Effects of Air Pollution Exposure on Hospital Admissions: A Time Series Study in Sivas, Türkiye

The impact of air pollution on human health has been widely studied in recent decades. Recent findings show that even low levels of air pollution can be harmful to our health, causing disease and early death. However, these studies are very limited in the central region of Türkiye. Therefore, this study focused on the association between the daily variations in air pollutants (PM10, PM2.5, SO2, and NO2) and hospital admissions due to respiratory, cardiovascular, and total (non-accidental) causes in the Sivas province. Daily average concentrations of air pollutants were obtained from two air quality (AQ) monitoring stations, and daily meteorological (air temperature and relative humidity) data were obtained from one meteorological station in Sivas province to determine the effects of air pollution on hospital admissions. It was found to be a significant relationship between air pollution and respiratory hospital admissions in the province. The results of the study showed the relative magnitudes of the risks of cardiovascular diseases and hospital admissions related to air pollutants were as follows: The highest association of each pollutant with cardiovascular diseases was observed for PM10 at lag 4 (ER = 1.74%; 95% CI = 0.95–3.19%), PM2.5 at lag 2 (ER = 5.12%; 95% CI = 1.39–19.0%), NO2 at lag 8 (ER = 4.89%; 95% CI = 0.08–288.8%) and SO2 at lag 5 (ER = 1.21%; 95% CI = 1.10–1.32%). It was seen that short-term exposure to air pollution in Sivas between 2016 and 2019 was positively associated with increasing respiratory hospital admissions. As the first air pollution study to use the generalized linear model (GLM) method in hospital admissions in Sivas, these findings may have implications for local environmental policies and help to combat air pollution.