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考虑到室内空气污染,道路交通相关户外空气污染对印度尼西亚儿童呼吸道疾病和死亡率的影响。

Effects of traffic-related outdoor air pollution on respiratory illness and mortality in children, taking into account indoor air pollution, in Indonesia.

机构信息

Department of Epidemiology, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama 700-8558, Japan.

出版信息

J Occup Environ Med. 2010 Mar;52(3):340-5. doi: 10.1097/JOM.0b013e3181d44e3f.

Abstract

OBJECTIVE

To evaluate the effects of outdoor air pollution, taking into account indoor air pollution, in Indonesia.

METHODS

The subjects were 15,242 children from 2002 to 2003 Indonesia Demographic and Health Survey. The odds ratios and their confidence intervals for adverse health effects were estimated.

RESULTS

Proximity increased the prevalence of acute respiratory infection both in urban and rural areas after adjusting for indoor air pollution. In urban areas, the prevalence of acute upper respiratory infection increased by 1.012 (95% confidence intervals: 1.005 to 1.019) per 2 km proximity to a major road. Adjusted odds ratios tended to be higher in the high indoor air pollution group.

CONCLUSION

Exposure to traffic-related outdoor air pollution would increase adverse health effects after adjusting for indoor air pollution. Furthermore, indoor air pollution could exacerbate the effects of outdoor air pollution.

摘要

目的

评估在考虑室内空气污染的情况下,印度尼西亚户外空气污染对健康的影响。

方法

研究对象为 2002 年至 2003 年印度尼西亚人口与健康调查中的 15242 名儿童。采用比值比及其 95%置信区间来估计不良健康影响的发生几率。

结果

调整室内空气污染因素后,在城市和农村地区,与主要道路的距离每增加 2 公里,急性呼吸道感染的患病率均会升高。在城市地区,与主要道路的距离每增加 2 公里,急性上呼吸道感染的患病率会增加 1.012(95%置信区间:1.005 至 1.019)。调整后的比值比在室内空气污染程度较高的组中更高。

结论

在调整室内空气污染因素后,接触与交通相关的户外空气污染会增加不良健康影响。此外,室内空气污染可能会加剧户外空气污染的影响。

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