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Hospitalization patterns associated with Appalachian coal mining.

Michael Hendryx1, Melissa M Ahern, Timothy R Nurkiewicz

  • 1Department of Community Medicine and Institute for Health Policy Research, West Virginia University, Morgantown, West Virginia 26506, USA. mhendryx@hsc.wvu.edu

Journal of Toxicology and Environmental Health. Part A
|December 1, 2007
PubMed
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Coal mining volume is linked to increased hospitalization risk for chronic obstructive pulmonary disease (COPD) and hypertension. Higher mining activity correlates with greater odds of these specific health conditions in affected populations.

Area of Science:

  • Environmental Health
  • Epidemiology
  • Public Health

Background:

  • Coal mining activities can release by-products and pollutants into the environment.
  • Understanding the health impacts of environmental exposures is crucial for public health.
  • Previous research has explored links between environmental factors and respiratory and cardiovascular diseases.

Purpose of the Study:

  • To investigate the association between the volume of coal mining and hospitalization risk.
  • To determine if specific diseases are more susceptible to coal mining by-products.
  • To analyze hospitalization data in relation to county-level coal production.

Main Methods:

  • Retrospective analysis of adult hospitalization data (n=93,952) from 2001 in West Virginia, Kentucky, and Pennsylvania.

Related Experiment Videos

  • Merging hospitalization data with county-level coal production figures.
  • Utilizing hierarchical nonlinear models to analyze relationships, controlling for demographic and socioeconomic factors.

    • Main Results:

    • Significant positive associations were found between coal mining volume and hospitalizations for hypertension and chronic obstructive pulmonary disease (COPD).
    • A 1% increase in COPD hospitalization odds was associated with every 1462 tons of coal mined.
    • A 1% increase in hypertension hospitalization odds was associated with every 1873 tons of coal mined.

    Conclusions:

    • Coal mining by-products, potentially including particulates and pollutants, may contribute to increased hospitalization risks for COPD and hypertension.
    • The study highlights a specific environmental exposure linked to significant health outcomes.
    • Further research may be needed to fully elucidate the mechanisms and extent of these associations, as data limitations may lead to underestimation.