Prevalence rates of respiratory symptoms in Italian general population samples exposed to different levels of air pollution.

作者: G. Viegi , P. Paoletti , L. Carrozzi , M. Vellutini , E. Diviggiano

DOI: 10.2307/3431299

关键词: Environmental healthEnvironmental protectionCross-sectional studyPrevalenceOdds ratioRural areaEpidemiologyPopulationWheezeChronic cough

摘要: We surveyed two general population samples aged 8 to 64 living in the unpolluted, rural area of Po Delta (northern Italy) (n = 3289) and urban Pisa (central 2917). Each subject filled out a standardized interviewer-administered questionnaire. The sample was divided into three groups according their residence urban-suburban areas outdoor air pollution exposure (automobile exhaust only or industrial fumes as well). Significantly higher prevalence rates all respiratory symptoms diseases were found compared with Delta. In particular, rhinitis wheezing zones; chronic cough phlegm zone automobile additional exposure. Current smoking more frequent area, but smokers had lifetime cigarette consumption. Childhood trouble recurrent illnesses evenly distributed. Exposure parental childhood lower educational level Delta, whereas familial history respiratory/allergic disorders work indoor exposures often reported city. Multiple logistic regression models estimating independently role various risk factors showed significant odds ratios associated for phlegm. For example, those urban-industrial an ratio 4.0 (4.3-3.7) 2.8 (3.0-2.6) wheeze respect Delta.(ABSTRACT TRUNCATED AT 250 WORDS)

参考文章(16)
Stanley N. Rokaw, Roger Detels, Frank J. Massey, James W. Sayre, Donald P. Tashkin, Anne H. Coulson, Miau Wu, The UCLA population studies of chronic obstructive respiratory disease. IV. Respiratory effect of long-term exposure to photochemical oxidants, nitrogen dioxide, and sulfates on current and never smokers. The American review of respiratory disease. ,vol. 124, pp. 673- ,(1981) , 10.1164/ARRD.1981.124.6.673
Robert S. Chapman, Victor Hasselblad, Dorothy C. Calafiore, Prevalence of persistent cough and phlegm in young adults in relation to long-term ambient sulfur oxide exposure The American review of respiratory disease. ,vol. 132, pp. 261- 267 ,(1985) , 10.1164/ARRD.1985.132.2.261
Prediletto R, Saetta M, Pistelli G, Paoletti P, Giuliano G, Fazzi P, Di Pede F, Polato R, Viegi G, Carrozzi L, Reference Values for Vital Capacity and Flow-Volume Curves From a General Population Study Bulletin européen de physiopathologie respiratoire. ,vol. 22, pp. 451- 459 ,(1986)
F.E. Speizer, D.O. Stram, J.D. Spengler, D.W. Dockery, J.H. Ware, B.G. Ferris, Effects of ambient sulfur oxides and suspended particles on respiratory health of preadolescent children. The American review of respiratory disease. ,vol. 133, pp. 834- 842 ,(1986)
Carmignani G, Prediletto R, Giuntini C, Mammini U, Carrozzi L, Paoletti P, Lebowitz, Di Pede F, Viegi G, Effects of childhood and adolescence-adulthood respiratory infections in a general population European Respiratory Journal. ,vol. 2, pp. 428- 436 ,(1989)
Prediletto R, Giuntini C, Carrozzi L, Pistelli G, Paoletti P, Fazzi P, Lebowitz, Di Pede F, Viegi G, Prevalence of respiratory symptoms in an unpolluted area of northern Italy. European Respiratory Journal. ,vol. 1, pp. 311- 318 ,(1988)
MICHAEL D. LEBOWITZ, RONALD J. KNUDSON, BENJAMIN BURROWS, TUCSON EPIDEMIOLOGIC STUDY OF OBSTRUCTIVE LUNG DISEASES I: METHODOLOGY AND PREVALENCE OF DISEASE American Journal of Epidemiology. ,vol. 102, pp. 137- 152 ,(1975) , 10.1093/OXFORDJOURNALS.AJE.A112141
L Carrozzi, G Giuliano, G Viegi, P Paoletti, F Di Pede, U Mammini, G Carmignani, R Saracci, C Giuntini, MD Lebowitz, None, The Po River Delta epidemiological study of obstructive lung disease: sampling methods, environmental and population characteristics European Journal of Epidemiology. ,vol. 6, pp. 191- 200 ,(1990) , 10.1007/BF00145793
Giovanni Viegi, Paolo Paoletti, Francesco Di Pede, Renato Prediletto, Laura Carrozzi, Giuseppe Pistelli, Carlo Giuntini, Single breath nitrogen test in an epidemiologic survey in North Italy. Reliability, reference values and relationships with symptoms. Chest. ,vol. 93, pp. 1213- 1220 ,(1988) , 10.1378/CHEST.93.6.1213
Robert E. Dales, Walter O. Spitzer, Samy Suissa, Martin T. Schechter, Pierre Tousignant, Nicholas Steinmetz, Respiratory health of a population living downwind from natural gas refineries. The American review of respiratory disease. ,vol. 139, pp. 595- 600 ,(1989) , 10.1164/AJRCCM/139.3.595