Cardiovascular diseases and air pollution in Novi Sad, Serbia

• Authors: Marija Jevtić , Nataša Dragić , Sanja Bijelović , Milka Popović

Abstracts

EN

Objectives: A large body of evidence has documented that air pollutants have adverse effect on human health as well as on the environment. The aim of this study was to determine whether there was an association between outdoor concentrations of sulfur dioxide (SO₂) and nitrogen dioxide (NO₂) and a daily number of hospital admissions due to cardiovascular diseases (CVD) in Novi Sad, Serbia among patients aged above 18. Material and Methods: The investigation was carried out during over a 3-year period (from January 1, 2007 to December 31, 2009) in the area of Novi Sad. The number (N = 10 469) of daily CVD (ICD-10: I00-I99) hospital admissions was collected according to patients' addresses. Daily mean levels of NO₂ and SO₂, measured in the ambient air of Novi Sad via a network of fixed samplers, have been used to put forward outdoor air pollution. Associations between air pollutants and hospital admissions were firstly analyzed by the use of the linear regression in a single polluted model, and then trough a single and multi-polluted adjusted generalized linear Poisson model. Results: The single polluted model (without confounding factors) indicated that there was a linear increase in the number of hospital admissions due to CVD in relation to the linear increase in concentrations of SO₂ (p = 0.015; 95% confidence interval (95% CI): 0.144-1.329, R² = 0.005) and NO₂ (p = 0.007; 95% CI: 0.214-1.361, R² = 0.007). However, the single and multi-polluted adjusted models revealed that only NO₂ was associated with the CVD (p = 0.016, relative risk (RR) = 1.049, 95% CI: 1.009-1.091 and p = 0.022, RR = 1.047, 95% CI: 1.007-1.089, respectively). Conclusions: This study shows a significant positive association between hospital admissions due to CVD and outdoor NO₂ concentrations in the area of Novi Sad, Serbia.

Keywords

EN

ambient air pollution; cardiovascular diseases; patient admission; effects of pollutants; exposure-outcome relation

• Publisher: Instytut Medycyny Pracy im. prof. dra Jerzego Nofera w Łodzi
• Journal: International Journal of Occupational Medicine and Environmental Health
• Year: 2014
• Volume: 27
• Issue: 2
• Pages: 153-164

Dates

published

2014

Contributors

author

Marija Jevtić

• University of Novi Sad Faculty of Medicine, Novi Sad, Serbia
• Center for Hygiene and Human Ecology, Institute of Public Health of Vojvodina, Novi Sad, Serbia

author

Nataša Dragić

• University of Novi Sad Faculty of Medicine, Novi Sad, Serbia
• Center for Hygiene and Human Ecology, Institute of Public Health of Vojvodina, Novi Sad, Serbia

author

Sanja Bijelović

• University of Novi Sad Faculty of Medicine, Novi Sad, Serbia
• Center for Hygiene and Human Ecology, Institute of Public Health of Vojvodina, Novi Sad, Serbia

author

Milka Popović

• University of Novi Sad Faculty of Medicine, Novi Sad, Serbia
• Center for Hygiene and Human Ecology, Institute of Public Health of Vojvodina, Novi Sad, Serbia

Identifiers

DOI

10.2478/s13382-014-0239-y

Biblioteka Nauki

2178813