PASSIVE SMOKING, AIR-POLLUTION, AND ACUTE RESPIRATORY SYMPTOMS IN A DIARY STUDY OF STUDENT NURSES

被引:86
作者
SCHWARTZ, J
ZEGER, S
机构
[1] HARVARD UNIV,SCH PUBL HLTH,RESP EPIDEMIOL PROGRAM,BOSTON,MA 02115
[2] JOHNS HOPKINS UNIV,SCH HYG & PUBL HLTH,DEPT BIOSTAT,BALTIMORE,MD 21218
来源
AMERICAN REVIEW OF RESPIRATORY DISEASE | 1990年 / 141卷 / 01期
关键词
D O I
10.1164/ajrccm/141.1.62
中图分类号
R56 [呼吸系及胸部疾病];
学科分类号
摘要
A cohort of approximately 100 student nurses in Los Angeles was recruited for a diary study of the acute effects of air pollution. Smoking histories and presence of asthma and other allergies were determined by questionnaire. Diaries were completed daily and collected weekly for as long as 3 yr. Air pollution was measured at a monitoring location within 2.5 miles of the school. Incidence and duration of a symptom were modeled separately. Pack-years of cigarettes were predictive of the number of episodes of coughing (p < 0.0001) and of bringing up phlegm (p < 0.0001). Current smoking, rather than cumulative smoking, was a better predictor of the duration of a phlegm episode (p < 0.0001). Controlling for personal smoking, a smoking roommate increased the risk of an episode of phlegm (odds ratio [OR] = 1.41, p < 0.001), but not of cough. Excluding asthmatics (who may be medicated), increased the odds ratio for passive smoking to 1.76 (p < 0.0001). In logistic regression models controlling for temperature and serial correlation between days, an increase in 1 SD in carbon monoxide exposure (6.5 ppm) was associated with increased risk of headache (OR = 1.09, p < 0.001), photochemical oxidants (7.4 pphm) were associated with increased risk of chest discomfort (OR = 1.17, p < 0.001) and eye irritation (OR = 1.20, p < 0.001), and nitrogen dioxide (9.1 pphm) was associated with increased risk of phlegm (OR = 1.08 p < 0.01), sore throats (OR = 1.26, p < 0.001), and eye irritation (OR = 1.16, p < 0.001). SO2 was not significantly associated with any symptom. We conclude that passive smoking and short-term exposure to NO2 and photochemical oxidants increase the incidence rates of respiratory illness.
引用
收藏
页码:62 / 67
页数:6
相关论文
共 38 条
[1]  
ASTRUP P, 1968, SCAND J CLIN LAB I S, V103, P1
[2]  
BERWICK M, 1984, INDOOR AIR, V2, P255
[3]  
BOX GEP, 1970, TIME SERIES ANAL FOR
[4]   LONG-TERM AVERAGE SUSPENDED PARTICULATE CONCENTRATIONS IN SMOKERS HOMES [J].
BRUNEKREEF, B ;
BOLEIJ, JSM .
INTERNATIONAL ARCHIVES OF OCCUPATIONAL AND ENVIRONMENTAL HEALTH, 1982, 50 (03) :299-302
[5]   ROBUST LOCALLY WEIGHTED REGRESSION AND SMOOTHING SCATTERPLOTS [J].
CLEVELAND, WS .
JOURNAL OF THE AMERICAN STATISTICAL ASSOCIATION, 1979, 74 (368) :829-836
[6]  
COMSTOCK GW, 1981, AM REV RESPIR DIS, V124, P143
[7]  
DASEN W, 1986, JAPCA-INT J AIR POLL, V36, P1233
[8]   CHANGE IN PULMONARY-FUNCTION IN CHILDREN ASSOCIATED WITH AIR-POLLUTION EPISODES [J].
DOCKERY, DW ;
WARE, JH ;
FERRIS, BG ;
SPEIZER, FE ;
COOK, NR ;
HERMAN, SM .
JOURNAL OF THE AIR POLLUTION CONTROL ASSOCIATION, 1982, 32 (09) :937-942
[9]  
FRISTEDT B, 1971, HYG REV, V60, P112
[10]  
GILLIS CR, 1984, EUR J RESPIR DIS, V65, P121