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Association between air temperature exposure and childhood rhinitis risk, and the mediating role of ambient O3: A multi-city study of 40,103 Chinese preschool children
Fudan Univ, Sch Publ Hlth, Key Lab Publ Hlth Safety Minist Educ, NHC Key Lab Hlth Technol Assessment,Key Lab Publ H, Shanghai, Peoples R China..
Wuhan Univ Sci & Technol, Med Coll, Sch Publ Hlth, Dept Environm Hyg & Occupat Med, Wuhan 430065, Peoples R China..
Shanxi Univ, Inst Environm Sci, Taiyuan, Shanxi, Peoples R China..
Cent South Univ, Xiangya Sch Publ Hlth, Dept Occupat & Environm Hlth, Changsha 410078, Peoples R China.;Furong Lab, Changsha 410078, Hunan, Peoples R China.;Cent South Univ, Hunan Prov Key Lab Low Carbon Hlth Bldg, Changsha 410083, Peoples R China..
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2025 (English)In: Sustainable cities and society, ISSN 2210-6707, Vol. 119, article id 106122Article in journal (Refereed) Published
Abstract [en]

Higher air temperature and increased ambient ozone (O3) concentration have been associated with childhood rhinitis risk. However, the potential mediating role of elevated O3 in the increased childhood rhinitis risk due to higher air temperature exposure has not been examined. This large-scale cross-sectional study included 40,103 preschool children from 7 Chinese capital cities. Information on ever-rhinitis, current-rhinitis, and doctor-diagnosed allergic rhinitis (AR) was collected using a standardized questionnaire. Average air temperature (TEMavg) and O3 concentration in the whole year, warm season, and cold season were estimated at 1 km spatial resolution. The findings revealed that exposure to higher air temperature (annual TEMavg, warm season TEMavg, and cold season TEMavg) and ambient O3 (annual O3, and warm season O3) were associated with an elevated risk of ever-rhinitis, current-rhinitis, and doctor-diagnosed AR. Moreover, elevated O3 concentration played important mediation effects on the relationships between higher air temperature and childhood rhinitis risk, with the mediated proportions ranging from 19.92% to 35.14% for the whole year, 18.62% to 32.82% for the warm season, and 3.85% to 13.32% for the cold season. Our study highlighted that controlling O3 pollution may be an effective approach to mitigate the increasing childhood rhinitis risk due to global warming.

Place, publisher, year, edition, pages
Elsevier, 2025. Vol. 119, article id 106122
Keywords [en]
Rhinitis, Air temperature, Ozone, Mediation effect, Preschool children, Global warming
National Category
Occupational Health and Environmental Health Public Health, Global Health and Social Medicine Respiratory Medicine and Allergy
Identifiers
URN: urn:nbn:se:uu:diva-549605DOI: 10.1016/j.scs.2024.106122ISI: 001397417900001Scopus ID: 2-s2.0-85214326314OAI: oai:DiVA.org:uu-549605DiVA, id: diva2:1935014
Available from: 2025-02-05 Created: 2025-02-05 Last updated: 2025-02-05Bibliographically approved

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Norbäck, DanWang, Juan

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Occupational and Environmental MedicineLung- allergy- and sleep researchClinical Physiology
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