Traffic exposure and allergic sensitization against latex in children

被引:16
作者
Hirsch, T
Neumeister, V
Weiland, SK
von Mutius, E
Hirsch, D
Gräfe, H
Duhme, H
Leupold, W
机构
[1] Tech Univ Dresden, Univ Childrens Hosp, D-8027 Dresden, Germany
[2] Tech Univ Dresden, Inst Clin Chem, D-8027 Dresden, Germany
[3] Tech Univ Dresden, Lab Med, D-8027 Dresden, Germany
[4] Univ Munster, Inst Epidemiol & Social Med, D-4400 Munster, Germany
[5] Univ Childrens Hosp Munich, Munich, Germany
[6] Saxon State Author Environm & Geol, Radebeul, Germany
关键词
traffic; road dust; rubber tires; wheels; latex particles; allergic sensitization; children; International Study of Asthma and Allergies in Childhood;
D O I
10.1067/mai.2000.109430
中图分类号
R392 [医学免疫学];
学科分类号
100102 ;
摘要
Background: Latex antigens have been found in urban air samples and in debris deposited near freeways. Objective: We investigated whether exposure to road traffic in a large city is associated with allergic sensitization against latex in children. Methods: A population-based sample of 2505 children aged 5 to 11 years was examined in a cross-sectional study in the city of Dresden, Germany. Specific IgE levels against latex and a panel of common aeroallergens (timothy grass, rye, birch, mugwort, Cladosporium herbarum, Dermatophagoides pteronyssinus, cat dander, and dog dander) was determined by using a fluorescence immunoassay (CAP Pharmacia). Traffic exposure was assessed by (1) parental self-report on traffic frequency and truck traffic in the street of residence, (2) traffic counts, and (3) measurements of benzene at 182 points on a 1-km(2) grid for 1 year, which were used to estimate the children's individual exposure at the home address. Results: Eight hundred fifty-four (34.1%) of the children were sensitized against any of the allergens, and 150 (6.0%) had specific IgE (>0.35 kU/L) against latex. The prevalence of latex sensitization was not positively associated with self-reported traffic exposure, traffic counts in the street of residence (adjusted prevalence odds ratio for >5000 vs less than or equal to 5000 cars/d, 0.7; 95% confidence interval, 0.4-1.3), or benzene exposure (adjust ed prevalence odds ratio for an increase of 1 mu g/m(3) air, 0.8; 95% confidence interval, 0.7-1.05). Conclusion: The data suggest that exposure to road traffic is not associated with allergic sensitization to latex in children.
引用
收藏
页码:573 / 578
页数:6
相关论文
共 40 条
[1]   AIRBORNE ANTIGENS FROM LATEX GLOVES [J].
BAUR, X ;
JAGER, D .
LANCET, 1990, 335 (8694) :912-912
[2]   Prevalence and risk factors of latex sensitization in an unselected pediatric population [J].
Bernardini, R ;
Novembre, E ;
Ingargiola, A ;
Veltroni, M ;
Mugnaini, L ;
Cianferoni, A ;
Lombardi, E ;
Vierucci, A .
JOURNAL OF ALLERGY AND CLINICAL IMMUNOLOGY, 1998, 101 (05) :621-625
[3]  
Blanco C, 1998, CLIN EXP ALLERGY, V28, P971
[4]   Respiratory health and long-term exposure to air pollutants in Swiss schoolchildren [J].
BraunFahrlander, C ;
Vuille, JC ;
Sennhauser, FH ;
Neu, U ;
Kunzle, T ;
Grize, L ;
Gassner, M ;
Minder, C ;
Schindler, C ;
Varonier, HS ;
Wuthrich, B .
AMERICAN JOURNAL OF RESPIRATORY AND CRITICAL CARE MEDICINE, 1997, 155 (03) :1042-1049
[5]   AIR-POLLUTION AND RESPIRATORY SYMPTOMS IN PRESCHOOL-CHILDREN [J].
BRAUNFAHRLANDER, C ;
ACKERMANNLIEBRICH, U ;
SCHWARTZ, J ;
GNEHM, HP ;
RUTISHAUSER, M ;
WANNER, HU .
AMERICAN REVIEW OF RESPIRATORY DISEASE, 1992, 145 (01) :42-47
[6]  
BRAUNFAHRLANDER CH, 1998, EPIDEMIOLOGY, V9, pS104
[7]   Mapping urban air pollution using GIS: a regression-based approach [J].
Briggs, DJ ;
Collins, S ;
Elliott, P ;
Fischer, P ;
Kingham, S ;
Lebret, E ;
Pryl, K ;
VAnReeuwijk, H ;
Smallbone, K ;
VanderVeen, A .
INTERNATIONAL JOURNAL OF GEOGRAPHICAL INFORMATION SCIENCE, 1997, 11 (07) :699-718
[8]   Road traffic and adverse respiratory effects in children [J].
Ciccone, G ;
Forastiere, F ;
Agabiti, N ;
Biggeri, A ;
Bisanti, L ;
Chellini, E ;
Corbo, G ;
Dell'Orco, V ;
Dalmasso, P ;
Volante, TF ;
Galassi, C ;
Piffer, S ;
Renzoni, E ;
Rusconi, F ;
Sestini, P ;
Viegi, G .
OCCUPATIONAL AND ENVIRONMENTAL MEDICINE, 1998, 55 (11) :771-778
[9]   Nasal challenge with diesel exhaust particles can induce sensitization to a neoallergen in the human mucosa [J].
Diaz-Sanchez, D ;
Garcia, MP ;
Wang, M ;
Jyrala, M ;
Saxon, A .
JOURNAL OF ALLERGY AND CLINICAL IMMUNOLOGY, 1999, 104 (06) :1183-1188
[10]   EFFECTS OF INHALABLE PARTICLES ON RESPIRATORY HEALTH OF CHILDREN [J].
DOCKERY, DW ;
SPEIZER, FE ;
STRAM, DO ;
WARE, JH ;
SPENGLER, JD ;
FERRIS, BG .
AMERICAN REVIEW OF RESPIRATORY DISEASE, 1989, 139 (03) :587-594