Skip to main content
Top
Published in: BMC Public Health 1/2024

Open Access 01-12-2024 | Allergic Rhinitis | Research

Online public concern about allergic rhinitis and its association with COVID-19 and air quality in China: an informative epidemiological study using Baidu index

Authors: Yi Yu, Qinzhun Zhang, Xinmeng Yao, Jinghua Wu, Jialu He, Yinan He, Huaqiang Jiang, Dongxin Lu, Chengyin Ye

Published in: BMC Public Health | Issue 1/2024

Login to get access

Abstract

Background

Allergic rhinitis is a common health concern that affects quality of life. This study aims to examine the online search trends of allergic rhinitis in China before and after the COVID-19 epidemic and to explore the association between the daily air quality and online search volumes of allergic rhinitis in Beijing.

Methods

We extracted the online search data of allergic rhinitis-related keywords from the Baidu index database from January 23, 2017 to June 23, 2022. We analyzed and compared the temporal distribution of online search behaviors across different themes of allergic rhinitis before and after the COVID-19 pandemic in mainland China, using the Baidu search index (BSI). We also obtained the air quality index (AQI) data in Beijing and assessed its correlation with daily BSIs of allergic rhinitis.

Results

The online search for allergic rhinitis in China showed significant seasonal variations, with two peaks each year in spring from March to May and autumn from August and October. The BSI of total allergic rhinitis-related searches increased gradually from 2017 to 2019, reaching a peak in April 2019, and declined after the COVID-19 pandemic, especially in the first half of 2020. The BSI for all allergic rhinitis themes was significantly lower after the COVID-19 pandemic than before (all p values < 0.05). The results also revealed that, in Beijing, there was a significant negative association between daily BSI and AQI for each allergic rhinitis theme during the original variant strain epidemic period and a significant positive correlation during the Omicron variant period.

Conclusion

Both air quality and the interventions used for COVID-19 pandemic, including national and local quarantines and mask wearing behaviors, may have affected the incidence and public concern about allergic rhinitis in China. The online search trends can serve as a valuable tool for tracking real-time public concerns about allergic rhinitis. By complementing traditional disease monitoring systems of health departments, these search trends can also offer insights into the patterns of disease outbreaks. Additionally, they can provide references and suggestions regarding the public’s knowledge demands related to allergic rhinitis, which can further be instrumental in developing targeted strategies to enhance population-based disease education on allergic diseases.
Appendix
Available only for authorised users
Literature
1.
go back to reference Brożek JL, Bousquet J, Agache I, Agarwal A, Bachert C, Bosnic-Anticevich S, et al. Allergic Rhinitis and its Impact on Asthma (ARIA) guidelines—2016 revision. J Allergy Clin Immunol. 2017;140:950–8.PubMedCrossRef Brożek JL, Bousquet J, Agache I, Agarwal A, Bachert C, Bosnic-Anticevich S, et al. Allergic Rhinitis and its Impact on Asthma (ARIA) guidelines—2016 revision. J Allergy Clin Immunol. 2017;140:950–8.PubMedCrossRef
2.
go back to reference Gani F, Cottini M, Landi M, Berti A, Comberiati P, Peroni D, et al. Allergic rhinitis and COVID-19: friends or foes? Eur Ann Allergy Clin Immunol. 2022;54:53–9.PubMedCrossRef Gani F, Cottini M, Landi M, Berti A, Comberiati P, Peroni D, et al. Allergic rhinitis and COVID-19: friends or foes? Eur Ann Allergy Clin Immunol. 2022;54:53–9.PubMedCrossRef
3.
go back to reference Wang Y, Gao Z, Lv H, Xu Y. Online public attention toward allergic rhinitis in Wuhan, China: Infodemiology study using Baidu index and meteorological data. Front Public Health. 2022;10:3568. Wang Y, Gao Z, Lv H, Xu Y. Online public attention toward allergic rhinitis in Wuhan, China: Infodemiology study using Baidu index and meteorological data. Front Public Health. 2022;10:3568.
4.
go back to reference Zhang Y, Zhang L. Prevalence of allergic rhinitis in China. Allergy Asthma Immunol Res. 2014;6:105–13.PubMedCrossRef Zhang Y, Zhang L. Prevalence of allergic rhinitis in China. Allergy Asthma Immunol Res. 2014;6:105–13.PubMedCrossRef
5.
7.
go back to reference Steven GC. Shared decision making in allergic rhinitis: An approach to the patient. Ann Allergy Asthma Immunol. 2020;125:268–72.PubMedCrossRef Steven GC. Shared decision making in allergic rhinitis: An approach to the patient. Ann Allergy Asthma Immunol. 2020;125:268–72.PubMedCrossRef
8.
go back to reference Bousquet J, Agache I, Anto JM, Bergmann KC, Bachert C, Annesi-Maesano I, et al. Google Trends terms reporting rhinitis and related topics differ in European countries. Allergy. 2017;72:1261–6.PubMedCrossRef Bousquet J, Agache I, Anto JM, Bergmann KC, Bachert C, Annesi-Maesano I, et al. Google Trends terms reporting rhinitis and related topics differ in European countries. Allergy. 2017;72:1261–6.PubMedCrossRef
9.
go back to reference Eysenbach G. Infodemiology and infoveillance: Framework for an emerging set of public health informatics methods to analyze search, communication and publication behavior on the internet. J Med Internet Res. 2009;11:e1157.CrossRef Eysenbach G. Infodemiology and infoveillance: Framework for an emerging set of public health informatics methods to analyze search, communication and publication behavior on the internet. J Med Internet Res. 2009;11:e1157.CrossRef
10.
go back to reference Hu Q, Mou YL, Yin RY, Tang L, Zhang F. Using the Baidu index to understand Chinese interest in thyroid related diseases. Sci Rep. 2022;12:1–6.ADSCrossRef Hu Q, Mou YL, Yin RY, Tang L, Zhang F. Using the Baidu index to understand Chinese interest in thyroid related diseases. Sci Rep. 2022;12:1–6.ADSCrossRef
11.
go back to reference Xu C, Wang Y, Yang H, Hou J, Sun L, Zhang X, et al. Association between cancer incidence and mortality in web-based data in China: infodemiology study. J Med Internet Res. 2019;21:e10677.PubMedPubMedCentralCrossRef Xu C, Wang Y, Yang H, Hou J, Sun L, Zhang X, et al. Association between cancer incidence and mortality in web-based data in China: infodemiology study. J Med Internet Res. 2019;21:e10677.PubMedPubMedCentralCrossRef
12.
go back to reference Jiang S, You C, Zhang S, Chen F, Peng G, Liu J, et al. Using search trends to analyze web-based users’ behavior profiles connected with COVID-19 in mainland China: infodemiology study based on hot words and Baidu Index. PeerJ. 2022;10:e14343.PubMedPubMedCentralCrossRef Jiang S, You C, Zhang S, Chen F, Peng G, Liu J, et al. Using search trends to analyze web-based users’ behavior profiles connected with COVID-19 in mainland China: infodemiology study based on hot words and Baidu Index. PeerJ. 2022;10:e14343.PubMedPubMedCentralCrossRef
13.
go back to reference Wu T, Wang M, Cheng X, Liu W, Zhu S, Zhang X. Predicting incidence of hepatitis E for thirteen cities in Jiangsu Province China. Front Public Health. 2022;10:942543.PubMedPubMedCentralCrossRef Wu T, Wang M, Cheng X, Liu W, Zhu S, Zhang X. Predicting incidence of hepatitis E for thirteen cities in Jiangsu Province China. Front Public Health. 2022;10:942543.PubMedPubMedCentralCrossRef
14.
go back to reference Fang Y, Shepherd TA, Smith HE. Examining the trends in online health information-seeking behavior about chronic obstructive pulmonary disease in Singapore: Analysis of data from Google trends and the global burden of disease study. J Med Internet Res. 2021;23:e19307.PubMedPubMedCentralCrossRef Fang Y, Shepherd TA, Smith HE. Examining the trends in online health information-seeking behavior about chronic obstructive pulmonary disease in Singapore: Analysis of data from Google trends and the global burden of disease study. J Med Internet Res. 2021;23:e19307.PubMedPubMedCentralCrossRef
15.
go back to reference Sugimura M, Chimed-Ochir O, Yumiya Y, Ohge H, Shime N, Sakaguchi T, et al. The association between wearing a mask and COVID-19. Int J Environ Res Public Health. 2021;18:9131.PubMedPubMedCentralCrossRef Sugimura M, Chimed-Ochir O, Yumiya Y, Ohge H, Shime N, Sakaguchi T, et al. The association between wearing a mask and COVID-19. Int J Environ Res Public Health. 2021;18:9131.PubMedPubMedCentralCrossRef
16.
17.
go back to reference Ren J, Pang W, Luo Y, Cheng D, Qiu K, Rao Y, et al. Impact of allergic rhinitis and asthma on COVID-19 infection, hospitalization, and mortality. J Allergy Clin Immunol Pract. 2022;10:124–33.PubMedCrossRef Ren J, Pang W, Luo Y, Cheng D, Qiu K, Rao Y, et al. Impact of allergic rhinitis and asthma on COVID-19 infection, hospitalization, and mortality. J Allergy Clin Immunol Pract. 2022;10:124–33.PubMedCrossRef
18.
go back to reference Kuiper IN, Svanes C, Markevych I, Accordini S, Bertelsen RJ, Bråbäck L, et al. Lifelong exposure to air pollution and greenness in relation to asthma, rhinitis and lung function in adulthood. Environ Int. 2021;146:106219.CrossRef Kuiper IN, Svanes C, Markevych I, Accordini S, Bertelsen RJ, Bråbäck L, et al. Lifelong exposure to air pollution and greenness in relation to asthma, rhinitis and lung function in adulthood. Environ Int. 2021;146:106219.CrossRef
19.
go back to reference Wu GP, Hu W, Teng EJ, Wei FS. Analysis of the effect of air pollution on the adult’s respiratory health. Environ Monit China. 2001;17(S):33–8. Wu GP, Hu W, Teng EJ, Wei FS. Analysis of the effect of air pollution on the adult’s respiratory health. Environ Monit China. 2001;17(S):33–8.
20.
go back to reference Li S, Wu W, Wang G, Zhang X, Guo Q, Wang B, et al. Association between exposure to air pollution and risk of allergic rhinitis: A systematic review and meta-analysis. Environ Res. 2022;205:112472.PubMedCrossRef Li S, Wu W, Wang G, Zhang X, Guo Q, Wang B, et al. Association between exposure to air pollution and risk of allergic rhinitis: A systematic review and meta-analysis. Environ Res. 2022;205:112472.PubMedCrossRef
21.
go back to reference D’Amato G. Outdoor air pollution, climate and allergic respiratory diseases: evidence of a link. Clin Exp Allergy. 2002;32:1391–3.PubMedCrossRef D’Amato G. Outdoor air pollution, climate and allergic respiratory diseases: evidence of a link. Clin Exp Allergy. 2002;32:1391–3.PubMedCrossRef
22.
go back to reference Lee YL, Shaw CK, Su HJ, Lai JS, Ko YC, Huang SL, et al. Climate, traffic-related air pollutants and allergic rhinitis prevalence in middle-school children in Taiwan. Eur Respir J. 2003;21:964–70.PubMedCrossRef Lee YL, Shaw CK, Su HJ, Lai JS, Ko YC, Huang SL, et al. Climate, traffic-related air pollutants and allergic rhinitis prevalence in middle-school children in Taiwan. Eur Respir J. 2003;21:964–70.PubMedCrossRef
23.
go back to reference He G, Pan Y, Tanaka T. The short-term impacts of COVID-19 lockdown on urban air pollution in China. Nat Sustain. 2020;3:1005–11.CrossRef He G, Pan Y, Tanaka T. The short-term impacts of COVID-19 lockdown on urban air pollution in China. Nat Sustain. 2020;3:1005–11.CrossRef
25.
go back to reference Liu W, Wang D, Hua S, Xie C, Wang B, Qiu W, et al. Spatiotemporal analysis of COVID-19 outbreaks in Wuhan. China Sci Rep. 2021;11:1–9. Liu W, Wang D, Hua S, Xie C, Wang B, Qiu W, et al. Spatiotemporal analysis of COVID-19 outbreaks in Wuhan. China Sci Rep. 2021;11:1–9.
26.
27.
go back to reference Fan Y, Li X, Zhang L, Wan S, Zhang L, Zhou F. SARS-CoV-2 Omicron variant: recent progress and future perspectives. Signal Transduct Target Ther. 2022;7:141.PubMedPubMedCentralCrossRef Fan Y, Li X, Zhang L, Wan S, Zhang L, Zhou F. SARS-CoV-2 Omicron variant: recent progress and future perspectives. Signal Transduct Target Ther. 2022;7:141.PubMedPubMedCentralCrossRef
28.
go back to reference Zhao S, Guo Z, Chong MKC, He D, Wang MH. Superspreading potential of SARS-CoV-2 Delta variants under intensive disease control measures in China. J Travel Med. 2022;29:taac025.PubMedCrossRef Zhao S, Guo Z, Chong MKC, He D, Wang MH. Superspreading potential of SARS-CoV-2 Delta variants under intensive disease control measures in China. J Travel Med. 2022;29:taac025.PubMedCrossRef
32.
go back to reference Li WJ, Huang N, Zhang SC, Ma DX, Yang YQ. Zhu RF [Airborne pollens in Wuhan urban area and its correlation with hospital visits of allergic rhinitis patients from 2017 to 2018]. Zhonghua Yu Fang Yi Xue Za Zhi. 2021;55:620–6.PubMed Li WJ, Huang N, Zhang SC, Ma DX, Yang YQ. Zhu RF [Airborne pollens in Wuhan urban area and its correlation with hospital visits of allergic rhinitis patients from 2017 to 2018]. Zhonghua Yu Fang Yi Xue Za Zhi. 2021;55:620–6.PubMed
33.
go back to reference Forkel S, Beutner C, Heetfeld A, Fuchs T, Schön MP, Geier J, et al. Allergic rhinitis to weed pollen in Germany: dominance by plantain, rising prevalence, and polysensitization rates over 20 Years. Int Arch Allergy Immunol. 2020;181:128–35.PubMedCrossRef Forkel S, Beutner C, Heetfeld A, Fuchs T, Schön MP, Geier J, et al. Allergic rhinitis to weed pollen in Germany: dominance by plantain, rising prevalence, and polysensitization rates over 20 Years. Int Arch Allergy Immunol. 2020;181:128–35.PubMedCrossRef
34.
go back to reference Lake IR, Jones NR, Agnew M, Goodess CM, Giorgi F, Hamaoui-Laguel L, et al. Climate Change and Future Pollen Allergy in Europe. Environ Health Perspect. 2017;125:385–91.PubMedCrossRef Lake IR, Jones NR, Agnew M, Goodess CM, Giorgi F, Hamaoui-Laguel L, et al. Climate Change and Future Pollen Allergy in Europe. Environ Health Perspect. 2017;125:385–91.PubMedCrossRef
35.
go back to reference Le Merre C, Isber J, Chediak AD, Wanner A. Effects of cold dry air nasal stimulation on airway mucosal blood flow in humans. Arch Physiol Biochem. 2003;111:327–9.PubMedCrossRef Le Merre C, Isber J, Chediak AD, Wanner A. Effects of cold dry air nasal stimulation on airway mucosal blood flow in humans. Arch Physiol Biochem. 2003;111:327–9.PubMedCrossRef
36.
go back to reference Zhang L, Zhang Y. Increasing prevalence of allergic rhinitis in China. Allergy Asthma Immunol Res. 2019;11:156.PubMedCrossRef Zhang L, Zhang Y. Increasing prevalence of allergic rhinitis in China. Allergy Asthma Immunol Res. 2019;11:156.PubMedCrossRef
37.
go back to reference Liccardi G, Bilò MB, Milanese M, Martini M, Calzetta L, Califano F, et al. Face masks during COVID-19 pandemic lockdown and self-reported seasonal allergic rhinitis symptoms. Rhinology. 2021;59:481–4.PubMed Liccardi G, Bilò MB, Milanese M, Martini M, Calzetta L, Califano F, et al. Face masks during COVID-19 pandemic lockdown and self-reported seasonal allergic rhinitis symptoms. Rhinology. 2021;59:481–4.PubMed
38.
go back to reference Mengi E, Kara CO, Alptürk U, Topuz B. The effect of face mask usage on the allergic rhinitis symptoms in patients with pollen allergy during the covid-19 pandemic. Am J Otolaryngol. 2022;43:103206.PubMedCrossRef Mengi E, Kara CO, Alptürk U, Topuz B. The effect of face mask usage on the allergic rhinitis symptoms in patients with pollen allergy during the covid-19 pandemic. Am J Otolaryngol. 2022;43:103206.PubMedCrossRef
39.
go back to reference Salehi-Abari I, Khazaeli S, Salehi-Abari I, Khazaeli S. COVID-19 versus Allergic Rhinitis. Adv Infect Dis. 2020;10:168–74. Salehi-Abari I, Khazaeli S, Salehi-Abari I, Khazaeli S. COVID-19 versus Allergic Rhinitis. Adv Infect Dis. 2020;10:168–74.
41.
go back to reference Lagiou O, Fouzas S, Lykouras D, Sinopidis X, Karatza A, Karkoulias K, et al. Exercise Limitation in Children and Adolescents with Mild-to-Moderate Asthma. J Asthma Allergy. 2022;15:89–98.PubMedPubMedCentralCrossRef Lagiou O, Fouzas S, Lykouras D, Sinopidis X, Karatza A, Karkoulias K, et al. Exercise Limitation in Children and Adolescents with Mild-to-Moderate Asthma. J Asthma Allergy. 2022;15:89–98.PubMedPubMedCentralCrossRef
42.
go back to reference Kmietowicz Z. Covid-19: Highest risk patients are asked to stay at home for 12 weeks. BMJ. 2020;368:m1170.PubMedCrossRef Kmietowicz Z. Covid-19: Highest risk patients are asked to stay at home for 12 weeks. BMJ. 2020;368:m1170.PubMedCrossRef
43.
go back to reference Eguiluz-Gracia I, Mathioudakis AG, Bartel S, Vijverberg SJH, Fuertes E, Comberiati P, et al. The need for clean air: The way air pollution and climate change affect allergic rhinitis and asthma. Allergy. 2020;75:2170–84.PubMedCrossRef Eguiluz-Gracia I, Mathioudakis AG, Bartel S, Vijverberg SJH, Fuertes E, Comberiati P, et al. The need for clean air: The way air pollution and climate change affect allergic rhinitis and asthma. Allergy. 2020;75:2170–84.PubMedCrossRef
44.
go back to reference Choi HG, Kim SY, Joo Y-H, Cho H-J, Kim S-W, Jeon YJ, et al. Incidence of asthma, atopic dermatitis, and allergic rhinitis in korean adults before and during the COVID-19 pandemic using data from the Korea National Health and Nutrition Examination Survey. Int J Environl Res Public Health. 2022;19:14274.CrossRef Choi HG, Kim SY, Joo Y-H, Cho H-J, Kim S-W, Jeon YJ, et al. Incidence of asthma, atopic dermatitis, and allergic rhinitis in korean adults before and during the COVID-19 pandemic using data from the Korea National Health and Nutrition Examination Survey. Int J Environl Res Public Health. 2022;19:14274.CrossRef
45.
go back to reference Campbell F, Archer B, Laurenson-Schafer H, Jinnai Y, Konings F, Batra N, et al. Increased transmissibility and global spread of SARS-CoV-2 variants of concern as at June 2021. Euro Surveill. 2021;26:1–6.CrossRef Campbell F, Archer B, Laurenson-Schafer H, Jinnai Y, Konings F, Batra N, et al. Increased transmissibility and global spread of SARS-CoV-2 variants of concern as at June 2021. Euro Surveill. 2021;26:1–6.CrossRef
46.
go back to reference Yang W, for JS the preprint server, 2022 undefined. COVID-19 pandemic dynamics in South Africa and epidemiological characteristics of three variants of concern (Beta, Delta, and Omicron). pubmed.ncbi.nlm.nih.gov. Yang W, for JS the preprint server, 2022 undefined. COVID-19 pandemic dynamics in South Africa and epidemiological characteristics of three variants of concern (Beta, Delta, and Omicron). pubmed.​ncbi.​nlm.​nih.​gov.
48.
go back to reference Naclerio R, Ansotegui IJ, Bousquet J, Canonica GW, D’Amato G, Rosario N, et al. International expert consensus on the management of allergic rhinitis (AR) aggravated by air pollutants: impact of air pollution on patients with AR: current knowledge and future strategies. World Allergy Organ J. 2020;13:100106.PubMedPubMedCentralCrossRef Naclerio R, Ansotegui IJ, Bousquet J, Canonica GW, D’Amato G, Rosario N, et al. International expert consensus on the management of allergic rhinitis (AR) aggravated by air pollutants: impact of air pollution on patients with AR: current knowledge and future strategies. World Allergy Organ J. 2020;13:100106.PubMedPubMedCentralCrossRef
49.
go back to reference Piekarska B, Sybilski AJ, Krzych-Fałta E, Furmanczyk K, Jaworski S, Białoszewski AZ, et al. Effect of indoor air quality on the development of rhinitis in an urban population in Poland. Allergy Asthma Proc. 2018;39:e71–7.PubMedCrossRef Piekarska B, Sybilski AJ, Krzych-Fałta E, Furmanczyk K, Jaworski S, Białoszewski AZ, et al. Effect of indoor air quality on the development of rhinitis in an urban population in Poland. Allergy Asthma Proc. 2018;39:e71–7.PubMedCrossRef
Metadata
Title
Online public concern about allergic rhinitis and its association with COVID-19 and air quality in China: an informative epidemiological study using Baidu index
Authors
Yi Yu
Qinzhun Zhang
Xinmeng Yao
Jinghua Wu
Jialu He
Yinan He
Huaqiang Jiang
Dongxin Lu
Chengyin Ye
Publication date
01-12-2024
Publisher
BioMed Central
Published in
BMC Public Health / Issue 1/2024
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/s12889-024-17893-4

Other articles of this Issue 1/2024

BMC Public Health 1/2024 Go to the issue