Chronic Exposure to Ambient Ozone and Asthma Hospital Admissions among Children
2008

Chronic Exposure to Ozone and Asthma in Children

Sample size: 1204396 publication 10 minutes Evidence: high

Author Information

Author(s): Lin Shao, Liu Xiu, Le Linh H., Hwang Syni-An

Primary Institution: Center for Environmental Health, New York State Department of Health

Hypothesis

Does chronic exposure to high ozone levels increase asthma hospital admissions among children?

Conclusion

Chronic exposure to ambient ozone may increase the risk of asthma admissions among children, particularly affecting younger children and those in low socioeconomic groups.

Supporting Evidence

  • Asthma admissions were significantly associated with increased ozone levels for all chronic exposure indicators.
  • The risk of hospital admissions increased 22% with a 1-ppb increase in mean ozone concentration during the ozone season.
  • Children living in New York City were 4.21 times more likely to be admitted to a hospital than those in other regions.
  • Children from low socioeconomic backgrounds had a higher risk of asthma admissions at the same ozone level.

Takeaway

Being around a lot of ozone can make kids more likely to go to the hospital for asthma. Younger kids and those from poorer families are at even greater risk.

Methodology

The study followed a birth cohort from 1995 to 1999 in New York State, linking asthma admissions data with ambient ozone levels and adjusting for various confounding factors using logistic regression.

Potential Biases

Potential misclassification bias due to reliance on hospital admission data and self-reported maternal smoking status.

Limitations

The study only captures severe asthma cases through hospital admissions and lacks personal activity data for accurate exposure assessment.

Participant Demographics

Children aged 1 to 6 years, with a focus on those from low socioeconomic backgrounds and various racial/ethnic groups.

Statistical Information

P-Value

1.16–1.68

Confidence Interval

95% CI, 1.64–1.73

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1289/ehp.11184

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