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Original Articles
Short-term Effects of Ambient Air Pollution on Emergency Department Visits for Asthma: An Assessment of Effect Modification by Prior Allergic Disease History
Juhwan Noh, Jungwoo Sohn, Jaelim Cho, Seong-Kyung Cho, Yoon Jung Choi, Changsoo Kim, Dong Chun Shin
J Prev Med Public Health. 2016;49(5):329-341.   Published online September 8, 2016
DOI: https://doi.org/10.3961/jpmph.16.038
  • 9,507 View
  • 241 Download
  • 29 Crossref
AbstractAbstract PDFSupplementary Material
Objectives
The goal of this study was to investigate the short-term effect of ambient air pollution on emergency department (ED) visits in Seoul for asthma according to patients’ prior history of allergic diseases.
Methods
Data on ED visits from 2005 to 2009 were obtained from the Health Insurance Review and Assessment Service. To evaluate the risk of ED visits for asthma related to ambient air pollutants (carbon monoxide [CO], nitrogen dioxide [NO2], ozone [O3], sulfur dioxide [SO2], and particulate matter with an aerodynamic diameter <10 μm [PM10]), a generalized additive model with a Poisson distribution was used; a single-lag model and a cumulative-effect model (average concentration over the previous 1-7 days) were also explored. The percent increase and 95% confidence interval (CI) were calculated for each interquartile range (IQR) increment in the concentration of each air pollutant. Subgroup analyses were done by age, gender, the presence of allergic disease, and season.
Results
A total of 33 751 asthma attack cases were observed during the study period. The strongest association was a 9.6% increase (95% CI, 6.9% to 12.3%) in the risk of ED visits for asthma per IQR increase in O3 concentration. IQR changes in NO2 and PM10 concentrations were also significantly associated with ED visits in the cumulative lag 7 model. Among patients with a prior history of allergic rhinitis or atopic dermatitis, the risk of ED visits for asthma per IQR increase in PM10 concentration was higher (3.9%; 95% CI, 1.2% to 6.7%) than in patients with no such history.
Conclusions
Ambient air pollutants were positively associated with ED visits for asthma, especially among subjects with a prior history of allergic rhinitis or atopic dermatitis.
Summary

Citations

Citations to this article as recorded by  
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    Su Hwan Kim, Seong Pyo Kim, Jae‐In Song, Zio Kim, Jin Youp Kim, Hyung‐Jin Yoon
    Allergy.2023; 78(11): 3007.     CrossRef
  • Defining the Relationship between Daily Exposure to Particulate Matter and Hospital Visits by Psoriasis Patients
    Eun Hye Lee, Daesick Ryu, Nam-Soo Hong, Jun Young Kim, Kyung Duck Park, Weon Ju Lee, Seok-Jong Lee, Sang-Hyun Kim, Younghae Do, Yong Hyun Jang
    Annals of Dermatology.2022; 34(1): 40.     CrossRef
  • Review of Ground-Level Ozone Impact in Respiratory Health Deterioration for the Past Two Decades
    Angelo Roldão Soares, Carla Silva
    Atmosphere.2022; 13(3): 434.     CrossRef
  • Role of ambient air pollution in asthma spread among various population groups of Lahore City: a case study
    Rabia Aslam, Faiza Sharif, Mujtaba Baqar, Abdul-Sattar Nizami, Uzma Ashraf
    Environmental Science and Pollution Research.2022; 30(4): 8682.     CrossRef
  • Associations between Daily Ambient Air Pollution and Pulmonary Function, Asthma Symptom Occurrence, and Quick-Relief Inhaler Use among Asthma Patients
    Monika Ścibor, Bartosz Balcerzak, Andrzej Galbarczyk, Grazyna Jasienska
    International Journal of Environmental Research and Public Health.2022; 19(8): 4852.     CrossRef
  • Spatial autocorrelation may bias the risk estimation: An application of eigenvector spatial filtering on the risk of air pollutant on asthma
    Yujin Park, Su Hwan Kim, Seong Pyo Kim, Jiwon Ryu, Jinyeong Yi, Jin Youp Kim, Hyung-Jin Yoon
    Science of The Total Environment.2022; 843: 157053.     CrossRef
  • Associations between ambient air pollution and medical care visits for atopic dermatitis
    Jin-Ok Baek, Jaelim Cho, Joo-Young Roh
    Environmental Research.2021; 195: 110153.     CrossRef
  • Effects of ambient air pollution on childhood asthma exacerbation in the Philadelphia metropolitan Region, 2011–2014
    Wanyu Huang, Leah H. Schinasi, Chén C. Kenyon, Kari Moore, Steven Melly, Rebecca A. Hubbard, Yuzhe Zhao, Ana V. Diez Roux, Christopher B. Forrest, Mitchell Maltenfort, Anneclaire J. De Roos
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    Se Jin Oh, Dokyoung Yoon, Ji-Hye Park, Jong Hee Lee
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  • Association with Ambient Air Pollutants and School Absence Due to Sickness in Schoolchildren: A Case-Crossover Study in a Provincial Town of Japan
    Masanari Watanabe, Hisashi Noma, Jun Kurai, Kazuhiro Kato, Hiroyuki Sano
    International Journal of Environmental Research and Public Health.2021; 18(12): 6631.     CrossRef
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    Phytomedicine.2021; 91: 153665.     CrossRef
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    H-B Kim, J-Y Shim, B Park, Y-J Lee
    Perspectives in Public Health.2020; 140(4): 222.     CrossRef
  • Predicting Asthma Attacks: Effects of Indoor PM Concentrations on Peak Expiratory Flow Rates of Asthmatic Children
    Dohyeong Kim, Sunghwan Cho, Lakshman Tamil, Dae Jin Song, Sungchul Seo
    IEEE Access.2020; 8: 8791.     CrossRef
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    Natalie A. Rosenquist, William J. Metcalf, So Young Ryu, Aida Rutledge, Max J. Coppes, Joe J. Grzymski, Matthew J. Strickland, Lyndsey A. Darrow
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    Alessandro Slama, Andrzej Śliwczyński, Jolanta Woźnica-Pyzikiewicz, Maciej Zdrolik, Bartłomiej Wiśnicki, Jakub Kubajek, Olga Turżańska-Wieczorek, Marcin Studnicki, Waldemar Wierzba, Edward Franek
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  • Association between air pollutants and outpatient and emergency hospital visits for childhood asthma in Shenyang city of China
    Qing Chang, Shu Liu, Zongjiao Chen, Biao Zu, Hehua Zhang
    International Journal of Biometeorology.2020; 64(9): 1539.     CrossRef
  • Effect of particulate matter exposure on patients with COPD and risk reduction through behavioural interventions: the protocol of a prospective panel study
    Shinhee Park, Seung Won Ra, Sung Yoon Kang, Hwan-Cheol Kim, Sei Won Lee
    BMJ Open.2020; 10(11): e039394.     CrossRef
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    Gary Adamkiewicz, Jahred Liddie, Jonathan M. Gaffin
    Clinics in Chest Medicine.2020; 41(4): 809.     CrossRef
  • ATMOSPHERIC POLLUTANTS AND PREVALENCE OF ASTHMA AMONG CHILDREN: A REVIEW
    N. M. Agarkov, A. V. Poshibailova, V. A. Ivanov
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  • The Effects of Air Pollutants on the Prevalence of Common Ear, Nose, and Throat Diseases in South Korea: A National Population-Based Study
    Mina Park, Ji Sung Lee, Moo Kyun Park
    Clinical and Experimental Otorhinolaryngology.2019; 12(3): 294.     CrossRef
  • Air Pollutants and Frailty in Older Adults: A Geriatrician’s Perspective
    Heayon Lee, Eunju Lee, Il-Young Jang
    Annals of Geriatric Medicine and Research.2019; 23(4): 212.     CrossRef
  • Assessing the impact of air pollution on childhood asthma morbidity: how, when, and what to do
    Allison J. Burbank, David B. Peden
    Current Opinion in Allergy & Clinical Immunology.2018; 18(2): 124.     CrossRef
  • The relationship between fine particulate matter (PM2.5) and schizophrenia severity
    Rika Eguchi, Daisuke Onozuka, Kouji Ikeda, Kenji Kuroda, Ichiro Ieiri, Akihito Hagihara
    International Archives of Occupational and Environmental Health.2018; 91(5): 613.     CrossRef
  • Metal(loid) bioaccessibility and inhalation risk assessment: A comparison between an urban and an industrial area
    A. Hernández-Pellón, W. Nischkauer, A. Limbeck, I. Fernández-Olmo
    Environmental Research.2018; 165: 140.     CrossRef
  • Air pollution influences the incidence of otitis media in children: A national population-based study
    Mina Park, Jiyeon Han, Myoung-jin Jang, Myung-Whan Suh, Jun Ho Lee, Seung Ha Oh, Moo Kyun Park, Alexander Larcombe
    PLOS ONE.2018; 13(6): e0199296.     CrossRef
  • Impact of Air Pollutants on Outpatient Visits for Acute Respiratory Outcomes
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    International Journal of Environmental Research and Public Health.2017; 14(1): 47.     CrossRef
  • Relationship between emergency care utilization, ambient temperature, and the pollution standard index in Taiwan
    Ching-hui Tseng, Li-Chin Lu, Shao-Hwan Lan, Yen-Ping Hsieh, Shou-Jen Lan
    International Journal of Environmental Health Research.2017; 27(5): 344.     CrossRef
  • Systematic Review and Meta-Analysis of Human Skin Diseases Due to Particulate Matter
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    International Journal of Environmental Research and Public Health.2017; 14(12): 1458.     CrossRef
Medical Care Expenditure in Suicides From Non-illness-related Causes
Jungwoo Sohn, Jaelim Cho, Ki Tae Moon, Mina Suh, Kyoung Hwa Ha, Changsoo Kim, Dong Chun Shin, Sang Hyuk Jung
J Prev Med Public Health. 2014;47(6):327-335.   Published online November 4, 2014
DOI: https://doi.org/10.3961/jpmph.14.038
  • 9,126 View
  • 91 Download
  • 2 Crossref
AbstractAbstract PDF
Objectives
Several epidemiological studies on medical care utilization prior to suicide have considered the motivation of suicide, but focused on the influence of physical illnesses. Medical care expenditure in suicide completers with non-illness-related causes has not been investigated.
Methods
Suicides motivated by non-illness-related factors were identified using the investigator’s note from the National Police Agency, which was then linked to the Health Insurance Review and Assessment data. We investigated the medical care expenditures of cases one year prior to committing suicide and conducted a case-control study using conditional logistic regression analysis after adjusting for age, gender, area of residence, and socioeconomic status.
Results
Among the 4515 suicides motivated by non-illness-related causes, medical care expenditures increased in only the last 3 months prior to suicide in the adolescent group. In the younger group, the proportion of total medical expenditure for external injuries was higher than that in the older groups. Conditional logistic regression analysis showed significant associations with being a suicide completer and having a rural residence, low socioeconomic status, and high medical care expenditure. After stratification into the four age groups, a significant positive association with medical care expenditures and being a suicide completer was found in the adolescent and young adult groups, but no significant results were found in the elderly groups for both men and women.
Conclusions
Younger adults who committed suicide motivated by non-illness-related causes had a higher proportion of external injuries and more medical care expenditures than their controls did. This reinforces the notion that suicide prevention strategies for young people with suicidal risk factors are needed.
Summary

Citations

Citations to this article as recorded by  
  • Socioeconomic factors associated with suicidal behaviors in South Korea: systematic review on the current state of evidence
    Nicolas Raschke, Amir Mohsenpour, Leona Aschentrup, Florian Fischer, Kamil J. Wrona
    BMC Public Health.2022;[Epub]     CrossRef
  • Impact of intergenerational support and medical expenditures on depression: Evidence from rural older adults in China
    Congrong Li, Qing Han, Jinrong Hu, Zeyu Han, Hongjuan Yang
    Frontiers in Public Health.2022;[Epub]     CrossRef
Medical Care Utilization During 1 Year Prior to Death in Suicides Motivated by Physical Illnesses
Jaelim Cho, Won Joon Lee, Ki Tae Moon, Mina Suh, Jungwoo Sohn, Kyoung Hwa Ha, Changsoo Kim, Dong Chun Shin, Sang Hyuk Jung
J Prev Med Public Health. 2013;46(3):147-154.   Published online May 31, 2013
DOI: https://doi.org/10.3961/jpmph.2013.46.3.147
  • 9,170 View
  • 95 Download
  • 19 Crossref
AbstractAbstract PDF
Objectives

Many epidemiological studies have suggested that a variety of medical illnesses are associated with suicide. Investigating the time-varying pattern of medical care utilization prior to death in suicides motivated by physical illnesses would be helpful for developing suicide prevention programs for patients with physical illnesses.

Methods

Suicides motivated by physical illnesses were identified by the investigator's note from the National Police Agency, which was linked to the data from the Health Insurance Review and Assessment. We investigated the time-varying patterns of medical care utilization during 1 year prior to suicide using repeated-measures data analysis after adjustment for age, gender, area of residence, and socioeconomic status.

Results

Among 1994 suicides for physical illness, 1893 (94.9%) suicides contacted any medical care services and 445 (22.3%) suicides contacted mental health care during 1 year prior to suicide. The number of medical care visits and individual medical expenditures increased as the date of suicide approached (p<0.001). The number of medical care visits for psychiatric disorders prior to suicide significantly increased only in 40- to 64-year-old men (p=0.002), women <40 years old (p=0.011) and women 40 to 64 years old (p=0.021) after adjustment for residence, socioeconomic status, and morbidity.

Conclusions

Most of the suicides motivated by physical illnesses contacted medical care during 1 year prior to suicide, but many of them did not undergo psychiatric evaluation. This underscores the need for programs to provide psychosocial support to patients with physical illnesses.

Summary

Citations

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JPMPH : Journal of Preventive Medicine and Public Health