Table 3.
Associations of same day (lag 0) district-level PM2.5 and ER visits for respiratory and circulatory diseases. Effect estimates presented as rate ratios (RR) and 95% confidence intervals (CI) per interquartile range (IQR) increase in PM2.5.*
| Disease | Age Group | n | RR | LCL | UCL | p-value |
|---|---|---|---|---|---|---|
| Respiratory | all | 595,174 | 1.04 | 1.03 | 1.05 | <0.0001 |
| <18 | 261,750 | 1.03 | 1.02 | 1.04 | <0.0001 | |
| 18–64 | 109,666 | 1.09 | 1.06 | 1.11 | <0.0001 | |
| 65+ | 35,620 | 1.02 | 0.98 | 1.06 | 0.3440 | |
| Infectious Respiratory | All | 376,333 | 1.05 | 1.04 | 1.06 | <0.0001 |
| <18 | 304,075 | 1.04 | 1.03 | 1.05 | <0.0001 | |
| 18–64 | 57,055 | 1.10 | 1.07 | 1.13 | <0.0001 | |
| 65+ | 15,203 | 1.03 | 0.98 | 1.09 | 0.1832 | |
| Non-infectious respiratory | All | 218,841 | 1.03 | 1.02 | 1.05 | <0.0001 |
| <18 | 146,413 | 1.03 | 1.01 | 1.04 | 0.002 | |
| 18–64 | 52,011 | 1.08 | 1.05 | 1.11 | <0.0001 | |
| 65+ | 20,417 | 1.01 | 0.96 | 1.06 | 0.591 | |
| Stroke | All | 10,239 | 1.10 | 1.03 | 1.17 | 0.0034 |
| <18 | 195 | Did not converge | ||||
| 18–64 | 4,262 | 1.11 | 1.01 | 1.02 | 0.03 | |
| 65+ | 5,872 | 1.10 | 1.01 | 1.20 | 0.02 | |
| Ischemic heart disease | all | 5,134 | 1.02 | 0.96 | 1.15 | 0.27 |
| <18 | 83 | Did not converge | ||||
| 18–64 | 3,059 | 1.11 | 0.99 | 1.25 | 0.07 | |
| 65+ | 1,992 | 0.96 | 0.82 | 1.12 | 0.59 | |
IQR for district level PM2.5 was 6.1 μg/m3. Respiratory diseases (RD) J00 – J45, infectious respiratory disease (codes J00–J06, J09 – J22), non-infectious respiratory disease (codes J30–J45). Ischemic heart disease (I20 – I25), and stroke (G45, I63 – I67). Models adjusted for district, temperature, relative humidity (RH), day of week (DOW) and hospitals.