Satellite-based Estimates of Ambient Air Pollution and Global Variations in Childhood Asthma Prevalence

被引:55
作者
Anderson, H. Ross [1 ,2 ]
Butland, Barbara K.
van Donkelaar, Aaron [4 ]
Brauer, Michael [3 ]
Strachan, David P.
Clayton, Tadd [5 ]
van Dingenen, Rita [6 ]
Amann, Marcus [7 ]
Brunekreef, Bert [8 ,9 ]
Cohen, Aaron [10 ]
Dentener, Frank [6 ]
Lai, Christopher [11 ]
Lamsal, Lok N. [4 ,12 ,13 ]
Martin, Randall V. [4 ,14 ]
机构
[1] Univ London, Div Populat Hlth Sci & Educ, MRC HPA Ctr Environm & Hlth, London SW17 0RE, England
[2] Kings Coll London, MRC HPA Ctr Environm & Hlth, London, England
[3] Univ British Columbia, Vancouver, BC V5Z 1M9, Canada
[4] Dalhousie Univ, Halifax, NS, Canada
[5] Univ Auckland, Auckland 1, New Zealand
[6] Commiss European Communities, Joint Res Ctr, I-21020 Ispra, Italy
[7] Int Inst Appl Syst Anal, A-2361 Laxenburg, Austria
[8] Inst Risk Assessment Sci, Utrecht, Netherlands
[9] Julius Ctr Hlth Sci & Primary Care, Utrecht, Netherlands
[10] Hlth Effects Inst, Boston, MA USA
[11] Chinese Univ Hong Kong, Hong Kong, Hong Kong, Peoples R China
[12] Univ Space Res Assoc, Goddard Earth Sci Technol & Res, Columbia, MD USA
[13] NASA, Goddard Space Flight Ctr, Greenbelt, MD 20771 USA
[14] Harvard Smithsonian Ctr Astrophys, Cambridge, MA 02138 USA
关键词
air pollution; asthma prevalence; children; epidemiology; global; nitrogen dioxide; ozone; particulate matter; satellite observations; PARTICULATE POLLUTION; MODEL TM5; ALLERGIES; AEROSOL; MORTALITY; SYMPTOMS; EXPOSURE;
D O I
10.1289/ehp.1104724
中图分类号
X [环境科学、安全科学];
学科分类号
08 ; 0830 ;
摘要
BACKGROUND: The effect of ambient air pollution on global variations and trends in asthma prevalence is unclear. OBJECTIVES: Our goal was to investigate community-level associations between asthma prevalence data from the International Study of Asthma and Allergies in Childhood (ISAAC) and satellite-based estimates of particulate matter with aerodynamic diameter < 2.5 mu m (PM2.5) and nitrogen dioxide (NO2), and modelled estimates of ozone. METHODS: We assigned satellite-based estimates of PM2.5 and NO2 at a spatial resolution of 0.1 degrees x 0.1 degrees and modeled estimates of ozone at a resolution of 1 degrees x 1 degrees to 183 ISAAC centers. We used center-level prevalence of severe asthma as the outcome and multilevel models to adjust for gross national income (GM) and center- and country-level sex, climate, and population density. We examined associations (adjusting for GNI) between air pollution and asthma prevalence over time in centers with data from ISAAC Phase One (mid-1900s) and Phase Three (2001-2003). RESULTS: For the 13- to 14-year age group (128 centers in 28 countries), the estimated average within-country change in center-level asthma prevalence per 100 children per 10% increase in center-level PM2.5 and NO2 was -0.043 [95% confidence interval (Cl): 0.139, 0.053] and 0.017 (95% Cl: 0.030, 0.064) respectively. For ozone the estimated change in prevalence per parts per billion by volume was -0.116 (95% Cl: -0.234, 0.001). Equivalent results for the 6- to 7-year age group (83 centers in 20 countries), though slightly different, were not significantly positive. For the 13- to 14-year age group, change in center-level asthma prevalence over time per 100 children per 10% increase in PM2.5 from Phase One to Phase Three was -0.139 (95% Cl: -0.347, 0.068). The corresponding association with ozone (per ppbV) was -0.171(95% Cl: -0.275, -0.067). CONCLUSION: In contrast to reports from within-community studies of individuals exposed to traffic pollution, we did not find evidence of a positive association between ambient air pollution and asthma prevalence as measured at the community level.
引用
收藏
页码:1333 / 1339
页数:7
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