DOI: 10.1016/j.atmosenv.2015.08.027
Scopus记录号: 2-s2.0-84940507594
论文题名: Is there a Hispanic Health Paradox in sensitivity to air pollution? Hospital admissions for asthma, chronic obstructive pulmonary disease and congestive heart failure associated with NO2 and PM2.5 in El Paso, TX, 2005-2010
作者: Grineski S ; E ; , Herrera J ; M ; , Bulathsinhala P ; , Staniswalis J ; G
刊名: Atmospheric Environment
ISSN: 0168-2563
EISSN: 1573-515X
出版年: 2015
卷: 119 起始页码: 314
结束页码: 321
语种: 英语
英文关键词: Air pollution
; Case-crossover
; Effect modification
; Hispanic Health Paradox
Scopus关键词: Air pollution
; Cardiology
; Diseases
; Health
; Health insurance
; Hospitals
; Pollution
; Wind
; Apparent temperature
; Case crossovers
; Case-crossover designs
; Chronic obstructive pulmonary disease
; Conditional logistic regressions
; Congestive heart failures
; Effect modifications
; Hispanics
; Pulmonary diseases
; nitrogen dioxide
; asthma
; atmospheric pollution
; cardiovascular disease
; ethnicity
; health risk
; morbidity
; nitrogen dioxide
; particulate matter
; pollution monitoring
; public health
; spatiotemporal analysis
; adolescent
; adult
; aged
; air pollution
; Article
; asthma
; Caucasian
; child
; chronic obstructive lung disease
; congestive heart failure
; environmental temperature
; female
; groups by age
; health insurance
; Hispanic
; hospital admission
; hospitalization
; human
; major clinical study
; male
; medicaid
; medically uninsured
; medicare
; particle size
; particulate matter
; pollution monitoring
; priority journal
; private health insurance
; race difference
; risk assessment
; United States
; velocity
; wind
; El Paso
; Texas
; United States
Scopus学科分类: Environmental Science: Water Science and Technology
; Earth and Planetary Sciences: Earth-Surface Processes
; Environmental Science: Environmental Chemistry
英文摘要: Study objective: Linkages between pollution and morbidity have been observed in numerous studies. But race/ethnicity has been underemphasized as a modifier of that association, and few studies have tested for a Hispanic Health Paradox in sensitivity to air pollution. Methods: Daily asthma, chronic obstructive pulmonary disease (COPD) and congestive heart failure (CHF) hospital admissions in El Paso, Texas were studied in age groups and insurance groups. Daily PM2.5 and NO2 were calculated from pollution monitors and all models adjusted for apparent temperature and wind speed. Conditional logistic regression for the case-crossover design was used for a between-group comparison and for a within-group comparison for Hispanics. Results: Hispanics were at lower risk than non-Hispanic whites and non-Hispanics of other races for NO2-associated admissions, but at greater risk for PM2.5-associated admissions. While Hispanics were generally protected with regards to NO2, Hispanic children (vs. Elderly) faced increased risk for asthma and uninsured Hispanics (vs. Private) faced increased risk for COPD admissions. While Hispanics were at increased risk of PM2.5-associated admissions, certain characteristics heightened their risks: being a Hispanic child (vs. Elderly) for asthma; being a Hispanic with Medicare (vs. Private) for asthma; and being a Hispanic with private insurance (vs. all other insurance types) for CHF. The main effect of pollution on admissions was more significant for asthma and CHF than for COPD, which had the fewest cases. Conclusions: There was heterogeneity in sensitivity to air pollution based on social characteristics and moderate evidence for a Hispanic Health Paradox in sensitivity to NO2. © 2015 Elsevier Ltd.
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资源类型: 期刊论文
标识符: http://119.78.100.158/handle/2HF3EXSE/81564
Appears in Collections: 气候变化事实与影响
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作者单位: Department of Sociology and Anthropology, University of Texas at El Paso, 500 West University Avenue, El Paso, TX, United States; Center for Institutional Evaluation, Research and Planning, University of Texas at El Paso, El Paso, TX, United States; Department of Statistical Science, Southern Methodist University, Dallas, TX, United States; Department of Mathematical Sciences, University of Texas at El Paso, El Paso, TX, United States
Recommended Citation:
Grineski S,E,, Herrera J,et al. Is there a Hispanic Health Paradox in sensitivity to air pollution? Hospital admissions for asthma, chronic obstructive pulmonary disease and congestive heart failure associated with NO2 and PM2.5 in El Paso, TX, 2005-2010[J]. Atmospheric Environment,2015-01-01,119