The effect of Asian dust on asthma by socioeconomic status using national health insurance claims data in Korea

Inhalation Toxicology
Yoon-Sung ParkDae Hyun Lim

Abstract

Asian dust events are associated with increased asthma incidence, asthma exacerbation, decreased lung function and increased risk for hospitalization. The purpose of this study was to evaluate the effect of Asian dust events on asthma exacerbation by socioeconomic status using national health insurance claims data. A case-crossover design was used to analyze asthma-related national health insurance claims, air pollutant and climate data from 2007 to 2013 in Seoul and Incheon, Korea. We stratified our analysis by socioeconomic status (health insurance versus medical aid subscribers) and calculated the maximum air pollutant levels and average climate values per day. The number of asthma-related visits to medical institutions per day was compared between "event" and "control" days. Compared with "control days", the average number of asthma-related visits to medical institutions decreased on "event" days and increased 1-5 d thereafter. The number of visits by health insurance subscribers also decreased on "event" days and increased 1-5 d thereafter, while the number of visits by medical aid subscribers did not change on "event" days but increased 1-4 d thereafter. Our study confirms that Asian dust events result in an increased num...Continue Reading

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Citations

Feb 1, 2018·International Journal of Molecular Sciences·Yoshimi KobayashiHirohisa Takano
Dec 26, 2019·Nihon eiseigaku zasshi. Japanese journal of hygiene·Hideki HasunumaMasahiro Hashizume
Aug 21, 2020·Journal of Toxicology and Environmental Health. Part a·Mengyue ShenYasuhiro Yoshida
Jun 27, 2020·Environmental Health Perspectives·Masahiro HashizumeYuji Nishiwaki
Sep 6, 2020·The Science of the Total Environment·Hideki HasunumaHiroshi Odajima
Jun 10, 2021·Environmental Health Insights·Hamidreza AghababaeianCarolyn Stephens

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