The modification of air particulate matter on the relationship between temperature and childhood asthma hospitalization: An exploration based on different interaction strategies

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Jin, Xiaoyu
Xu, Zhiwei
Liang, Yunfeng
Sun, Xiaoni
Yan, Shuangshuang
Wu, Yudong
Li, Yuxuan
Mei, Lu
Cheng, Jian
Wang, Xu
Song, Jian
Pan, Rubing
Yi, Weizhuo
Yang, Zeyu
Su, Hong
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2022
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Abstract

The influence of temperature on childhood asthma was self-evident, yet the issue of whether the relationship will be synergized by air pollution remains unclear. The study aimed to investigate whether the relationship between short-term temperature exposure and childhood asthma hospitalization was modified by particulate matter (PM). Data on childhood asthma hospitalization, meteorological factors, and air pollutants during 2013–2016 in Hefei, China, were collected. First, a basic Poisson regression model combined with a distributed lag nonlinear model was used to assess the temperature-childhood asthma hospitalization relationship. Then, two interactive strategies were applied to explore the modification effect of PM on the temperature-childhood asthma hospitalization association. We found a greater effect of cold (5th percentile of temperature) on asthma during days with higher PM2.5 (RR: 2.16, 95% CI: 1.38, 3.38) or PM10 (RR: 1.87, 95% CI:1.20, 2.91) than that during days with lower PM2.5 (RR: 1.64, 95% CI: 1.06, 2.54) or PM10 (RR: 1.52, 95% CI: 0.98, 2.36). In addition, we observed a greater modification effect of PM2.5 on the cold-asthma association than did PM10, with a per 10 μg/m3 increase in PM2.5 and PM10 associated with increases of 0.065 and 0.025 for the RR corresponding to the 5th temperature percentile, respectively. For the temperature-related AF, moderate cold showed the largest change magnitude with the PM levels rising compared with other temperature ranges. For the subgroup, Females and those aged 6–18 years were more sensitive to the modification effect of PM2.5 or PM10 on the cold-asthma association. Our findings demonstrated that particulate matter could modify the associations between temperature and childhood asthma hospitalization.

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Environmental Research

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214

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Part 2

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Clinical sciences

Respiratory diseases

Science & Technology

Life Sciences & Biomedicine

Environmental Sciences

Public, Environmental & Occupational Health

Environmental Sciences & Ecology

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Jin, X; Xu, Z; Liang, Y; Sun, X; Yan, S; Wu, Y; Li, Y; Mei, L; Cheng, J; Wang, X; Song, J; Pan, R; Yi, W; Yang, Z; Su, H, The modification of air particulate matter on the relationship between temperature and childhood asthma hospitalization: An exploration based on different interaction strategies, Environmental Research, 2022, 214 (Part 2), pp. 113848

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