The modifying effect of socioeconomic status on the relationship between traffic, air pollution and respiratory health in elementary schoolchildren
The modifying effect of socioeconomic status on the relationship between traffic, air pollution and respiratory health in elementary schoolchildren
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DOI：
10.1016/j.jenvman.2016.03.051
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发表时间：
2016-07-15
影响因子：
8.7
通讯作者：
Vanos, Jennifer
中科院分区：
文献类型：
--
作者：
Cakmak, Sabit;Hebbern, Christopher;Vanos, Jennifer
交通量和交通类型以及暴露于空气污染与呼吸系统健康有关，但很少有研究考虑到与家庭社会经济地位的相互作用。我们调查了加拿大温莎的3591名学龄儿童的呼吸系统健康与交通类型、交通量和空气污染的关系，并根据家庭收入和教育程度按社会经济地位分层。交通暴露和污染物水平的四分位数范围变化与呼吸道症状和肺功能的客观指标有关，这些指标使用三个收入和教育水平的广义线性模型。在95%的所有病例中，基于交通暴露或污染物的四分位数变化，报告的呼吸道症状（测量的肺功能下降）的比值比在低收入/教育组中大于高收入/教育组，尽管在大多数情况下比值比并不显著。然而，在高达62%的情况下，高社会经济地位和低社会经济地位之间的差异具有统计学意义，这表明社会经济地位（SES）是一个重要的影响因素。我们的研究结果表明，由于交通流量和空气污染暴露，来自社会经济地位较低家庭的儿童患特定呼吸系统健康问题（胸部充血，喘息）的风险较高。皇冠版权所有（C）2016由爱思唯尔有限公司发布。
The volume and type of traffic and exposure to air pollution have been found to be associated with respiratory health, but few studies have considered the interaction with socioeconomic status at the household level. We investigated the relationships of respiratory health related to traffic type, traffic volume, and air pollution, stratifying by socioeconomic status, based on household income and education, in 3591 schoolchildren in Windsor, Canada. Interquartile range changes in traffic exposure and pollutant levels were linked to respiratory symptoms and objective measures of lung function using generalised linear models for three levels of income and education. In 95% of the relationships among all cases, the odds ratios for reported respiratory symptoms (a decrease in measured lung function), based on an interquartile range change in traffic exposure or pollutant, were greater in the lower income/education groups than the higher, although the odds ratios were in most cases not significant. However, in up to 62% of the cases, the differences between high and low socioeconomic groups were statistically significant, thus indicating socioeconomic status (SES) as a significant effect modifier. Our findings indicate that children from lower socioeconomic households have a higher risk of specific respiratory health problems (chest congestion, wheezing) due to traffic volume and air pollution exposure. Crown Copyright (C) 2016 Published by Elsevier Ltd.