Faculty of Engineering, Environmental Engineering Department, Canakkale Onsekiz Mart University, Terzioglu Campus, 17100, Canakkale, Turkey.
Faculty of Medicine, Public Health Department, Canakkale Onsekiz Mart University, Canakkale, Turkey.
Environ Sci Pollut Res Int. 2018 May;25(13):12915-12931. doi: 10.1007/s11356-018-1307-9. Epub 2018 Feb 24.
Few epidemiological studies investigating the association between air pollution and health are available in Turkey. The aim of this cohort-type study is to examine the relationships between ambient air quality, respiratory diseases, and decreases in pulmonary function over a year in three different towns in Canakkale: Canakkale Central town (region I), Lapseki town center (region II), and Can town (region III). Region III had four different sub-regions, which were Can town center (region III-A), and the villages located around Can town, namely Durali (region III-B), Kulfal (region III-C), and Yuvalar (region III-D). In the first stage of the study, a detailed questionnaire was completed by the participants (n = 1152) in face-to-face interviews and pulmonary function test (PFT) was performed. In the second stage of the study, PFT measurements were repeated 1 year after the first stage. Particulate matter, SO, NO, and ozone were gathered from air quality monitoring stations located in the centers of the three regions. The most polluted area was region III, while region I and region II were the least polluted areas. The risk of pulmonary function decline throughout a year was 2.1 times higher in region III, 2.4 times higher both in regions III-B and III-C, and 1.6 times higher for smokers in all regions. In the present study, ambient air quality was worse in region III (industrialized region), which influenced PFT scores and the prognostics for chronic respiratory diseases. The findings of this study should be considered for future investment plans in this region related to human and environmental health needs.
土耳其开展的有关空气污染与健康关联性的流行病学研究较少。本队列研究旨在探讨加利波利省三个不同城镇（恰纳卡莱市中心（区域 I）、拉普塞基镇中心（区域 II）和恰纳卡莱镇（区域 III））的大气质量、呼吸道疾病与肺功能下降之间的关系。区域 III 有四个不同的分区，即恰纳卡莱镇中心（区域 III-A），以及位于恰纳卡莱镇周边的村庄，包括杜拉利（区域 III-B）、库尔法勒（区域 III-C）和于瓦拉尔（区域 III-D）。研究第一阶段，通过面对面访谈和肺功能测试（PFT），由参与者（n=1152）完成详细问卷。研究第二阶段，在第一阶段一年后重复进行 PFT 测量。在三个区域中心的空气质量监测站收集颗粒物、SO、NO 和臭氧数据。污染最严重的区域是区域 III，而区域 I 和区域 II 是污染最少的区域。整个研究期间，区域 III 的肺功能下降风险高 2.1 倍，区域 III-B 和区域 III-C 的风险高 2.4 倍，所有区域的吸烟者风险高 1.6 倍。在本研究中，区域 III（工业化区域）的大气质量较差，影响 PFT 评分和慢性呼吸道疾病的预后。应考虑该研究结果，为该地区与人类和环境健康需求相关的未来投资计划提供参考。
