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Published on: August 25, 2017
Chronic exposure to ambient ozone and asthma hospital admissions among children
1Center for Environmental Health, New York State Department of Health, Troy, NY 12180, USA. sx105@health.state.ny.us
Insights
Chronic exposure to high ozone levels significantly increases childhood asthma admissions in New York State. Younger children and those in low socioeconomic groups face a higher risk, indicating environmental health disparities.
Area of Science:
- Environmental Health
- Pediatric Respiratory Medicine
- Epidemiology
Background:
- The link between long-term air pollution exposure and negative health effects requires further investigation.
- Chronic air pollution, particularly ozone, is a growing public health concern.
Purpose of the Study:
- To examine the association between chronic exposure to elevated ozone concentrations and hospital admissions for childhood asthma in New York State.
- To identify vulnerable populations disproportionately affected by ozone exposure.
Main Methods:
- A birth cohort in New York State (1995-1999) was tracked until asthma diagnosis or end of 2000.
- Asthma admissions and birth data were linked with ambient ozone levels using state health and environmental records.
- Logistic regression models adjusted for numerous individual, maternal, and environmental factors to assess ozone exposure indicators.
Main Results:
- Higher chronic ozone exposure levels were significantly linked to increased asthma admissions in children (ORs 1.16-1.68).
- A clear dose-response relationship was observed between ozone levels and asthma admissions.
- Children who were younger, from low socioeconomic backgrounds, or lived in New York City showed heightened susceptibility.
Conclusions:
- Sustained exposure to ambient ozone is a potential risk factor for childhood asthma admissions.
- Children from disadvantaged socioeconomic backgrounds and younger children are at greater risk for asthma exacerbation due to ozone exposure.
Background:
The association between chronic exposure to air pollution and adverse health outcomes has not been well studied.
Objective:
This project investigated the impact of chronic exposure to high ozone levels on childhood asthma admissions in New York State.
Methods:
We followed a birth cohort born in New York State during 1995-1999 to first asthma admission or until 31 December 2000. We identified births and asthma admissions through the New York State Integrated Child Health Information System and linked these data with ambient ozone data (8-hr maximum) from the New York State Department of Environmental Conservation. We defined chronic ozone exposure using three indicators: mean concentration during the follow-up period, mean concentration during the ozone season, and proportion of follow-up days with ozone levels > 70 ppb. We performed logistic regression analysis to adjust for child's age, sex, birth weight, and gestational age; maternal race/ethnicity, age, education, insurance status, smoking during pregnancy, and poverty level; and geographic region, temperature, and co-pollutants.
Results:
Asthma admissions were significantly associated with increased ozone levels for all chronic exposure indicators (odds ratios, 1.16-1.68), with a positive dose-response relationship. We found stronger associations among younger children, low sociodemographic groups, and New York City residents as effect modifiers.
Conclusion:
Chronic exposure to ambient ozone may increase the risk of asthma admissions among children. Younger children and those in low socioeconomic groups have a greater risk of asthma than do other children at the same ozone level.
Related Concept Videos
Asthma I: Introduction
Asthma-I: Introduction
Chronic Obstructive Pulmonary Disease I: Introduction
Chronic Obstructive Pulmonary Disease III: Chronic Bronchitis Features
Asthma-III: Symptoms and Complications
Classification of Asthma
Asthma III: Clinical Manifestations

