao and Hangzhou, PM, NO2, SO2, and CO show relatively high levels in the cold wintertime and low levels in summer, whereas O3 shows a completely opposite pattern. Xiamen exhibits high levels of all air pollutants except O3 in spring due to its subtropical marine monsoon climate with mild winters. According to the back trajectory hierarchical clustering and concentration weighted trajectory (CWT) analysis, the regional transmission from adjacent cities has a significant impact on the atmospheric pollutant concentrations under the control of the prejudiced winds. Thus, besides local emission reduction, strengthening regional environmental cooperation and implementing joint prevention are effective measures to mitigate air pollution in the eastern coastal areas of China.

Project description:OBJECTIVES:This study aimed to assess patients' healthcare-seeking preferences in mild, chronic, and serious illness; identify influential factors; and examine the reasons underlying patients' healthcare-seeking preference. DESIGN:A retrospective study. SETTING:The study was conducted in 14 tertiary hospitals in Shanghai, China. PARTICIPANTS:Questionnaires were distributed to 1519 patients, and 1114 were completed and returned. All patients participated in the study voluntarily, provided written informed consent, and possessed the ability to complete the questionnaire. MAIN OUTCOME MEASURES:We measured and compared preferences and choice of healthcare providers in patients if they had experienced mild, chronic, or serious illness. RESULTS:More than 50% of participants, including those who were >60 years of age, had consulted a doctor more than three times during the preceding year, were single, and were most likely to decide not to seek medical treatment. Community health facilities were the most frequently selected healthcare provider in mild illness. In addition, patients who had no personal preference, did not express a preference for a good environment or first-class medical technology, were concerned about close proximity and short waiting times, and pursued low medical costs were most likely to choose a community health facility. General hospitals were the most frequently selected healthcare provider in chronic and serious illness. In addition, patients who earned higher monthly incomes, did not pursue low medical costs, were not concerned about short waiting times or close proximity, and expressed a preference for first-class medical technology, were most likely to choose general hospitals. CONCLUSION:Patients' healthcare-seeking preference was influenced mainly by healthcare providers' characteristics, illness severity, and sociodemographic characteristics. These findings indicate that patients' current healthcare-seeking preference was not ideal and requires optimisation.

Dataset Information

Impact of air pollutants on pediatric admissions for Mycoplasma pneumonia: a cross-sectional study in Shanghai, China.

Publications

Impact of air pollutants on pediatric admissions for Mycoplasma pneumonia: a cross-sectional study in Shanghai, China.

Similar Datasets

OmicsDI is part of the ELIXIR infrastructure

Tweets