Relationship between distance of schools from the nearest municipal waste incineration plant and child health in Japan
Relationship between distance of schools from the nearest municipal waste incineration plant and child health in Japan
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DOI：
10.1007/s10654-005-4116-7
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发表时间：
2005-12-01
影响因子：
13.6
通讯作者：
Shimizu, T
中科院分区：
文献类型：
--
作者：
Miyake, Y;Yura, A;Shimizu, T
在日本，二恶英的主要来源是焚烧炉。这项研究调查了学校距城市垃圾焚烧厂的距离与日本儿童过敏性疾病和一般症状的患病率之间的关系。研究对象是日本大阪府 996 所公立小学的 450,807 名 6 至 12 岁小学生。学童家长填写了一份调查问卷，其中包括有关研究儿童的疾病和症状的项目。使用地理信息系统包测量了大阪府所有 37 个城市垃圾焚烧厂中每所公立小学的距离。每个城市的等级、社会经济地位和获得医疗保健的机会都进行了调整。学校与最近的城市垃圾焚烧厂距离的缩短与喘息、头痛、胃痛和疲劳的患病率增加独立相关（最短与最长距离类别的调整比值比[95%置信区间]=1.08 [1.01-1.15]、1.05 [1.00-1.11]、1.06 [1.01-1.11]和1.12分别为[1.08-1.17]）。在距第二个最近的城市垃圾焚烧厂 4 公里范围内的学校中，疲劳与疲劳呈正相关。学校距此类工厂的距离与特应性皮炎或过敏性鼻炎的患病率之间没有明显的关系。研究结果表明，学校靠近城市垃圾焚烧厂可能与日本儿童喘息、头痛、胃痛和疲劳的患病率增加有关。
In Japan, the main source of dioxins is incinerators. This study examined the relationship between the distance of schools from municipal waste incineration plants and the prevalence of allergic disorders and general symptoms in Japanese children. Study subjects were 450,807 elementary school children aged 6-12 years who attended 996 public elementary schools in Osaka Prefecture in Japan. Parents of school children completed a questionnaire that included items about illnesses and symptoms in the study child. Distance of each of the public elementary schools from all of the 37 municipal waste incineration plants in Osaka Prefecture was measured using geographical information systems packages. Adjustment was made for grade, socioeconomic status and access to health care per municipality. Decreases in the distance of schools from the nearest municipal waste incineration plant were independently associated with an increased prevalence of wheeze, headache, stomach ache, and fatigue (adjusted odds ratios [95% confidence intervals] for shortest vs. longest distance categories =1.08 [1.01-1.15], 1.05 [1.00-1.11], 1.06 [1.01-1.11], and 1.12 [1.08-1.17], respectively). A positive association with fatigue was pronounced in schools within 4 km of the second nearest municipal waste incineration plant. There was no evident relationship between the distance of schools from such a plant and the prevalence of atopic dermatitis or allergic rhinitis. The findings suggest that proximity of schools to municipal waste incineration plants may be associated with an increased prevalence of wheeze, headache, stomach ache, and fatigue in Japanese children.