Hourly differences in air pollution on the risk of asthma exacerbation
2015
Kim, Jayeun | Kim, Ho | Kweon, Jung
We investigated the association between hourly differences in air pollution and asthma exacerbation in Korea using asthma-related emergency department data and verified seasonality and demographic modifiers with an hourly temporal resolution. We applied time-stratified case-crossover adjusted for weather and influenza; the lag was stratified as 1–6, 7–12, 13–18, 19–24, 25–48, and49–72 h. Odds ratios (95% confidence interval) per interquartile range increase were 1.05 (1.00–1.11) after 1–6 h for PM10–2.5 and 1.10 (1.04–1.16) after 19–24 h for O3. Effect size was 1.14 (1.06–1.22) at a 1–6 h lag in spring for PM10–2.5, and 1.25 (1.03–1.51) at a 25–48 h lag in winter for O3. O3 effects were age- and low socio-economic status-modified at a 7–12 h lag [1.25 (1.04–1.51)]. Increased PM10–2.5 and O3 increased the risk of asthma exacerbation; the effect of PM10–2.5 was most immediate.
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