ArticleEnvironment international2023
Pollen and asthma morbidity in Atlanta: A 26-year time-series study.
Article in Environment international, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
17 citing papers in PubMed, 20 citations in OpenAlex.
- Global Asthma Disparities: Deciphering the Multifaceted Environmental Exposome Between Eastern and Western Populations.Clinical reviews in allergy & immunology · 2026Review
- Efficacy and safety of the tree sublingual immunotherapy tablet in the subpopulation of Canadian children with allergic rhinitis and/or conjunctivitis: phase III trial results.Allergy, asthma, and clinical immunology : official journal of the Canadian Society of Allergy and Clinical Immunology · 2026Article
- The 2026 Men's FIFA Football World Cup: Evidence-Based Guidelines to Protect Player Health and Performance from Environmental Challenges.Sports medicine (Auckland, N.Z.) · 2026Review
- One Step Further: Integrating Evidence-Based Guidelines into Practice to Address Environmental Challenges at the Men's 2026 FIFA World Cup.Sports medicine (Auckland, N.Z.) · 2026Review
- Epidemiological Analysis of Hospitalized Children with Acute Asthma Exacerbation over 30 Years.Advances in respiratory medicine · 2026Article
- Estimating Daily Taxon-specific Tree Pollen at a 1-km Resolution in Atlanta, GA from 2020 to 2024.bioRxiv : the preprint server for biology · 2026Article
- Pollen-derived extracellular vesicles promotes allergic airway inflammation.Frontiers in immunology · 2026Article
- Five years of national airborne pollen monitoring in South Africa: biome-specific calendars to inform allergy diagnosis and prevention.Aerobiologia · 2026Article
- Political ideology and scientific communication shape human perceptions of pollen seasons.PNAS nexus · 2026Article
- Modeling Joint Health Effects of Environmental Exposure Mixtures With Bayesian Additive Regression Trees.Statistics in medicine · 2025Article
- [Clinical characteristics of allergic rhinitis induced by pollen in northern China].Lin chuang er bi yan hou tou jing wai ke za zhi = Journal of clinical otorhinolaryngology head and neck surgery · 2025Article
- Allergen characterization in childhood asthma: a retrospective cohort study in China.Frontiers in public health · 2025Article
- Sex and age characteristics of thunderstorm asthma emergency department visits.Hygiene and environmental health advances · 2024Article
- Associations of pollen and cardiovascular disease morbidity in Atlanta during 1993-2018.Environmental epidemiology (Philadelphia, Pa.) · 2024Article
- [Study on allergen components of birch pollen in Beijing area].Lin chuang er bi yan hou tou jing wai ke za zhi = Journal of clinical otorhinolaryngology head and neck surgery · 2024Article
- Time-series analysis of temperature variability and cardiovascular emergency department visits in Atlanta over a 27-year period.Environmental health : a global access science source · 2024Article
- Profiles of Birch Allergen Component Sensitization and Its Association with Pollen Food Allergy Syndrome in Northern China.Journal of asthma and allergy · 2023Article
Corrections and comments
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Authors and funding
10 authors at 3 institutions in 1 country.
Funding
Abstract
backgroundCompared to many environmental risk factors, the relationship between pollen and asthma is understudied, including how associations may differ by pollen type and between subgroups, and how associations may be changing over time.
objectivesWe evaluated the association between ambient pollen concentrations and emergency department (ED) visits for asthma and wheeze in Atlanta, Georgia during 1993-2018. We estimated overall associations for 13 individual pollen taxa, as well as associations by decade, race, age (5-17, 18-64, 65+), and insurance status (Medicaid vs non-Medicaid).
methodsSpeciated pollen data were acquired from Atlanta Allergy & Asthma, a nationally certified pollen counting station. ED visit data were obtained from individual hospitals and from the Georgia Hospital Association. We performed time-series analyses using quasi-Poisson distributed lag models, with primary analyses assessing 3-day (lag 0-2 days) pollen levels. Models controlled for day of week, holidays, air temperature, month, year, and month-by-year interactions.
resultsFrom 1993 to 2018, there were 686,259 ED visits for asthma and wheeze in the dataset, and the number of ED visits increased over time. We observed positive associations of asthma and wheeze ED visits with nine of the 13 pollen taxa: trees (maple, birch, pine, oak, willow, sycamore, and mulberry), two weeds (nettle and pigweed), and grasses. Rate ratios indicated 1-8% increases in asthma and wheeze ED visits per standard deviation increases in pollen. In general, we observed stronger associations in the earliest period (1993-2000), in younger people, and in Black patients; however, results varied by pollen taxa.
conclusionsSome, but not all, types of pollen are associated with increased ED visits for asthma/wheeze. Associations are generally higher in Black and younger patients and appear to have decreased over time.
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