{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,17]],"date-time":"2026-06-17T06:51:45Z","timestamp":1781679105213,"version":"3.54.5"},"reference-count":53,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,6,17]],"date-time":"2026-06-17T00:00:00Z","timestamp":1781654400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Public Health"],"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>This study aimed to examine the association between ambient air pollution and hospital admissions for ischemic stroke, as well as the attributable disease burden, in Zhangzhou, a subtropical city in China.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      Daily data on hospital admissions for ischemic stroke, meteorological factors, and ambient air pollutants (PM\n                      <jats:sub>2<\/jats:sub>\n                      .5, PM10, SO\n                      <jats:sub>2<\/jats:sub>\n                      , NO\n                      <jats:sub>2<\/jats:sub>\n                      , CO, and O3) were collected in Zhangzhou from 2020 to 2023. A Poisson generalized additive model (GAM) was used to evaluate the acute effects of air pollutants on ischemic stroke admissions, with stratification by sex, age, and season. Attributable fractions (AFs) and attributable numbers (ANs) were further estimated based on the World Health Organization (WHO) Air Quality Guidelines and Chinese air quality standards.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Ischemic stroke admissions were significantly associated with exposure to PM\n                      <jats:sub>2.5<\/jats:sub>\n                      , PM\n                      <jats:sub>10<\/jats:sub>\n                      , NO\n                      <jats:sub>2<\/jats:sub>\n                      and O\n                      <jats:sub>3<\/jats:sub>\n                      , but not with SO\n                      <jats:sub>2<\/jats:sub>\n                      or CO. For per 10 \u03bcg\/m3 increment in PM\n                      <jats:sub>2.5<\/jats:sub>\n                      , PM\n                      <jats:sub>10<\/jats:sub>\n                      , NO\n                      <jats:sub>2<\/jats:sub>\n                      , and O\n                      <jats:sub>3<\/jats:sub>\n                      at lag01, the corresponding relative risks (RRs) and 95% confidence intervals (CIs) were 1.0356 (1.0107\u20131.0611), 1.0196 (1.0052\u20131.0341), 1.0387 (1.0045\u20131.0740), and 1.0106 (1.0030\u20131.0183), respectively. These associations were stronger in males, individuals under 65 years of age, and during the cold season. Overall, 7.0% (854 cases) of ischemic stroke admissions in Zhangzhou were attributable to air pollutant concentrations exceeding the WHO Air Quality Guidelines.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>\n                      Short-term exposure to PM\n                      <jats:sub>2.5<\/jats:sub>\n                      , PM\n                      <jats:sub>10<\/jats:sub>\n                      , NO\n                      <jats:sub>2<\/jats:sub>\n                      , and O\n                      <jats:sub>3<\/jats:sub>\n                      was significantly associated with increased hospital admissions for ischemic stroke and contributed to a certain disease burden in Zhangzhou. Our findings highlight the need for effective air pollution control strategies to reduce the related health burden.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fpubh.2026.1850457","type":"journal-article","created":{"date-parts":[[2026,6,17]],"date-time":"2026-06-17T05:52:34Z","timestamp":1781675554000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Attributable risk of hospital admissions for ischemic stroke due to ambient air pollution: a time-series study in Zhangzhou, China"],"prefix":"10.3389","volume":"14","author":[{"given":"Yanhu","family":"Ji","sequence":"first","affiliation":[{"name":"Department of Clinical Medicine, Zhangzhou Health Vocational College","place":["Zhangzhou, Fujian, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lina","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of Clinical Medicine, Zhangzhou 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