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Exposures to fine particulate air pollution and respiratory outcomes in adults using two national datasets a cross-sectional study.doc

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Exposures to fine particulate air pollution and respiratory outcomes in adults using two national datasets a cross-sectional study

NachmanandParkerEnvironmentalHealth2012,11:25 /content/11/1/25 RESEARCH OpenAccess Exposurestofineparticulateairpollutionand respiratoryoutcomesinadultsusingtwonational datasets:across-sectionalstudy KeeveENachman1*andJenniferDParker2 Abstract Background:Relationshipsbetweenchronicexposurestoairpollutionandrespiratoryhealthoutcomeshaveyet tobeclearlyarticulatedforadults.Recentdatafromnationallyrepresentativesurveyssuggestincreasingdisparity byrace/ethnicityregardingasthma-relatedmorbidityandmortality.Theobjectivesofthisstudyaretoevaluatethe relationshipbetweenannualaverageambientfineparticulatematter(PM2.5)concentrationsandrespiratory outcomesforadultsusingmodeledairpollutionandhealthoutcomedataandtoexaminePM2.5 sensitivityacross race/ethnicity. Methods:Respondentsfromthe2002-2005NationalHealthInterviewSurvey(NHIS)werelinkedtoannualkriged PM2.5 datafromtheUSEPAAirDatasystem.Logisticregressionwasemployedtoinvestigateincreasesinambient PM2.5 concentrationsandself-reportedprevalenceofrespiratoryoutcomesincludingasthma,sinusitisandchronic bronchitis.Modelsincludedhealth,behavioral,demographicandresource-relatedcovariates.Stratifiedanalyses wereconductedbyrace/ethnicity. Results:Ofnearly110,000adultrespondents,approximately8,000and4,000reportedcurrentasthmaandrecent attacks,respectively.Overall,oddsratios(OR)forcurrentasthma(0.97(95%ConfidenceInterval:0.87-1.07))and recentattacks(0.90(0.78-1.03))didnotsuggestanassociationwitha10μg/m3increaseinPM2.5.Stratifiedanalyses revealedsignificantassociationsfornon-Hispanicblacks[OR=1.73(1.17-2.56)forcurrentasthmaandOR=1.76 (1.07-2.91)forrecentattacks]butnotforHispanicsandnon-Hispanicwhites.Significantassociationswereobserved overall(1.18(1.08-1.30))andinnon-Hispanicwhites(1.31(1.18-1.46))forsinusitis,butnotforchronicbronchitis. Conclusions:Non-HispanicblacksmaybeatincreasedsensitivityofasthmaoutcomesfromPM2.5 exposure. IncreasedchronicPM2.5 exposuresinadultsmaycontributetopopulationsinusitisburdens. Keywords:Particulatem