Doctor-diagnosed health problems in a region with a high density of concentrated animal feeding operations: a cross-sectional study.
Doctor-diagnosed health problems in a region with a high density of concentrated animal feeding operations: a cross-sectional study.
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DOI：
10.1186/s12940-016-0123-2
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发表时间：
2016-02-17
期刊：
影响因子：
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通讯作者：
Yzermans CJ
中科院分区：
文献类型：
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作者：
Hooiveld M;Smit LAM;van der Sman-de Beer F;Wouters IM;van Dijk CE;Spreeuwenberg P;Heederik DJJ;Yzermans CJ
人们越来越关注居住在集中动物饲养场（CAFO）附近的居民的健康风险。以前的研究主要集中在猪CAFO和自我报告的呼吸系统疾病。目的是研究猪，家禽，牛和山羊CAFO的存在与荷兰邻近居民的健康之间的关联，使用全科医生（GP）的电子病历。2009年的数据是利用来自GIAB（高暴露人群）的信息收集的，涉及一个CAFO密度高的农村地区的119，036名居民。与来自CAFO密度低的农村地区78，060名居民（低暴露人群）的GP数据进行了比较。通过多水平（交叉分类）logistic回归确定居民家附近CAFO数量与发病率之间的关联。2009年，大多数呼吸道和胃肠道疾病的患病率在高暴露和低暴露人群中相似。在高暴露人群中，肺炎、特应性湿疹和未指明的传染病的患病率增加，鼻窦炎的患病率下降。在高CAFO密度区域内，居民住宅附近的家禽、牛和猪CAFO的数量与过敏、呼吸或胃肠道疾病无关。相反，在居民家中的邮政编码区域内，每增加一只山羊CAFO，未指明的传染病和肺炎的几率分别显著增加87%和41%。使用GP记录，肺炎和未指明的传染病与居民家附近的山羊CAFO数量呈正相关，但猪，牛和家禽CAFO与呼吸道，过敏或胃肠道疾病之间没有发现相关性。本文的在线版本（doi：10.1186/s12940-016-0123-2）包含补充材料，可供授权用户使用。
There is growing interest in health risks of residents living near concentrated animal feeding operations (CAFOs). Previous research mostly focused on swine CAFOs and self-reported respiratory conditions. The aim was to study the association between the presence of swine, poultry, cattle and goat CAFOs and health of Dutch neighbouring residents using electronic medical records from general practitioners (GPs). Data for the year 2009 were collected of 119,036 inhabitants of a rural region with a high density of CAFOs using information from GIAB (high exposed population). A comparison was made with GP data from 78,060 inhabitants of rural areas with low densities of CAFOs (low exposed population). Associations between the number of CAFOs near residents’ homes and morbidity were determined by multilevel (cross-classified) logistic regression. In 2009, the prevalence of most respiratory and gastrointestinal conditions was similar in the high and low exposed population. Exceptions were pneumonia, atopic eczema and unspecified infectious diseases with an increased prevalence, and sinusitis with a decreased prevalence in the high exposed population. Within the high CAFO density region, the number of poultry, cattle and swine CAFOs near residents’ homes was not associated with allergic, respiratory or gastrointestinal conditions. Conversely, each additional goat CAFO within the postal code area of residents’ homes significantly increased the odds of unspecified infectious disease and pneumonia by 87 and 41 percent, respectively. Using GP records, pneumonia and unspecified infectious diseases were positively associated with the number of goat CAFOs near residents’ homes, but no association was found between swine, cattle, and poultry CAFOs and respiratory, allergic or gastrointestinal conditions. The online version of this article (doi:10.1186/s12940-016-0123-2) contains supplementary material, which is available to authorized users.