Estimating the Impact of Air Pollution on Healthcare-Seeking Behaviour by Applying a Difference-in-Differences Method to Syndromic Surveillance Data



Morbey, Roger, Smith, Gillian, Exley, Karen, Charlett, Andre, de Angelis, Daniela, Harcourt, Sally, Gonzalez, Felipe, Lake, Iain, Dobney, Alec and Elliot, Alex ORCID: 0000-0002-6414-3065
(2022) Estimating the Impact of Air Pollution on Healthcare-Seeking Behaviour by Applying a Difference-in-Differences Method to Syndromic Surveillance Data. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH, 19 (12). 7097-.

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Abstract

Syndromic surveillance data were used to estimate the direct impact of air pollution on healthcare-seeking behaviour, between 1 April 2012 and 31 December 2017. A difference-in-differences approach was used to control for spatial and temporal variations that were not due to air pollution and a meta-analysis was conducted to combine estimates from different pollution periods. Significant increases were found in general practitioner (GP) out-of-hours consultations, including a 98% increase (2-386, 95% confidence interval) in acute bronchitis and a 16% (3-30) increase in National Health Service (NHS) 111 calls for eye problems. However, the numbers involved are small; for instance, roughly one extra acute bronchitis consultation in a local authority on a day when air quality is poor. These results provide additional information for healthcare planners on the impacts of localised poor air quality. However, further work is required to identify the separate impact of different pollutants.

Item Type: Article
Uncontrolled Keywords: air pollution, epidemiology, health burden, public health, syndromic surveillance
Divisions: Faculty of Health and Life Sciences
Faculty of Health and Life Sciences > Institute of Population Health
Depositing User: Symplectic Admin
Date Deposited: 14 Sep 2022 10:42
Last Modified: 18 Jan 2023 20:41
DOI: 10.3390/ijerph19127097
Open Access URL: https://doi.org/10.3390/ijerph19127097
Related URLs:
URI: https://livrepository.liverpool.ac.uk/id/eprint/3164665