Parental Stress Increases the Detrimental Effect of Traffic Exposure on Children's Lung Function

作者: Talat Islam , Robert Urman , W. James Gauderman , Joel Milam , Fred Lurmann

DOI: 10.1164/RCCM.201104-0720OC

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摘要: Rationale: Emerging evidence indicates that psychosocial stress enhances the effect of traffic exposure on development asthma.Objectives: We hypothesized would also modify lung function deficits.Methods: studied 1,399 participants in Southern California Children's Health Study undergoing testing (mean age, 11.2 yr). used hierarchical mixed models to assess joint traffic-related air pollution and function.Measurements Main Results: Psychosocial each child's household was assessed based parental response perceived scale (range, 0–16) at study entry. Exposures nitric oxide, nitrogen dioxide, total oxides (NOx), surrogates mixture, were estimated schools residences a land-use regression model. Among children from high-stress households (parental >4) deficits FEV1 4.5...

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