Evidence map›Paper›PMID 42464267›Full record

ArticleBMC public health2026

Ambient PM2.5 and respiratory tract disorder-related outpatient visits among healthcare workers: an ecological time-series study.

Chaturon Tangsangwornthamma, Sivakorn Suntinipanon, Chathaya Wongrathanandha, Natnaree Aimyong

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Article in BMC public health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

4 authors.

Chaturon TangsangwornthammaRamathibodi Medical School, Faculty of Medicine Ramathibodi Hospital, Chakri Naruebodindra Medical Institute, Mahidol University, 111 Moo 14, Suvarnabhumi Canal Road, Bang Pla, Bang Phli, Samut Prakan, 10540, Thailand. chaturon.taa@mahidol.ac.th.
Sivakorn SuntinipanonRamathibodi Medical School, Faculty of Medicine Ramathibodi Hospital, Chakri Naruebodindra Medical Institute, Mahidol University, 111 Moo 14, Suvarnabhumi Canal Road, Bang Pla, Bang Phli, Samut Prakan, 10540, Thailand.
Chathaya WongrathanandhaDepartment of Community Medicine, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand.
Natnaree AimyongDivision of Interdisciplinary and lifelong learning, Faculty of Public Health, Mahidol University, Bangkok, Thailand.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionAmbient fine particulate matter (PM2.5) is associated with adverse respiratory outcomes, yet evidence among healthcare workers remains limited. This study examined temporal associations between weekly ambient PM2.5 concentrations and respiratory tract disorder (RTD)-related outpatient visits among healthcare workers, an occupationally active urban population potentially affected by ambient air pollution.

methodsAn ecological time-series study was conducted among healthcare workers at a 1,000-bed tertiary-care hospital in Bangkok, Thailand, from November 2018 to April 2019. RTD- and respiratory tract symptom (RTS)-related outpatient visits were identified using ICD-10 codes (J00-J99) from electronic medical records. Weekly average ambient PM2.5 concentrations were obtained from the nearest national monitoring station. Weekly outpatient visit counts were analysed using Poisson or negative binomial regression models and expressed as incidence rate ratios (IRRs) per 10 µg/m³ increase in PM2.5 concentration, adjusted for temporal trends.

resultsAmong 12,458 healthcare workers, short-term increases in weekly ambient PM2.5 concentrations were associated with higher outpatient visit counts for overall RTDs (IRR 1.139, 95% CI 1.059-1.225), common cold (1.164, 1.082-1.252), allergic rhinitis (1.240, 1.126-1.365), sinusitis (1.168, 1.017-1.342), and asthma (1.429, 1.003-2.037). Significant associations were also observed for upper respiratory symptoms including sneezing, sore throat, cough, and shortness of breath.

conclusionsShort-term increases in ambient PM2.5 concentrations were temporally associated with higher respiratory outpatient visits among healthcare workers. These findings extend evidence regarding air pollution and respiratory health to an understudied occupational population and reinforce the public health importance of continued air quality management in urban environments.

Indexed as

Ambulatory CareHealth PersonnelOccupational ExposureParticulate MatterRespiratory Tract DiseasesAdultFemaleHumansMaleMiddle AgedThailandParticulate MatterAir pollutionHealthcare workersOccupational healthPM2.5 exposureRespiratory tract disorders

Identifiers

PMID42464267
PMCPMC13656366

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