The interactive effects between air pollution and meteorological factors on the hospital outpatient visits for atopic dermatitis in Beijing, China: a time‐series analysis

Guo, Qingfeng; Xiong, Xiuqin; Liang, Fengchao; Tian, Lin; Liu, W.; Wang, Z.; Pan, Xiaochuan

doi:10.1111/jdv.15820

Cited by 35 publications

(47 citation statements)

References 44 publications

(94 reference statements)

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“…In contrast, Li et al (2016) found that estimates of NO 2 associated with outpatient visits of eczema were much higher in the warm season (Li et al 2016). Guo et al (2019) observed that when the temperature was high, NO 2 showed a strong positive association with outpatient visits for atopic dermatitis (Guo et al 2019). For different specific skin diseases, exposure levels and time, along with individual confounders (such as age, gender, smoking, socioeconomic status, and habits), may partially explain the inconsistency.…”

Section: Discussionmentioning

confidence: 97%

Short-term effect of NO2 on outpatient visits for dermatologic diseases in Xinxiang, China: a time-series study

Chao

et al. 2021

Environ Geochem Health

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Objectives As the largest organ of the human body, the skin is the major exposure route of NO 2. However, the evidence for a relationship between NO 2 exposure and dermatologic diseases (DMs) is limited. This time-series study was conducted to assess the shortterm effect of nitrogen dioxide (NO 2) exposure on DMs outpatient visits in Xinxiang, China. Methods Daily recordings of NO 2 concentrations, meteorological data, and the outpatient visits data for DMs were collected in Xinxiang from January 1st, 2015, to December 31st, 2018. The analysis method used was based on the generalized additive model (GAM) with quasi-Poisson regression to investigate the relationship between NO 2 exposure and DMs outpatient visits. Several covariates, such as long-term trends, seasonality, and weather conditions were controlled. Results A total of 164,270 DMs outpatients were recorded. A 10 lg/m 3 increase in NO 2 concentrations during the period was associated with a 1.86% increase in DMs outpatient visits (95% confidence intervals [Cl]: 1.06-2.66%). The effect was stronger (around 6 times) in the cool seasons than in warmer seasons and younger patients (\ 15 years of age) appeared to be more vulnerable. Conclusions The findings of this study indicate that short-term exposure to NO 2 increases the risk of DMs in Xinxiang, China, especially in the cool seasons. Policymakers should implement more stringent air quality standards to improve air quality.

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Section: Discussionmentioning

confidence: 97%

Short-term effect of NO2 on outpatient visits for dermatologic diseases in Xinxiang, China: a time-series study

Chao

et al. 2021

Environ Geochem Health

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“…However, with an odds ratio of 1.05 and the small quantity of observational, cohort studies, and individual studies, the statistical power of this meta-analysis is limited. Several new studies have been published that were not included in this meta-analysis [54][55][56][57][58][59][60]. More recently, Krämer and co-workers have reviewed this evidence by combining data from 57 environmental epidemiological studies in a systematic review [61].…”

Section: Epidemiologymentioning

confidence: 99%

Impact of airborne particulate matter on skin: a systematic review from epidemiology to in vitro studies

Dijkhoff¹,

Drašler²,

Karakoçak³

et al. 2020

Part Fibre Toxicol

115

116

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Background: Air pollution is killing close to 5 million people a year, and harming billions more. Air pollution levels remain extremely high in many parts of the world, and air pollution-associated premature deaths have been reported for urbanized areas, particularly linked to the presence of airborne nano-sized and ultrafine particles. Main text: To date, most of the research studies did focus on the adverse effects of air pollution on the human cardiovascular and respiratory systems. Although the skin is in direct contact with air pollutants, their damaging effects on the skin are still under investigation. Epidemiological data suggested a correlation between exposure to air pollutants and aggravation of symptoms of chronic immunological skin diseases. In this study, a systematic literature review was conducted to understand the current knowledge on the effects of airborne particulate matter on human skin. It aims at providing a deeper understanding of the interactions between air pollutants and skin to further assess their potential risks for human health. Conclusion: Particulate matter was shown to induce a skin barrier dysfunction and provoke the formation of reactive oxygen species through direct and indirect mechanisms, leading to oxidative stress and induced activation of the inflammatory cascade in human skin. Moreover, a positive correlation was reported between extrinsic aging and atopic eczema relative risk with increasing particulate matter exposure.

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“…It has been reported that air pollutants might increase the risk of COVID-19 (Coccia 2020, Martelletti and Martelletti, 2020, Zhao et al 2014. To the best of our knowledge, interactive effects of air pollutants and meteorological factors have not previously been identified as affecting COVID-19 cases but they have been identified in the noninfectious diseases (Guo et al 2019, Huang et al 2017, McCormack et al 2016 and cause-specific diseases (Chen et al 2019). We also notice a report about the significant interaction effect between PM 10 and the mean temperature on influenza (Xu et al 2013b).…”

Section: Discussionmentioning

confidence: 68%

The interactive effects of ambient air pollutants-meteorological factors on confirmed cases of COVID-19 in 120 Chinese cities

Zhou

Qin

Meng

et al. 2021

Environ Sci Pollut Res

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Emerging evidence has confirmed meteorological factors and air pollutants affect novel coronavirus disease 2019 (COVID-19). However, no studies to date have considered the impact of interactions between meteorological factors and air pollutants on COVID-19 transmission. This study explores the association between ambient air pollutants (PM 2.5 , NO 2 , SO 2 , CO, and O 3), meteorological factors (average temperature, diurnal temperature range, relative humidity, wind velocity, air pressure, precipitation, and hours of sunshine), and their interaction on confirmed case counts of COVID-19 in 120 Chinese cities. We modeled total confirmed cases of COVID-19 as the dependent variable with meteorological factors, air pollutants, and their interactions as the independent variables. To account for potential migration effects, we included the migration scale index (MSI) from Wuhan to each of the 120 cities included in the model, using data from 15 Jan. to 18 Mar. 2020. As an important confounding factor, MSI was considered in a negative binomial regression analysis. Positive associations were found between the number of confirmed cases of COVID-19 and CO, PM 2.5 , relative humidity, and O 3 , with and without MSI-adjustment. Negative associations were also found for SO 2 and wind velocity both with and without controlling for population migration. In addition, air pollutants and meteorological factors had interactive effects on COVID-19 after controlling for MSI. In conclusion, air pollutants, meteorological factors, and their interactions all affect COVID-19 cases. Keywords Air pollutants. COVID-19. Interactive effect. Meteorological parameters. Migration scale index. Negative binomial regression Highlights • A comprehensive study is to explore the effects of both air pollutants and meteorological factors and their interaction effects on COVID-19 confirmed cases with and without controlling population migration. • COVID-19 confirmed cases and CO, PM 2.5 , and relative humidity are positively associated. • SO 2 is negatively correlated with COVID-19 confirmed cases. • The pollutants-meteorological factors interaction effects also associated with COVID-19.

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The interactive effects between air pollution and meteorological factors on the hospital outpatient visits for atopic dermatitis in Beijing, China: a time‐series analysis

Cited by 35 publications

References 44 publications

Short-term effect of NO2 on outpatient visits for dermatologic diseases in Xinxiang, China: a time-series study

Short-term effect of NO2 on outpatient visits for dermatologic diseases in Xinxiang, China: a time-series study

Impact of airborne particulate matter on skin: a systematic review from epidemiology to in vitro studies

The interactive effects of ambient air pollutants-meteorological factors on confirmed cases of COVID-19 in 120 Chinese cities

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