Journal of Preventive Medicine and Public Health

The Korean Society for Preventive Medicine (대한예방의학회)
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The Association Between PM2.5 Exposure and Diabetes Mellitus Among Thai Army Personnel

  • Apisorn Laorattapong (Division of Occupational Medicine, Department of Outpatient Service, Phramongkutklao Hospital) ;
  • Sarun Poobunjirdkul (Division of Occupational Medicine, Department of Outpatient Service, Phramongkutklao Hospital) ;
  • Thanapoom Rattananupong (Department of Preventive and Social Medicine, Faculty of Medicine, Chulalongkorn University) ;
  • Wiroj Jiamjarasrangsi (Department of Preventive and Social Medicine, Faculty of Medicine, Chulalongkorn University)
  • Received : 2023.06.27
  • Accepted : 2023.09.07
  • Published : 2023.09.30
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Abstract

Objectives: This study investigated the association between baseline exposures to particulate matter with a diameter <2.5 microns (PM2.5) and subsequent temporal changes in PM2.5 exposure with the incidence of type 2 diabetes among Royal Thai Army personnel. Methods: A retrospective cohort study was conducted using nationwide health check-up data from 21 325 Thai Army personnel between 2018 and 2021. Multilevel mixed-effects parametric survival statistics were utilized to analyze the relationship between baseline (i.e., PM2.5-baseline) and subsequent changes (i.e., PM2.5-change) in PM2.5 exposure and the occurrence of type 2 diabetes. Hazard ratios (HRs) and 95% confidence intervals (CIs) were employed to assess this association while considering covariates. Results: There was a significant association between both PM2.5 baseline and PM2.5-change and the incidence of type 2 diabetes in a dose-response manner. Compared to quartile 1, the HRs for quartiles 2 to 4 of PM2.5-baseline were 1.11 (95% CI, 0.74 to 1.65), 1.51 (95% CI, 1.00 to 2.28), and 1.77 (95% CI, 1.07 to 2.93), respectively. Similarly, the HRs for quartiles 2 to 4 of PM2.5-change were 1.41 (95% CI, 1.14 to 1.75), 1.43 (95% CI, 1.13 to 1.81) and 2.40 (95% CI, 1.84 to 3.14), respectively. Conclusions: Our findings contribute to existing evidence regarding the association between short-term and long-term exposure to PM2.5 and the incidence of diabetes among personnel in the Royal Thai Army.

Keywords

Acknowledgement

All authors would like to thank: Air4Thai of the Pollution Control Department, the Ministry of Natural Resources and Environment, Thailand; the Geo-Informatics and Space Technology Development Agency (GISTDA), Thailand; and the Royal Thai Army Medical Department for providing the environmental and health data used in this study.

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