The Influence of Neighborhood Roadways on Respiratory Symptoms Among Elementary Schoolchildren

被引:38
作者
Dales, Robert [1 ]
Wheeler, Amanda J. [2 ]
Mahmud, Mamun [3 ]
Frescura, Anna-Maria [4 ]
Liu, Ling [5 ]
机构
[1] Univ Ottawa, Dept Med, Ottawa, ON, Canada
[2] Hlth Canada, Air Hlth Effects Div, Water Air & Climate Change Bur, Ottawa, ON K1A 0L2, Canada
[3] Hlth Canada, Environm Hlth Sci Bur, Biostat & Epidemiol Div, Air Hlth Effects Res Sect, Ottawa, ON K1A 0L2, Canada
[4] Publ Hlth Agcy Canada, Immunizat & Resp Infect Div, Ottawa, ON, Canada
[5] Hlth Canada, Environm Hlth Sci Bur, Biostat & Epidemiol Div, Air Qual Hlth Effects Res Sect, Ottawa, ON K1A 0L2, Canada
关键词
AMBIENT NITROGEN-DIOXIDE; AIR-POLLUTION; CHILDHOOD ASTHMA; CHILDREN; HEALTH; EXPOSURE; RISK; PREVALENCE; DISTANCE; ATOPY;
D O I
10.1097/JOM.0b013e3181a0363c
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Objective: To investigate the respiratory health effects of living near roadways. Methods: We administered a questionnaire to Windsor school children. Explosure to roadways was defined as the total length of roadways within a 200 meter radius around the postal code of each household calculated using geographic information systems. Results: The adjusted odds ratios comparing the highest to the lowest exposure (roadway density) quintiles, were statistically significant for wheeze 1.23 (95% CI: 1.07 to 1.41) (P = 0.0041) and wheeze with dyspnea 1.27 (95% CI: 1.05 to 1.52) (P = 0.0125). Expressed as a continuous variable roadway density was associated with asthma, odds ratio L 08 (95% CI: 1.012 to 1.149) equivalent to an 8% relative increase in the odds of asthma for an interquartile increase (0.6 km) in roadway density. Conclusions: Residential traffic appears to adversely influence respiratory health. (J Occup Environ Med. 2009,51:654-660)
引用
收藏
页码:654 / 660
页数:7
相关论文
共 26 条
[1]   NEW LOOK AT STATISTICAL-MODEL IDENTIFICATION [J].
AKAIKE, H .
IEEE TRANSACTIONS ON AUTOMATIC CONTROL, 1974, AC19 (06) :716-723
[2]   Parental history of atopic disease: Disease pattern and risk of pediatric atopy in offspring [J].
Alford, SH ;
Zoratti, E ;
Peterson, EL ;
Maliarik, M ;
Ownby, DR ;
Johnson, CC .
JOURNAL OF ALLERGY AND CLINICAL IMMUNOLOGY, 2004, 114 (05) :1046-1050
[3]  
Bascom R, 1996, AM J RESP CRIT CARE, V153, P3, DOI [10.1164/ajrccm.153.1.8542133, 10.1164/ajrccm.153.2.8564086]
[4]   Air pollution from traffic and the development of respiratory infections and asthmatic and allergic symptoms in children [J].
Brauer, M ;
Hoek, G ;
Van Vliet, P ;
Meliefste, K ;
Fischer, PH ;
Wijga, A ;
Koopman, LP ;
Neijens, HJ ;
Gerritsen, J ;
Kerkhof, M ;
Heinrich, J ;
Bellander, T ;
Brunekreef, B .
AMERICAN JOURNAL OF RESPIRATORY AND CRITICAL CARE MEDICINE, 2002, 166 (08) :1092-1098
[5]   Air pollution and health [J].
Brunekreef, B ;
Holgate, ST .
LANCET, 2002, 360 (9341) :1233-1242
[6]  
DOCKERY DW, 2002, TOPICS ENV EPIDEMIOL, P119
[7]   Examining associations between childhood asthma and traffic flow using a geographic information system [J].
English, P ;
Neutra, R ;
Scalf, R ;
Sullivan, M ;
Waller, L ;
Zhu, L .
ENVIRONMENTAL HEALTH PERSPECTIVES, 1999, 107 (09) :761-767
[8]  
FERRIS BG, 1978, AM REV RESPIR DIS, V118, P1
[9]   Childhood asthma and exposure to traffic and nitrogen dioxide [J].
Gauderman, WJ ;
Avol, E ;
Lurmann, F ;
Kuenzli, N ;
Gilliland, F ;
Peters, J ;
McConnell, R .
EPIDEMIOLOGY, 2005, 16 (06) :737-743
[10]   Ambient nitrogen dioxide and distance from a major highway [J].
Gilbert, NL ;
Woodhouse, S ;
Stieb, DM ;
Brook, JR .
SCIENCE OF THE TOTAL ENVIRONMENT, 2003, 312 (1-3) :43-46