Spatio-temporal associations of air pollutant concentrations, GP respiratory consultations and respiratory inhaler prescriptions: a 5-year study of primary care in the borough of Lambeth, South London.


Journal

Environmental health : a global access science source
ISSN: 1476-069X
Titre abrégé: Environ Health
Pays: England
ID NLM: 101147645

Informations de publication

Date de publication:
07 05 2021
Historique:
received: 12 11 2020
accepted: 14 04 2021
entrez: 8 5 2021
pubmed: 9 5 2021
medline: 19 8 2021
Statut: epublish

Résumé

Although the associations of outdoor air pollution exposure with mortality and hospital admissions are well established, few previous studies have reported on primary care clinical and prescribing data. We assessed the associations of short and long-term pollutant exposures with General Practitioner respiratory consultations and inhaler prescriptions. Daily primary care data, for 2009-2013, were obtained from Lambeth DataNet (LDN), an anonymised dataset containing coded data from all patients (1.2 million) registered at general practices in Lambeth, an inner-city south London borough. Counts of respiratory consultations and inhaler prescriptions by day and Lower Super Output Area (LSOA) of residence were constructed. We developed models for predicting daily PM The mean concentrations of NO We found increases in the daily number of GP respiratory consultations and inhaler prescriptions following short-term increases in exposure to NO

Sections du résumé

BACKGROUND
Although the associations of outdoor air pollution exposure with mortality and hospital admissions are well established, few previous studies have reported on primary care clinical and prescribing data. We assessed the associations of short and long-term pollutant exposures with General Practitioner respiratory consultations and inhaler prescriptions.
METHODS
Daily primary care data, for 2009-2013, were obtained from Lambeth DataNet (LDN), an anonymised dataset containing coded data from all patients (1.2 million) registered at general practices in Lambeth, an inner-city south London borough. Counts of respiratory consultations and inhaler prescriptions by day and Lower Super Output Area (LSOA) of residence were constructed. We developed models for predicting daily PM
RESULTS
The mean concentrations of NO
CONCLUSIONS
We found increases in the daily number of GP respiratory consultations and inhaler prescriptions following short-term increases in exposure to NO

Identifiants

pubmed: 33962646
doi: 10.1186/s12940-021-00730-1
pii: 10.1186/s12940-021-00730-1
pmc: PMC8105918
doi:

Substances chimiques

Air Pollutants 0
Particulate Matter 0
Ozone 66H7ZZK23N
Nitrogen Dioxide S7G510RUBH

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

54

Subventions

Organisme : Medical Research Council
ID : MR/N014464/1
Pays : United Kingdom
Organisme : Medical Research Council
ID : MR/S019669/1
Pays : United Kingdom

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Auteurs

Mark Ashworth (M)

School of Population Health and Environmental Sciences, King's College London, Guy's Campus, Addison House, London, SE1 1UL, UK. mark.ashworth@kcl.ac.uk.

Antonis Analitis (A)

Medical School, National and Kapodistrian University of Athens, Athens, Greece.

David Whitney (D)

School of Population Health and Environmental Sciences, King's College London, Guy's Campus, Addison House, London, SE1 1UL, UK.

Evangelia Samoli (E)

Medical School, National and Kapodistrian University of Athens, Athens, Greece.

Sofia Zafeiratou (S)

Medical School, National and Kapodistrian University of Athens, Athens, Greece.

Richard Atkinson (R)

Population Health Research Institute, St George's, University of London, Cranmer Terrace, London, SW170RE, UK.

Konstantina Dimakopoulou (K)

Medical School, National and Kapodistrian University of Athens, Athens, Greece.

Sean Beavers (S)

School of Population Health and Environmental Sciences, King's College London, Guy's Campus, Addison House, London, SE1 1UL, UK.
Environmental Research Group, MRC Centre for Environment and Health, Imperial College, London, UK.

Joel Schwartz (J)

Departments of Environmental Health and Epidemiology, Harvard TH Chan School of Public Health, 665 Huntington Avenue, Building 1, Room 1301, Boston, MA, 02115, USA.

Klea Katsouyanni (K)

Medical School, National and Kapodistrian University of Athens, Athens, Greece.
Environmental Research Group, MRC Centre for Environment and Health, Imperial College, London, UK.

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Classifications MeSH