Acute symptoms related to air pollution in urban areas: a study protocol
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- 作者：Masud Yunesian (1)
Fariba Asghari (2)
Javad Homayoun Vash (1)
Mohammad Hossein Forouzanfar (3)
Dariush Farhud (4) - 刊名：BMC Public Health
- 出版年：2006
- 出版时间：December 2006
- 年：2006
- 卷：6
- 期：1
- 全文大小：458KB
- 参考文献：1. Burnett RT, Dale RE, Brook JR, Raizenne ME, Krewski D: Association between ambient carbon monoxide levels and hospitalization for congestive heart failure in the elderly in 10 Canadian cities. / Epidemiology 1997, 8: 162鈥?67. CrossRef
2. Hosseinpoor AR, Forouzanfar MH, Yunesian M, Asghari F, Naieni KH, Farhood D: Air pollution and hospitalization due to angina pectoris in Tehran, Iran: a time-series study. / Environ Res 2005, 99: 126鈥?31. CrossRef
3. Spix C, Anderson HR, Schwartz J, Vigotti MA, LeTertre A, Vonk JM, Touloumi G, Balducci F, Piekarski T, Bacharova L, Tobias A, Ponka A, Katsouyanni K: Short-term effects of air pollution on hospital admissions of respiratory diseases in Europe: a quantitative summary of APHEA study results. Air Pollution and Health: a European Approach. / Arch Environ Health 1998, 53: 54鈥?4. CrossRef
4. Wong TW, Lau TS, Yu TS, Neller A, Wong SL, Tam W, Pang SW: Air Pollution and hospital admission for respiratory and cardiovascular diseases in Honk Kong. / Occup Environ Med 1999, 56: 679鈥?83. CrossRef
5. Schwartz J: Air pollution and daily mortality: a review and meta analysis. / Environ Res 1994, 64: 36鈥?2. CrossRef
6. Ito K, De Leon SF, Lippmann M: Associations between ozone and daily mortality: analysis and meta-analysis. / Epidemiology 2005, 16: 446鈥?57. CrossRef
7. Boezen HM, van der Zee SC, Postma DS, Vonk JM, Gerritsen J, Hoek G, Brunekreef B, Rijcken B, Schouten JP: Effects of ambient air pollution on upper and lower respiratory symptoms and peak expiratory flow in children. / Lancet 1999, 353: 859鈥?60. CrossRef
8. Pierse N, Rushton L, Harris R, Kuehni C, Silverman M, Grigg J: Locally-generated particulate pollution and respiratory symptoms in young children. / Thorax 2006, 61: 216鈥?0. CrossRef
9. Pikhart H, Bobak M, Gorynski P, Wojtyniak B, Danova J, Celko MA, Kriz B, Briggs D, Elliott P: Outdoor sulphur dioxide and respiratory symptoms in Czech and Polish school children: a small-area study (SAVIAH). Small-Area Variation in Air Pollution and Health. / Int Arch Occup Environ Health 2001, 74 (8) : 574鈥?.
10. Shima M, Adachi M: Effect of outdoor and indoor nitrogen dioxide on respiratory symptoms in schoolchildren. / Int J Epidemiol 2000, 29: 862鈥?70. CrossRef
11. Sheppard L: Acute air pollution effects: consequences of exposure distribution and measurements. / J Toxicol Environ Health A 2005, 68: 1127鈥?135. CrossRef
12. Picciotto IH: Environmental Epidemiology. / Modern Epidemiology / 2 Edition / (Edited by: Rothman KJ and Greenland S)., Lippincott Raven Publishers 1998, 555鈥?84.
13. Rabl A: Air pollution mortality: harvesting and loss of life expectancy. / J Toxicol Environ Health A 2005, 68: 1175鈥?180. CrossRef
14. Zeger SL, Thomas D, Dominici F, Samet JM, Schwartz J, Dockery D, Cohen A: Exposure measurement error in time-series studies of air pollution: concepts and consequences. / Environ Health Perspect 2000, 108: 419鈥?26.
15. Xu J, Schwartz K, Monsur J, Northrup J, Neale AV: Patient-clinician agreement on signs and symptoms of 'strep throat': a MetroNet study. / Fam Pract 2004, 21: 599鈥?04. CrossRef
16. Carey TS, Garrett J, Jackman A, Sanders L, Kalsbeek W: Reporting of acute low back pain in a telephone interview. Identification of potential biases. / Spine 1995, 20: 787鈥?90. CrossRef
17. The pre-publication history for this paper can be accessed here:http://www.biomedcentral.com/1471-2458/6/218/prepub - 作者单位：Masud Yunesian (1)
Fariba Asghari (2)
Javad Homayoun Vash (1)
Mohammad Hossein Forouzanfar (3)
Dariush Farhud (4)
1. School of Public Health & Centre for Environmental Research, Tehran University of Medical Sciences, Poursina Street, Keshavarz Boulevard, P.O. Box 14155-6446, Tehran, Iran
2. Medical Ethics Research Center, Tehran University of Medical Sciences, Tehran, Iran
3. Department of Epidemiology and Biostatistics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
4. Department of Human Genetics, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran - ISSN：1471-2458
文摘
Background The harmful effects of urban air pollution on general population in terms of annoying symptoms are not adequately evaluated. This is in contrast to the hospital admissions and short term mortality. The present study protocol is designed to assess the association between the level of exposure to certain ambient air pollutants and a wide range of relevant symptoms. Awareness of the impact of pollution on the population at large will make our estimates of the pertinent covert burden imposed on the society more accurate. Methods/design A cross sectional study with spatial analysis for the addresses of the participants was conducted. Data were collected via telephone interviews administered to a representative sample of civilians over age four in the city. Households were selected using random digit dialling procedures and randomization within each household was also performed to select the person to be interviewed. Levels of exposure are quantified by extrapolating the addresses of the study population over the air pollution matrix of the city at the time of the interview and also for different lag times. This information system uses the data from multiple air pollution monitoring stations in conjunction with meteorological data. General linear models are applied for statistical analysis. Discussion The important limitations of cross-sectional studies on acute effects of air pollution are personal confounders and measurement error for exposure. A wide range of confounders in this study are controlled for in the statistical analysis. Exposure error may be minimised by employing a validated geographical information system that provides accurate estimates and getting detailed information on locations of individual participants during the day. The widespread operation of open air conditioning systems in the target urban area which brings about excellent mixing of the outdoor and indoor air increases the validity of outdoor pollutants levels that are taken as exposure levels.