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Comparison between various indices of exposure to traffic-related air pollution and their impact on respiratory health in adults.
Occup Environ Med. 2008 Oct; 65(10):683-90.OE

Abstract

OBJECTIVE

To evaluate the association of different indices of traffic-related air pollution (self-report of traffic intensity, distance from busy roads from geographical information system (GIS), area-based emissions of particulate matter (PM), and estimated concentrations of nitrogen dioxide (NO(2)) from a land-use regression model) with respiratory health in adults.

METHODS

A sample of 9488 25-59-year-old Rome residents completed a self-administered questionnaire on respiratory health and various risk factors, including education, occupation, housing conditions, smoking, and traffic intensity in their area of residence. The study used GIS to calculate the distance between their home address and the closest high-traffic road. For each subject, PM emissions in the area of residence as well as estimated NO2 concentrations as assessed by a land-use regression model (R(2) value = 0.69), were available. Generalised estimating equations (GEE) were used to analyse the association between air pollution measures and prevalence of "ever" chronic bronchitis, asthma, and rhinitis taking into account the effects of age, gender, education, smoking habits, socioeconomic position, and the correlation of variables for members of the same family.

RESULTS

Three hundred and ninety seven subjects (4% of the study population) reported chronic bronchitis, 472 (5%) asthma, and 1227 (13%) rhinitis. Fifteen per cent of subjects reported living in high traffic areas, 11% lived within 50 m of a high traffic road, and 28% in areas with estimated NO2 greater than 50 microg/m(3). Prevalence of asthma was associated only with self-reported traffic intensity whereas no association was found for the other more objective indices. Rhinitis, on the other hand, was strongly associated with all traffic-related indicators (eg, OR = 1.13, 95% CI: 1.04 to 1.22 for 10 microg/m(3) NO2, especially among non-smokers.

CONCLUSIONS

Indices of exposure to traffic-related air pollution are consistently associated with an increased risk of rhinitis in adults, especially among non-smokers. The results for asthma are weak, possibly due to ascertainment problems.

Authors+Show Affiliations

Epidemiology Department, Local Health Unit, ASL RME, Via S. Costanza 53, 00198 Rome, Italy. cesaroni@asplazio.itNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

18203803

Citation

Cesaroni, G, et al. "Comparison Between Various Indices of Exposure to Traffic-related Air Pollution and Their Impact On Respiratory Health in Adults." Occupational and Environmental Medicine, vol. 65, no. 10, 2008, pp. 683-90.
Cesaroni G, Badaloni C, Porta D, et al. Comparison between various indices of exposure to traffic-related air pollution and their impact on respiratory health in adults. Occup Environ Med. 2008;65(10):683-90.
Cesaroni, G., Badaloni, C., Porta, D., Forastiere, F., & Perucci, C. A. (2008). Comparison between various indices of exposure to traffic-related air pollution and their impact on respiratory health in adults. Occupational and Environmental Medicine, 65(10), 683-90. https://doi.org/10.1136/oem.2007.037846
Cesaroni G, et al. Comparison Between Various Indices of Exposure to Traffic-related Air Pollution and Their Impact On Respiratory Health in Adults. Occup Environ Med. 2008;65(10):683-90. PubMed PMID: 18203803.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Comparison between various indices of exposure to traffic-related air pollution and their impact on respiratory health in adults. AU - Cesaroni,G, AU - Badaloni,C, AU - Porta,D, AU - Forastiere,F, AU - Perucci,C A, Y1 - 2008/01/18/ PY - 2008/1/22/pubmed PY - 2009/2/20/medline PY - 2008/1/22/entrez SP - 683 EP - 90 JF - Occupational and environmental medicine JO - Occup Environ Med VL - 65 IS - 10 N2 - OBJECTIVE: To evaluate the association of different indices of traffic-related air pollution (self-report of traffic intensity, distance from busy roads from geographical information system (GIS), area-based emissions of particulate matter (PM), and estimated concentrations of nitrogen dioxide (NO(2)) from a land-use regression model) with respiratory health in adults. METHODS: A sample of 9488 25-59-year-old Rome residents completed a self-administered questionnaire on respiratory health and various risk factors, including education, occupation, housing conditions, smoking, and traffic intensity in their area of residence. The study used GIS to calculate the distance between their home address and the closest high-traffic road. For each subject, PM emissions in the area of residence as well as estimated NO2 concentrations as assessed by a land-use regression model (R(2) value = 0.69), were available. Generalised estimating equations (GEE) were used to analyse the association between air pollution measures and prevalence of "ever" chronic bronchitis, asthma, and rhinitis taking into account the effects of age, gender, education, smoking habits, socioeconomic position, and the correlation of variables for members of the same family. RESULTS: Three hundred and ninety seven subjects (4% of the study population) reported chronic bronchitis, 472 (5%) asthma, and 1227 (13%) rhinitis. Fifteen per cent of subjects reported living in high traffic areas, 11% lived within 50 m of a high traffic road, and 28% in areas with estimated NO2 greater than 50 microg/m(3). Prevalence of asthma was associated only with self-reported traffic intensity whereas no association was found for the other more objective indices. Rhinitis, on the other hand, was strongly associated with all traffic-related indicators (eg, OR = 1.13, 95% CI: 1.04 to 1.22 for 10 microg/m(3) NO2, especially among non-smokers. CONCLUSIONS: Indices of exposure to traffic-related air pollution are consistently associated with an increased risk of rhinitis in adults, especially among non-smokers. The results for asthma are weak, possibly due to ascertainment problems. SN - 1470-7926 UR - https://www.unboundmedicine.com/medline/citation/18203803/Comparison_between_various_indices_of_exposure_to_traffic_related_air_pollution_and_their_impact_on_respiratory_health_in_adults_ L2 - https://oem.bmj.com/lookup/pmidlookup?view=long&pmid=18203803 DB - PRIME DP - Unbound Medicine ER -