SYMPTOM PREVALENCE AND ODOR-WORRY INTERACTION NEAR HAZARDOUS-WASTE SITES
SYMPTOM PREVALENCE AND ODOR-WORRY INTERACTION NEAR HAZARDOUS-WASTE SITES
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DOI：
10.2307/3431288
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发表时间：
1991-08-01
影响因子：
10.4
通讯作者：
SATIN, K
中科院分区：
文献类型：
--
作者：
SHUSTERMAN, D;LIPSCOMB, J;SATIN, K
回顾性的症状流行率数据，收集了超过2000名成年受访者生活在三个不同的危险废物的网站附近，进行了分析方面的自我报告的“环境担忧”和感知环境（特别是石化）气味的频率。 几种症状（头痛、恶心、眼睛和喉咙刺激）的患病率与气味感知频率和担忧程度之间存在显着的正相关关系。 例如，头痛的患病率比值比为5.0，比较那些经常注意到环境气味的受访者与那些没有注意到这种气味的受访者，以及10.8，比较那些自称“非常担心”与“不担心”周围环境条件的受访者。 排除那些将环境问题归因于自身或家庭成员疾病的受访者，并没有对所观察到的关联的强度产生实质性影响。 除了他们的独立影响，气味感知和环境的担忧表现出积极的相互作用，作为症状患病率的决定因素，证明了38.1的患病率比值比比较头痛之间的高担忧/频繁气味组和无担忧/无气味组。 在比较附近没有垃圾场的社区时，发现环境担忧也与症状的发生有关。 这些观察结果的潜在解释，包括气味作为一个感官线索的表现压力相关的疾病（或提高认识的潜在症状）的个人之间的可能性，关心他们的邻里环境的质量。
Retrospective symptom prevalence data, collected from over 2000 adult respondents living near three different hazardous waste sites, were analyzed with respect to both self-reported "environmental worry" and frequency of perceiving environmental (particularly petrochemical) odors. Significant positive relationships were observed between the prevalence of several symptoms (headache, nausea, eye and throat irritation) and both frequency of odor perception and degree of worry. Headaches, for example, showed a prevalence odds ratio of 5.0 comparing respondents who reported noticing environmental odors frequently versus those noticing no such odors and 10.8 comparing those who described themselves as "very worried" versus "not worried" about environmental conditions in their neighborhood. Elimination of respondents who ascribed their environmental worry to illness in themselves or in family members did not materially affect the strength of the observed associations. In addition to their independent effects, odor perception and environmental worry exhibited positive interaction as determinants of symptom prevalence, as evidenced by a prevalence odds ratio of 38.1 comparing headaches among the high worry/frequent-odor group and the no-worry/no-odor group. In comparison neighborhoods with no nearby waste sites, environmental worry has been found to be associated with symptom occurrence as well. Potential explanations for these observations are presented, including the possibility that odors serve as a sensory cue for the manifestation of stress-related illness (or heightened awareness of underlying symptoms) among individuals concerned about the quality of their neighborhood environment.