The association between self-reported symptoms of asthma and allergic rhinitis and self-reported traffic density on street of residence in adolescents

The association between self-reported symptoms of asthma and allergic rhinitis and self-reported traffic density on street of residence in adolescents
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DOI:
10.1097/00001648-199611000-00003
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发表时间:
1996-11-01
期刊:
影响因子:
5.4
通讯作者:
Chambless, L
Chambless, L
中科院分区:
医学2区
文献类型:
--
作者:
Duhme, H;Weiland, SK;Chambless, L

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我们研究了德国明斯特青少年自我报告的哮喘和过敏性鼻炎症状与自我报告的机动车交通暴露之间的关系。1994-1995年,共有3 703名12-15岁的德国学生完成了书面和视频问卷调查。我们发现,在过去12个月里,哮喘和过敏性鼻炎症状与自述的卡车交通频率之间存在正相关。经性别和年龄调整的卡车交通的患病率优势比和95%置信区间(CI),将“频繁”和“恒定”类别与“从不”类别进行对比,通过书面问卷获得的喘息:1.53 (95% CI = 1.15-2.05)和2.15 (95% CI = 1.44-3.21);通过视频问卷获得的喘息:1.61 (95% CI = 1.26-2.07)和2.47 (95% CI = 1.74-3.52);对于变应性鼻炎症状:分别为1.71 (95% CI = 1.36-2.15)和1.96 (95% CI = 1.40-2.76)。我们发现交通噪音的自我报告也有类似的正相关。假定的混杂变量,包括社会经济地位、吸烟等指标,并没有实质性地改变这些关联。这些结果与1991年在德国波鸿进行的一项调查的结果非常吻合。我们的研究结果支持机动车交通暴露与儿童哮喘和过敏性鼻炎症状有关的假设,但我们不能排除由于交通暴露的自我报告而导致的错误分类。
We examined the association between self-reported symptoms of asthma and allergic rhinitis and self-reported exposure to motor vehicle traffic in adolescents in Munster, Germany. A total of 3,703 German students age 12-15 years completed a written and video questionnaire in 1994-1995. We found positive associations between both wheezing and symptoms of allergic rhinitis during the past 12 months and self-reported frequency of truck traffic. The sex- and age-adjusted prevalence odds ratios and 95% confidence intervals (CI) for truck traffic, contrasting the categories ''frequent'' and ''constant'' against ''never,'' were, for wheezing obtained by written questionnaire: 1.53 (95% CI = 1.15-2.05) and 2.15 (95% CI = 1.44-3.21); for wheezing obtained by video questionnaire: 1.61 (95% CI = 1.26-2.07) and 2.47 (95% CI = 1.74-3.52); and for symptoms of allergic rhinitis: 1.71 (95% CI = 1.36-2.15) and 1.96 (95% CI = 1.40-2.76), respectively. We found a similar positive association with self-reports on traffic noise. Putative confounding variables, including indicators of socioeconomic status, smoking, etc, did not alter these associations substantially. The results correspond closely with findings of a survey carried out in 1991 in Bochum, Germany. Our results support the hypothesis that exposure to motor vehicle traffic is related to symptoms of asthma and allergic rhinitis in children, but we cannot rule out misclassification due to self-reports of traffic exposure.