Association between short-term ozone exposure and allergic conjunctivitis in China: a multi-city case-crossover study

期限(时间) 中国 臭氧 过敏性结膜炎 环境卫生 交叉研究 渡线 医学 环境科学 过敏 气象学 地理 免疫学 物理 病理 人工智能 考古 量子力学 替代医学 计算机科学 安慰剂
作者
Yunping Qiu,Jin Zhou,Yi‐Ching Liao,Wen-Hui Liu,Zuqiong Song,Zhen Wang,Wei Shan,Hui Guo,Dehui Zheng,Lihong Yang,Zengliang Ruan
出处
期刊:Environmental Pollution [Elsevier BV]
卷期号:358: 124506-124506
标识
DOI:10.1016/j.envpol.2024.124506
摘要

Short-term exposure to ozone has been linked to multiple allergic diseases, but the relationship between ozone exposure and allergic conjunctivitis (AC) remains unclear. This study aimed to investigate the association between short-term exposure to ozone and the risk of AC. We conducted a time-stratified case-crossover study across five Chinese cities from 2014 to 2022. Daily outpatient visit records for AC were identified in five hospitals using either the diagnosis name or ICD-10 code H10.1. Data on air pollution and meteorological conditions were also collected. We first examined the city-specific association between short-term ozone exposure and AC using conditional logistic regression. A random-effects meta-analysis was then conducted to obtain overall estimates. During the study period, 130,093 outpatient visits for AC occurred, with 58.8% (76,482) being male and 41.2% (53,611) female. A one-standard-deviation (SD) increase in ozone was associated with an 8.3% increase (95% CI: 3.8%, 13.0%) in AC outpatient visits. Similar positive associations were observed when adjusting for other pollutants (PM2.5, CO, SO2 and NO2) in two-pollutant and multi-pollutant models. Furthermore, the positive association remained consistent when using mixed-effects regression models or further adjusting for wind speed. In addition, no effect modification of the AC-ozone association by sex, age and season was apparent. This study provides evidence supporting a positive association between short-term ozone exposure and AC risk in China. This highlights the potential value of mitigating ozone pollution to reduce the risk of ocular surface disorders.

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