ArticleRevista de saude publica2017
Air pollution and hospitalizations in the largest Brazilian metropolis.
Article in Revista de saude publica, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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12 citing papers in PubMed, 35 citations in OpenAlex.
- Mortality and morbidity caused by pneumonia in children and adolescents are associated with socioeconomic and urban conditions in São Paulo, Brazil.Revista paulista de pediatria : orgao oficial da Sociedade de Pediatria de Sao Paulo · 2026Article
- COST AND POLLUTANTS EMISSION REDUCTION WITH A TELEMEDICINE PROGRAM FOR HIP SURGERY IN BRAZIL.Acta ortopedica brasileira · 2025Article
- Hospitalisations and fatality due to respiratory diseases according to a national database in Brazil: a longitudinal study.BMJ open respiratory research · 2024Article
- The association between air pollution parameters and emergency department visits and hospitalizations due to cardiovascular and respiratory diseases: a time-series analysis.International archives of occupational and environmental health · 2022Article
- Assessing the association between air pollution and child development in São Paulo, Brazil.PloS one · 2022Article
- COVID-19: Has social isolation reduced the emission of pollutants in the megacity of São Paulo-Brazil?Environment, development and sustainability · 2021Article
- Article
- Avoiding hospital admissions for respiratory system diseases by complying to the final Brazilian air quality standard: an estimate for Brazilian southeast capitals.Environmental science and pollution research international · 2020Article
- Monthly-Term Associations Between Air Pollutants and Respiratory Morbidity in South Brazil 2013-2016: A Multi-City, Time-Series Analysis.International journal of environmental research and public health · 2019Article
- The Short-Term Effects of Ambient Air Pollutants on Childhood Asthma Hospitalization in Taiwan: A National Study.International journal of environmental research and public health · 2019Article
- Acute effects of ambient air pollution on outpatient children with respiratory diseases in Shijiazhuang, China.BMC pulmonary medicine · 2018Article
- Environmental air pollution: respiratory effects.Jornal brasileiro de pneumologia : publicacao oficial da Sociedade Brasileira de Pneumologia e TisilogiaReview
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Authors and funding
5 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo evaluate the impact of air pollution on hospitalizations for respiratory and cardiovascular diseases in the largest Brazilian metropolis.
methodsThis study was carried out at the Metropolitan Region of São Paulo, Brazil. Environmental data were obtained from the network of monitoring stations of nine municipalities. Air pollution exposure was measured by daily means of PM10 (particles with a nominal mean aerodynamic diameter ≤ 10 μm) per municipality, while daily counts of hospitalizations for respiratory and cardiovascular diseases within the Brazilian Unified Health System were the outcome. For each municipality a time series analysis was carried out in which a semiparametric Poisson regression model was the framework to explain the daily fluctuations on counts of hospitalizations over time. The results were combined in a meta-analysis to estimate the overall risk of PM10 in hospitalizations for respiratory and cardiovascular diseases at the Metropolitan Region of São Paulo.
resultsRegarding hospitalizations for respiratory diseases, the effect estimates were statistically significant (p < 0.05) for all municipalities, except Santo André and Taboão da Serra. The RR (Relative Risk) of this outcome for an increase of 10 µg/m3 in the levels of PM10 ranged from 1.011 (95%CI 1.009-1.013) for São Paulo to 1.032 (95%CI 1.024-1.040) in São Bernardo do Campo. The RR of hospitalization for respiratory diseases in children for an increase of 10 µg/m3 of PM10 ranged from 1.009 (95%CI 1.001-1.017) in Santo André to 1.077 (95%CI 1.056-1.098) in Mauá. Only São Paulo and São Bernardo do Campo presented positive and statistically significant results for hospitalizations for cardiovascular diseases.
conclusionsThis is the first study to estimate the risk of illness from air pollution in the set of municipalities of the Metropolitan Region of São Paulo, Brazil. Global estimates of the effect of exposure to pollution in the region indicated associations only with respiratory diseases. Only São Paulo and São Bernardo do Campo showed an association between the levels of PM10 and hospitalizations for cardiovascular diseases.
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