Association of short-term exposure to ground-level ozone and respiratory outpatient clinic visits in a rural location - Sublette County, Wyoming, 2008-2011

Short-term exposure to ground-level ozone has been linked to adverse respiratory and other health effects; previous studies typically have focused on summer ground-level ozone in urban areas. During 2008-2011, Sublette County, Wyoming (population: ~10,000 persons), experienced periods of elevated ground-level ozone concentrations during the winter. This study sought to evaluate the association of daily ground-level ozone concentrations and health clinic visits for respiratory disease in this rural county. Clinic visits for respiratory disease were ascertained from electronic billing records of the two clinics in Sublette County for January 1, 2008-December 31, 2011. A time-stratified case-crossover design, adjusted for temperature and humidity, was used to investigate associations between ground-level ozone concentrations measured at one station and clinic visits for a respiratory health concern by using an unconstrained distributed lag of 0-3 days and single-day lags of 0 day, 1 day, 2 days, and 3 days. The data set included 12,742 case-days and 43,285 selected control-days. The mean ground-level ozone observed was 47 ± 8 ppb. The unconstrained distributed lag of 0-3 days was consistent with a null association (adjusted odds ratio [aOR]: 1.001; 95% confidence interval [CI]: 0.990-1.012); results for lags 0, 2, and 3 days were consistent with the null. However, the results for lag 1 were indicative of a positive association; for every 10-ppb increase in the 8-h maximum average ground-level ozone, a 3.0% increase in respiratory clinic visits the following day was observed (aOR: 1.031; 95% CI: 0.994-1.069). Season modified the adverse respiratory effects: ground-level ozone was significantly associated with respiratory clinic visits during the winter months. The patterns of results from all sensitivity analyzes were consistent with the a priori model. The results demonstrate an association of increasing ground-level ozone with an increase in clinic visits for adverse respiratory-related effects in the following day (lag day 1) in Sublette County; the magnitude was strongest during the winter months; this association during the winter months in a rural location warrants further investigation. Ausführliche Beschreibung

Gespeichert in:

Autor*in:	Pride, Kerry R [verfasserIn] Peel, Jennifer L Robinson, Byron F Busacker, Ashley Grandpre, Joseph Bisgard, Kristine M Yip, Fuyuen Y Murphy, Tracy D

Format:	Artikel
Sprache:	Englisch

Erschienen:	2015

Rechteinformationen:	Nutzungsrecht: © Published by Elsevier Inc.

Schlagwörter:	Ozone - analysis Air Pollutants - analysis Ambulatory Care Facilities - statistics & numerical data Respiration Disorders - chemically induced Respiration Disorders - epidemiology

Übergeordnetes Werk:	Enthalten in: Environmental research - San Diego, Calif. : Elsevier, 1967, 137(2015), Seite 1-7
Übergeordnetes Werk:	volume:137 ; year:2015 ; pages:1-7

Links:	Volltext Link aufrufen

DOI / URN:	10.1016/j.envres.2014.10.033

Katalog-ID:	OLC1963461800

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520			\|a Short-term exposure to ground-level ozone has been linked to adverse respiratory and other health effects; previous studies typically have focused on summer ground-level ozone in urban areas. During 2008-2011, Sublette County, Wyoming (population: ~10,000 persons), experienced periods of elevated ground-level ozone concentrations during the winter. This study sought to evaluate the association of daily ground-level ozone concentrations and health clinic visits for respiratory disease in this rural county. Clinic visits for respiratory disease were ascertained from electronic billing records of the two clinics in Sublette County for January 1, 2008-December 31, 2011. A time-stratified case-crossover design, adjusted for temperature and humidity, was used to investigate associations between ground-level ozone concentrations measured at one station and clinic visits for a respiratory health concern by using an unconstrained distributed lag of 0-3 days and single-day lags of 0 day, 1 day, 2 days, and 3 days. The data set included 12,742 case-days and 43,285 selected control-days. The mean ground-level ozone observed was 47 ± 8 ppb. The unconstrained distributed lag of 0-3 days was consistent with a null association (adjusted odds ratio [aOR]: 1.001; 95% confidence interval [CI]: 0.990-1.012); results for lags 0, 2, and 3 days were consistent with the null. However, the results for lag 1 were indicative of a positive association; for every 10-ppb increase in the 8-h maximum average ground-level ozone, a 3.0% increase in respiratory clinic visits the following day was observed (aOR: 1.031; 95% CI: 0.994-1.069). Season modified the adverse respiratory effects: ground-level ozone was significantly associated with respiratory clinic visits during the winter months. The patterns of results from all sensitivity analyzes were consistent with the a priori model. The results demonstrate an association of increasing ground-level ozone with an increase in clinic visits for adverse respiratory-related effects in the following day (lag day 1) in Sublette County; the magnitude was strongest during the winter months; this association during the winter months in a rural location warrants further investigation.
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650		4	\|a Ozone - analysis
650		4	\|a Air Pollutants - analysis
650		4	\|a Ambulatory Care Facilities - statistics & numerical data
650		4	\|a Respiration Disorders - chemically induced
650		4	\|a Respiration Disorders - epidemiology
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700	1		\|a Robinson, Byron F \|4 oth
700	1		\|a Busacker, Ashley \|4 oth
700	1		\|a Grandpre, Joseph \|4 oth
700	1		\|a Bisgard, Kristine M \|4 oth
700	1		\|a Yip, Fuyuen Y \|4 oth
700	1		\|a Murphy, Tracy D \|4 oth
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allfields	10.1016/j.envres.2014.10.033 doi PQ20160617 (DE-627)OLC1963461800 (DE-599)GBVOLC1963461800 (PRQ)c1571-4e3ab2eeb5f02fdec4a3e93184e5186a048052cb28e30731a233ca0810bba58e0 (KEY)0017066620150000137000000001associationofshorttermexposuretogroundlevelozonean DE-627 ger DE-627 rakwb eng 610 333.7 DNB 44.13 bkl Pride, Kerry R verfasserin aut Association of short-term exposure to ground-level ozone and respiratory outpatient clinic visits in a rural location - Sublette County, Wyoming, 2008-2011 2015 Text txt rdacontent ohne Hilfsmittel zu benutzen n rdamedia Band nc rdacarrier Short-term exposure to ground-level ozone has been linked to adverse respiratory and other health effects; previous studies typically have focused on summer ground-level ozone in urban areas. During 2008-2011, Sublette County, Wyoming (population: ~10,000 persons), experienced periods of elevated ground-level ozone concentrations during the winter. This study sought to evaluate the association of daily ground-level ozone concentrations and health clinic visits for respiratory disease in this rural county. Clinic visits for respiratory disease were ascertained from electronic billing records of the two clinics in Sublette County for January 1, 2008-December 31, 2011. A time-stratified case-crossover design, adjusted for temperature and humidity, was used to investigate associations between ground-level ozone concentrations measured at one station and clinic visits for a respiratory health concern by using an unconstrained distributed lag of 0-3 days and single-day lags of 0 day, 1 day, 2 days, and 3 days. The data set included 12,742 case-days and 43,285 selected control-days. The mean ground-level ozone observed was 47 ± 8 ppb. The unconstrained distributed lag of 0-3 days was consistent with a null association (adjusted odds ratio [aOR]: 1.001; 95% confidence interval [CI]: 0.990-1.012); results for lags 0, 2, and 3 days were consistent with the null. However, the results for lag 1 were indicative of a positive association; for every 10-ppb increase in the 8-h maximum average ground-level ozone, a 3.0% increase in respiratory clinic visits the following day was observed (aOR: 1.031; 95% CI: 0.994-1.069). Season modified the adverse respiratory effects: ground-level ozone was significantly associated with respiratory clinic visits during the winter months. The patterns of results from all sensitivity analyzes were consistent with the a priori model. The results demonstrate an association of increasing ground-level ozone with an increase in clinic visits for adverse respiratory-related effects in the following day (lag day 1) in Sublette County; the magnitude was strongest during the winter months; this association during the winter months in a rural location warrants further investigation. Nutzungsrecht: © Published by Elsevier Inc. Ozone - analysis Air Pollutants - analysis Ambulatory Care Facilities - statistics & numerical data Respiration Disorders - chemically induced Respiration Disorders - epidemiology Peel, Jennifer L oth Robinson, Byron F oth Busacker, Ashley oth Grandpre, Joseph oth Bisgard, Kristine M oth Yip, Fuyuen Y oth Murphy, Tracy D oth Enthalten in Environmental research San Diego, Calif. : Elsevier, 1967 137(2015), Seite 1-7 (DE-627)12948864X (DE-600)205699-9 (DE-576)014881454 0013-9351 nnns volume:137 year:2015 pages:1-7 http://dx.doi.org/10.1016/j.envres.2014.10.033 Volltext http://www.ncbi.nlm.nih.gov/pubmed/25483412 GBV_USEFLAG_A SYSFLAG_A GBV_OLC SSG-OLC-UMW SSG-OLC-FOR SSG-OLC-IBL SSG-OLC-PHA SSG-OLC-DE-84 GBV_ILN_21 GBV_ILN_22 GBV_ILN_70 GBV_ILN_4012 44.13 AVZ AR 137 2015 1-7
spelling	10.1016/j.envres.2014.10.033 doi PQ20160617 (DE-627)OLC1963461800 (DE-599)GBVOLC1963461800 (PRQ)c1571-4e3ab2eeb5f02fdec4a3e93184e5186a048052cb28e30731a233ca0810bba58e0 (KEY)0017066620150000137000000001associationofshorttermexposuretogroundlevelozonean DE-627 ger DE-627 rakwb eng 610 333.7 DNB 44.13 bkl Pride, Kerry R verfasserin aut Association of short-term exposure to ground-level ozone and respiratory outpatient clinic visits in a rural location - Sublette County, Wyoming, 2008-2011 2015 Text txt rdacontent ohne Hilfsmittel zu benutzen n rdamedia Band nc rdacarrier Short-term exposure to ground-level ozone has been linked to adverse respiratory and other health effects; previous studies typically have focused on summer ground-level ozone in urban areas. During 2008-2011, Sublette County, Wyoming (population: ~10,000 persons), experienced periods of elevated ground-level ozone concentrations during the winter. This study sought to evaluate the association of daily ground-level ozone concentrations and health clinic visits for respiratory disease in this rural county. Clinic visits for respiratory disease were ascertained from electronic billing records of the two clinics in Sublette County for January 1, 2008-December 31, 2011. A time-stratified case-crossover design, adjusted for temperature and humidity, was used to investigate associations between ground-level ozone concentrations measured at one station and clinic visits for a respiratory health concern by using an unconstrained distributed lag of 0-3 days and single-day lags of 0 day, 1 day, 2 days, and 3 days. The data set included 12,742 case-days and 43,285 selected control-days. The mean ground-level ozone observed was 47 ± 8 ppb. The unconstrained distributed lag of 0-3 days was consistent with a null association (adjusted odds ratio [aOR]: 1.001; 95% confidence interval [CI]: 0.990-1.012); results for lags 0, 2, and 3 days were consistent with the null. However, the results for lag 1 were indicative of a positive association; for every 10-ppb increase in the 8-h maximum average ground-level ozone, a 3.0% increase in respiratory clinic visits the following day was observed (aOR: 1.031; 95% CI: 0.994-1.069). Season modified the adverse respiratory effects: ground-level ozone was significantly associated with respiratory clinic visits during the winter months. The patterns of results from all sensitivity analyzes were consistent with the a priori model. The results demonstrate an association of increasing ground-level ozone with an increase in clinic visits for adverse respiratory-related effects in the following day (lag day 1) in Sublette County; the magnitude was strongest during the winter months; this association during the winter months in a rural location warrants further investigation. Nutzungsrecht: © Published by Elsevier Inc. Ozone - analysis Air Pollutants - analysis Ambulatory Care Facilities - statistics & numerical data Respiration Disorders - chemically induced Respiration Disorders - epidemiology Peel, Jennifer L oth Robinson, Byron F oth Busacker, Ashley oth Grandpre, Joseph oth Bisgard, Kristine M oth Yip, Fuyuen Y oth Murphy, Tracy D oth Enthalten in Environmental research San Diego, Calif. : Elsevier, 1967 137(2015), Seite 1-7 (DE-627)12948864X (DE-600)205699-9 (DE-576)014881454 0013-9351 nnns volume:137 year:2015 pages:1-7 http://dx.doi.org/10.1016/j.envres.2014.10.033 Volltext http://www.ncbi.nlm.nih.gov/pubmed/25483412 GBV_USEFLAG_A SYSFLAG_A GBV_OLC SSG-OLC-UMW SSG-OLC-FOR SSG-OLC-IBL SSG-OLC-PHA SSG-OLC-DE-84 GBV_ILN_21 GBV_ILN_22 GBV_ILN_70 GBV_ILN_4012 44.13 AVZ AR 137 2015 1-7
allfields_unstemmed	10.1016/j.envres.2014.10.033 doi PQ20160617 (DE-627)OLC1963461800 (DE-599)GBVOLC1963461800 (PRQ)c1571-4e3ab2eeb5f02fdec4a3e93184e5186a048052cb28e30731a233ca0810bba58e0 (KEY)0017066620150000137000000001associationofshorttermexposuretogroundlevelozonean DE-627 ger DE-627 rakwb eng 610 333.7 DNB 44.13 bkl Pride, Kerry R verfasserin aut Association of short-term exposure to ground-level ozone and respiratory outpatient clinic visits in a rural location - Sublette County, Wyoming, 2008-2011 2015 Text txt rdacontent ohne Hilfsmittel zu benutzen n rdamedia Band nc rdacarrier Short-term exposure to ground-level ozone has been linked to adverse respiratory and other health effects; previous studies typically have focused on summer ground-level ozone in urban areas. During 2008-2011, Sublette County, Wyoming (population: ~10,000 persons), experienced periods of elevated ground-level ozone concentrations during the winter. This study sought to evaluate the association of daily ground-level ozone concentrations and health clinic visits for respiratory disease in this rural county. Clinic visits for respiratory disease were ascertained from electronic billing records of the two clinics in Sublette County for January 1, 2008-December 31, 2011. A time-stratified case-crossover design, adjusted for temperature and humidity, was used to investigate associations between ground-level ozone concentrations measured at one station and clinic visits for a respiratory health concern by using an unconstrained distributed lag of 0-3 days and single-day lags of 0 day, 1 day, 2 days, and 3 days. The data set included 12,742 case-days and 43,285 selected control-days. The mean ground-level ozone observed was 47 ± 8 ppb. The unconstrained distributed lag of 0-3 days was consistent with a null association (adjusted odds ratio [aOR]: 1.001; 95% confidence interval [CI]: 0.990-1.012); results for lags 0, 2, and 3 days were consistent with the null. However, the results for lag 1 were indicative of a positive association; for every 10-ppb increase in the 8-h maximum average ground-level ozone, a 3.0% increase in respiratory clinic visits the following day was observed (aOR: 1.031; 95% CI: 0.994-1.069). Season modified the adverse respiratory effects: ground-level ozone was significantly associated with respiratory clinic visits during the winter months. The patterns of results from all sensitivity analyzes were consistent with the a priori model. The results demonstrate an association of increasing ground-level ozone with an increase in clinic visits for adverse respiratory-related effects in the following day (lag day 1) in Sublette County; the magnitude was strongest during the winter months; this association during the winter months in a rural location warrants further investigation. Nutzungsrecht: © Published by Elsevier Inc. Ozone - analysis Air Pollutants - analysis Ambulatory Care Facilities - statistics & numerical data Respiration Disorders - chemically induced Respiration Disorders - epidemiology Peel, Jennifer L oth Robinson, Byron F oth Busacker, Ashley oth Grandpre, Joseph oth Bisgard, Kristine M oth Yip, Fuyuen Y oth Murphy, Tracy D oth Enthalten in Environmental research San Diego, Calif. : Elsevier, 1967 137(2015), Seite 1-7 (DE-627)12948864X (DE-600)205699-9 (DE-576)014881454 0013-9351 nnns volume:137 year:2015 pages:1-7 http://dx.doi.org/10.1016/j.envres.2014.10.033 Volltext http://www.ncbi.nlm.nih.gov/pubmed/25483412 GBV_USEFLAG_A SYSFLAG_A GBV_OLC SSG-OLC-UMW SSG-OLC-FOR SSG-OLC-IBL SSG-OLC-PHA SSG-OLC-DE-84 GBV_ILN_21 GBV_ILN_22 GBV_ILN_70 GBV_ILN_4012 44.13 AVZ AR 137 2015 1-7
allfieldsGer	10.1016/j.envres.2014.10.033 doi PQ20160617 (DE-627)OLC1963461800 (DE-599)GBVOLC1963461800 (PRQ)c1571-4e3ab2eeb5f02fdec4a3e93184e5186a048052cb28e30731a233ca0810bba58e0 (KEY)0017066620150000137000000001associationofshorttermexposuretogroundlevelozonean DE-627 ger DE-627 rakwb eng 610 333.7 DNB 44.13 bkl Pride, Kerry R verfasserin aut Association of short-term exposure to ground-level ozone and respiratory outpatient clinic visits in a rural location - Sublette County, Wyoming, 2008-2011 2015 Text txt rdacontent ohne Hilfsmittel zu benutzen n rdamedia Band nc rdacarrier Short-term exposure to ground-level ozone has been linked to adverse respiratory and other health effects; previous studies typically have focused on summer ground-level ozone in urban areas. During 2008-2011, Sublette County, Wyoming (population: ~10,000 persons), experienced periods of elevated ground-level ozone concentrations during the winter. This study sought to evaluate the association of daily ground-level ozone concentrations and health clinic visits for respiratory disease in this rural county. Clinic visits for respiratory disease were ascertained from electronic billing records of the two clinics in Sublette County for January 1, 2008-December 31, 2011. A time-stratified case-crossover design, adjusted for temperature and humidity, was used to investigate associations between ground-level ozone concentrations measured at one station and clinic visits for a respiratory health concern by using an unconstrained distributed lag of 0-3 days and single-day lags of 0 day, 1 day, 2 days, and 3 days. The data set included 12,742 case-days and 43,285 selected control-days. The mean ground-level ozone observed was 47 ± 8 ppb. The unconstrained distributed lag of 0-3 days was consistent with a null association (adjusted odds ratio [aOR]: 1.001; 95% confidence interval [CI]: 0.990-1.012); results for lags 0, 2, and 3 days were consistent with the null. However, the results for lag 1 were indicative of a positive association; for every 10-ppb increase in the 8-h maximum average ground-level ozone, a 3.0% increase in respiratory clinic visits the following day was observed (aOR: 1.031; 95% CI: 0.994-1.069). Season modified the adverse respiratory effects: ground-level ozone was significantly associated with respiratory clinic visits during the winter months. The patterns of results from all sensitivity analyzes were consistent with the a priori model. The results demonstrate an association of increasing ground-level ozone with an increase in clinic visits for adverse respiratory-related effects in the following day (lag day 1) in Sublette County; the magnitude was strongest during the winter months; this association during the winter months in a rural location warrants further investigation. Nutzungsrecht: © Published by Elsevier Inc. Ozone - analysis Air Pollutants - analysis Ambulatory Care Facilities - statistics & numerical data Respiration Disorders - chemically induced Respiration Disorders - epidemiology Peel, Jennifer L oth Robinson, Byron F oth Busacker, Ashley oth Grandpre, Joseph oth Bisgard, Kristine M oth Yip, Fuyuen Y oth Murphy, Tracy D oth Enthalten in Environmental research San Diego, Calif. : Elsevier, 1967 137(2015), Seite 1-7 (DE-627)12948864X (DE-600)205699-9 (DE-576)014881454 0013-9351 nnns volume:137 year:2015 pages:1-7 http://dx.doi.org/10.1016/j.envres.2014.10.033 Volltext http://www.ncbi.nlm.nih.gov/pubmed/25483412 GBV_USEFLAG_A SYSFLAG_A GBV_OLC SSG-OLC-UMW SSG-OLC-FOR SSG-OLC-IBL SSG-OLC-PHA SSG-OLC-DE-84 GBV_ILN_21 GBV_ILN_22 GBV_ILN_70 GBV_ILN_4012 44.13 AVZ AR 137 2015 1-7
allfieldsSound	10.1016/j.envres.2014.10.033 doi PQ20160617 (DE-627)OLC1963461800 (DE-599)GBVOLC1963461800 (PRQ)c1571-4e3ab2eeb5f02fdec4a3e93184e5186a048052cb28e30731a233ca0810bba58e0 (KEY)0017066620150000137000000001associationofshorttermexposuretogroundlevelozonean DE-627 ger DE-627 rakwb eng 610 333.7 DNB 44.13 bkl Pride, Kerry R verfasserin aut Association of short-term exposure to ground-level ozone and respiratory outpatient clinic visits in a rural location - Sublette County, Wyoming, 2008-2011 2015 Text txt rdacontent ohne Hilfsmittel zu benutzen n rdamedia Band nc rdacarrier Short-term exposure to ground-level ozone has been linked to adverse respiratory and other health effects; previous studies typically have focused on summer ground-level ozone in urban areas. During 2008-2011, Sublette County, Wyoming (population: ~10,000 persons), experienced periods of elevated ground-level ozone concentrations during the winter. This study sought to evaluate the association of daily ground-level ozone concentrations and health clinic visits for respiratory disease in this rural county. Clinic visits for respiratory disease were ascertained from electronic billing records of the two clinics in Sublette County for January 1, 2008-December 31, 2011. A time-stratified case-crossover design, adjusted for temperature and humidity, was used to investigate associations between ground-level ozone concentrations measured at one station and clinic visits for a respiratory health concern by using an unconstrained distributed lag of 0-3 days and single-day lags of 0 day, 1 day, 2 days, and 3 days. The data set included 12,742 case-days and 43,285 selected control-days. The mean ground-level ozone observed was 47 ± 8 ppb. The unconstrained distributed lag of 0-3 days was consistent with a null association (adjusted odds ratio [aOR]: 1.001; 95% confidence interval [CI]: 0.990-1.012); results for lags 0, 2, and 3 days were consistent with the null. However, the results for lag 1 were indicative of a positive association; for every 10-ppb increase in the 8-h maximum average ground-level ozone, a 3.0% increase in respiratory clinic visits the following day was observed (aOR: 1.031; 95% CI: 0.994-1.069). Season modified the adverse respiratory effects: ground-level ozone was significantly associated with respiratory clinic visits during the winter months. The patterns of results from all sensitivity analyzes were consistent with the a priori model. The results demonstrate an association of increasing ground-level ozone with an increase in clinic visits for adverse respiratory-related effects in the following day (lag day 1) in Sublette County; the magnitude was strongest during the winter months; this association during the winter months in a rural location warrants further investigation. Nutzungsrecht: © Published by Elsevier Inc. Ozone - analysis Air Pollutants - analysis Ambulatory Care Facilities - statistics & numerical data Respiration Disorders - chemically induced Respiration Disorders - epidemiology Peel, Jennifer L oth Robinson, Byron F oth Busacker, Ashley oth Grandpre, Joseph oth Bisgard, Kristine M oth Yip, Fuyuen Y oth Murphy, Tracy D oth Enthalten in Environmental research San Diego, Calif. : Elsevier, 1967 137(2015), Seite 1-7 (DE-627)12948864X (DE-600)205699-9 (DE-576)014881454 0013-9351 nnns volume:137 year:2015 pages:1-7 http://dx.doi.org/10.1016/j.envres.2014.10.033 Volltext http://www.ncbi.nlm.nih.gov/pubmed/25483412 GBV_USEFLAG_A SYSFLAG_A GBV_OLC SSG-OLC-UMW SSG-OLC-FOR SSG-OLC-IBL SSG-OLC-PHA SSG-OLC-DE-84 GBV_ILN_21 GBV_ILN_22 GBV_ILN_70 GBV_ILN_4012 44.13 AVZ AR 137 2015 1-7
language	English
source	Enthalten in Environmental research 137(2015), Seite 1-7 volume:137 year:2015 pages:1-7
sourceStr	Enthalten in Environmental research 137(2015), Seite 1-7 volume:137 year:2015 pages:1-7
format_phy_str_mv	Article
institution	findex.gbv.de
topic_facet	Ozone - analysis Air Pollutants - analysis Ambulatory Care Facilities - statistics & numerical data Respiration Disorders - chemically induced Respiration Disorders - epidemiology
dewey-raw	610
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container_title	Environmental research
authorswithroles_txt_mv	Pride, Kerry R @@aut@@ Peel, Jennifer L @@oth@@ Robinson, Byron F @@oth@@ Busacker, Ashley @@oth@@ Grandpre, Joseph @@oth@@ Bisgard, Kristine M @@oth@@ Yip, Fuyuen Y @@oth@@ Murphy, Tracy D @@oth@@
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author	Pride, Kerry R
spellingShingle	Pride, Kerry R ddc 610 bkl 44.13 misc Ozone - analysis misc Air Pollutants - analysis misc Ambulatory Care Facilities - statistics & numerical data misc Respiration Disorders - chemically induced misc Respiration Disorders - epidemiology Association of short-term exposure to ground-level ozone and respiratory outpatient clinic visits in a rural location - Sublette County, Wyoming, 2008-2011
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topic_title	610 333.7 DNB 44.13 bkl Association of short-term exposure to ground-level ozone and respiratory outpatient clinic visits in a rural location - Sublette County, Wyoming, 2008-2011 Ozone - analysis Air Pollutants - analysis Ambulatory Care Facilities - statistics & numerical data Respiration Disorders - chemically induced Respiration Disorders - epidemiology
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title	Association of short-term exposure to ground-level ozone and respiratory outpatient clinic visits in a rural location - Sublette County, Wyoming, 2008-2011
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title_full	Association of short-term exposure to ground-level ozone and respiratory outpatient clinic visits in a rural location - Sublette County, Wyoming, 2008-2011
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title_sort	association of short-term exposure to ground-level ozone and respiratory outpatient clinic visits in a rural location - sublette county, wyoming, 2008-2011
title_auth	Association of short-term exposure to ground-level ozone and respiratory outpatient clinic visits in a rural location - Sublette County, Wyoming, 2008-2011
abstract	Short-term exposure to ground-level ozone has been linked to adverse respiratory and other health effects; previous studies typically have focused on summer ground-level ozone in urban areas. During 2008-2011, Sublette County, Wyoming (population: ~10,000 persons), experienced periods of elevated ground-level ozone concentrations during the winter. This study sought to evaluate the association of daily ground-level ozone concentrations and health clinic visits for respiratory disease in this rural county. Clinic visits for respiratory disease were ascertained from electronic billing records of the two clinics in Sublette County for January 1, 2008-December 31, 2011. A time-stratified case-crossover design, adjusted for temperature and humidity, was used to investigate associations between ground-level ozone concentrations measured at one station and clinic visits for a respiratory health concern by using an unconstrained distributed lag of 0-3 days and single-day lags of 0 day, 1 day, 2 days, and 3 days. The data set included 12,742 case-days and 43,285 selected control-days. The mean ground-level ozone observed was 47 ± 8 ppb. The unconstrained distributed lag of 0-3 days was consistent with a null association (adjusted odds ratio [aOR]: 1.001; 95% confidence interval [CI]: 0.990-1.012); results for lags 0, 2, and 3 days were consistent with the null. However, the results for lag 1 were indicative of a positive association; for every 10-ppb increase in the 8-h maximum average ground-level ozone, a 3.0% increase in respiratory clinic visits the following day was observed (aOR: 1.031; 95% CI: 0.994-1.069). Season modified the adverse respiratory effects: ground-level ozone was significantly associated with respiratory clinic visits during the winter months. The patterns of results from all sensitivity analyzes were consistent with the a priori model. The results demonstrate an association of increasing ground-level ozone with an increase in clinic visits for adverse respiratory-related effects in the following day (lag day 1) in Sublette County; the magnitude was strongest during the winter months; this association during the winter months in a rural location warrants further investigation.
abstractGer	Short-term exposure to ground-level ozone has been linked to adverse respiratory and other health effects; previous studies typically have focused on summer ground-level ozone in urban areas. During 2008-2011, Sublette County, Wyoming (population: ~10,000 persons), experienced periods of elevated ground-level ozone concentrations during the winter. This study sought to evaluate the association of daily ground-level ozone concentrations and health clinic visits for respiratory disease in this rural county. Clinic visits for respiratory disease were ascertained from electronic billing records of the two clinics in Sublette County for January 1, 2008-December 31, 2011. A time-stratified case-crossover design, adjusted for temperature and humidity, was used to investigate associations between ground-level ozone concentrations measured at one station and clinic visits for a respiratory health concern by using an unconstrained distributed lag of 0-3 days and single-day lags of 0 day, 1 day, 2 days, and 3 days. The data set included 12,742 case-days and 43,285 selected control-days. The mean ground-level ozone observed was 47 ± 8 ppb. The unconstrained distributed lag of 0-3 days was consistent with a null association (adjusted odds ratio [aOR]: 1.001; 95% confidence interval [CI]: 0.990-1.012); results for lags 0, 2, and 3 days were consistent with the null. However, the results for lag 1 were indicative of a positive association; for every 10-ppb increase in the 8-h maximum average ground-level ozone, a 3.0% increase in respiratory clinic visits the following day was observed (aOR: 1.031; 95% CI: 0.994-1.069). Season modified the adverse respiratory effects: ground-level ozone was significantly associated with respiratory clinic visits during the winter months. The patterns of results from all sensitivity analyzes were consistent with the a priori model. The results demonstrate an association of increasing ground-level ozone with an increase in clinic visits for adverse respiratory-related effects in the following day (lag day 1) in Sublette County; the magnitude was strongest during the winter months; this association during the winter months in a rural location warrants further investigation.
abstract_unstemmed	Short-term exposure to ground-level ozone has been linked to adverse respiratory and other health effects; previous studies typically have focused on summer ground-level ozone in urban areas. During 2008-2011, Sublette County, Wyoming (population: ~10,000 persons), experienced periods of elevated ground-level ozone concentrations during the winter. This study sought to evaluate the association of daily ground-level ozone concentrations and health clinic visits for respiratory disease in this rural county. Clinic visits for respiratory disease were ascertained from electronic billing records of the two clinics in Sublette County for January 1, 2008-December 31, 2011. A time-stratified case-crossover design, adjusted for temperature and humidity, was used to investigate associations between ground-level ozone concentrations measured at one station and clinic visits for a respiratory health concern by using an unconstrained distributed lag of 0-3 days and single-day lags of 0 day, 1 day, 2 days, and 3 days. The data set included 12,742 case-days and 43,285 selected control-days. The mean ground-level ozone observed was 47 ± 8 ppb. The unconstrained distributed lag of 0-3 days was consistent with a null association (adjusted odds ratio [aOR]: 1.001; 95% confidence interval [CI]: 0.990-1.012); results for lags 0, 2, and 3 days were consistent with the null. However, the results for lag 1 were indicative of a positive association; for every 10-ppb increase in the 8-h maximum average ground-level ozone, a 3.0% increase in respiratory clinic visits the following day was observed (aOR: 1.031; 95% CI: 0.994-1.069). Season modified the adverse respiratory effects: ground-level ozone was significantly associated with respiratory clinic visits during the winter months. The patterns of results from all sensitivity analyzes were consistent with the a priori model. The results demonstrate an association of increasing ground-level ozone with an increase in clinic visits for adverse respiratory-related effects in the following day (lag day 1) in Sublette County; the magnitude was strongest during the winter months; this association during the winter months in a rural location warrants further investigation.
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title_short	Association of short-term exposure to ground-level ozone and respiratory outpatient clinic visits in a rural location - Sublette County, Wyoming, 2008-2011
url	http://dx.doi.org/10.1016/j.envres.2014.10.033 http://www.ncbi.nlm.nih.gov/pubmed/25483412
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author2	Peel, Jennifer L Robinson, Byron F Busacker, Ashley Grandpre, Joseph Bisgard, Kristine M Yip, Fuyuen Y Murphy, Tracy D
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up_date	2024-07-04T05:47:57.118Z
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During 2008-2011, Sublette County, Wyoming (population: ~10,000 persons), experienced periods of elevated ground-level ozone concentrations during the winter. This study sought to evaluate the association of daily ground-level ozone concentrations and health clinic visits for respiratory disease in this rural county. Clinic visits for respiratory disease were ascertained from electronic billing records of the two clinics in Sublette County for January 1, 2008-December 31, 2011. A time-stratified case-crossover design, adjusted for temperature and humidity, was used to investigate associations between ground-level ozone concentrations measured at one station and clinic visits for a respiratory health concern by using an unconstrained distributed lag of 0-3 days and single-day lags of 0 day, 1 day, 2 days, and 3 days. The data set included 12,742 case-days and 43,285 selected control-days. The mean ground-level ozone observed was 47 ± 8 ppb. The unconstrained distributed lag of 0-3 days was consistent with a null association (adjusted odds ratio [aOR]: 1.001; 95% confidence interval [CI]: 0.990-1.012); results for lags 0, 2, and 3 days were consistent with the null. However, the results for lag 1 were indicative of a positive association; for every 10-ppb increase in the 8-h maximum average ground-level ozone, a 3.0% increase in respiratory clinic visits the following day was observed (aOR: 1.031; 95% CI: 0.994-1.069). Season modified the adverse respiratory effects: ground-level ozone was significantly associated with respiratory clinic visits during the winter months. The patterns of results from all sensitivity analyzes were consistent with the a priori model. The results demonstrate an association of increasing ground-level ozone with an increase in clinic visits for adverse respiratory-related effects in the following day (lag day 1) in Sublette County; the magnitude was strongest during the winter months; this association during the winter months in a rural location warrants further investigation.</subfield></datafield><datafield tag="540" ind1=" " ind2=" "><subfield code="a">Nutzungsrecht: © Published by Elsevier Inc.</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">Ozone - analysis</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">Air Pollutants - analysis</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">Ambulatory Care Facilities - statistics & numerical data</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">Respiration Disorders - chemically induced</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">Respiration Disorders - epidemiology</subfield></datafield><datafield tag="700" ind1="1" ind2=" "><subfield code="a">Peel, Jennifer L</subfield><subfield code="4">oth</subfield></datafield><datafield tag="700" ind1="1" ind2=" "><subfield code="a">Robinson, Byron F</subfield><subfield code="4">oth</subfield></datafield><datafield tag="700" ind1="1" ind2=" "><subfield code="a">Busacker, Ashley</subfield><subfield code="4">oth</subfield></datafield><datafield tag="700" ind1="1" ind2=" "><subfield code="a">Grandpre, Joseph</subfield><subfield code="4">oth</subfield></datafield><datafield tag="700" ind1="1" ind2=" "><subfield code="a">Bisgard, Kristine M</subfield><subfield code="4">oth</subfield></datafield><datafield tag="700" ind1="1" ind2=" "><subfield code="a">Yip, Fuyuen Y</subfield><subfield code="4">oth</subfield></datafield><datafield tag="700" ind1="1" ind2=" "><subfield code="a">Murphy, Tracy D</subfield><subfield code="4">oth</subfield></datafield><datafield tag="773" ind1="0" ind2="8"><subfield code="i">Enthalten in</subfield><subfield code="t">Environmental research</subfield><subfield code="d">San Diego, Calif. : Elsevier, 1967</subfield><subfield code="g">137(2015), Seite 1-7</subfield><subfield code="w">(DE-627)12948864X</subfield><subfield code="w">(DE-600)205699-9</subfield><subfield code="w">(DE-576)014881454</subfield><subfield code="x">0013-9351</subfield><subfield code="7">nnns</subfield></datafield><datafield tag="773" ind1="1" ind2="8"><subfield code="g">volume:137</subfield><subfield code="g">year:2015</subfield><subfield code="g">pages:1-7</subfield></datafield><datafield tag="856" ind1="4" ind2="1"><subfield code="u">http://dx.doi.org/10.1016/j.envres.2014.10.033</subfield><subfield code="3">Volltext</subfield></datafield><datafield tag="856" ind1="4" ind2="2"><subfield code="u">http://www.ncbi.nlm.nih.gov/pubmed/25483412</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_USEFLAG_A</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">SYSFLAG_A</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_OLC</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">SSG-OLC-UMW</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">SSG-OLC-FOR</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">SSG-OLC-IBL</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">SSG-OLC-PHA</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">SSG-OLC-DE-84</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_ILN_21</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_ILN_22</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_ILN_70</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_ILN_4012</subfield></datafield><datafield tag="936" ind1="b" ind2="k"><subfield code="a">44.13</subfield><subfield code="q">AVZ</subfield></datafield><datafield tag="951" ind1=" " ind2=" "><subfield code="a">AR</subfield></datafield><datafield tag="952" ind1=" " ind2=" "><subfield code="d">137</subfield><subfield code="j">2015</subfield><subfield code="h">1-7</subfield></datafield></record></collection>
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Association of short-term exposure to ground-level ozone and respiratory outpatient clinic visits in a rural location - Sublette County, Wyoming, 2008-2011

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