The role of socioeconomic status in the association of lung function and air pollution - A pooled analysis of three adult ESCAPE cohorts

File Description SizeFormat 
The_role_of_socioeconomic_status_in_the_association_of_lung_function.pdfPublished version946.59 kBAdobe PDFView/Open
Title: The role of socioeconomic status in the association of lung function and air pollution - A pooled analysis of three adult ESCAPE cohorts
Authors: Keidel, D
Maria Anto, J
Basagana, X
Bono, R
Burte, E
Carsin, A-E
Forsberg, B
Fuertes, E
Galobardes, B
Heinrich, J
De Hoogh, K
Jarvis, D
Kunzli, N
Leynaert, B
Marcon, A
Le Moual, N
De Nazelle, A
Schindler, C
Siroux, V
Stempfelet, M
Sunyer, J
Temam, S
Tsai, M-Y
Varraso, R
Jacquemin, B
Probst-Hensch, N
Item Type: Journal Article
Abstract: Ambient air pollution is a leading environmental risk factor and its broad spectrum of adverse health effects includes a decrease in lung function. Socioeconomic status (SES) is known to be associated with both air pollution exposure and respiratory function. This study assesses the role of SES either as confounder or effect modifier of the association between ambient air pollution and lung function. Cross-sectional data from three European multicenter adult cohorts were pooled to assess factors associated with lung function, including annual means of home outdoor NO2. Pre-bronchodilator lung function was measured according to the ATS-criteria. Multiple mixed linear models with random intercepts for study areas were used. Three different factors (education, occupation and neighborhood unemployment rate) were considered to represent SES. NO2 exposure was negatively associated with lung function. Occupation and neighborhood unemployment rates were not associated with lung function. However, the inclusion of the SES-variable education improved the models and the air pollution-lung function associations got slightly stronger. NO2 associations with lung function were not substantially modified by SES-variables. In this multicenter European study we could show that SES plays a role as a confounder in the association of ambient NO2 exposure with lung function.
Issue Date: 1-Jun-2019
Date of Acceptance: 24-May-2019
URI: http://hdl.handle.net/10044/1/72127
DOI: https://doi.org/10.3390/ijerph16111901
ISSN: 1660-4601
Publisher: MDPI
Journal / Book Title: International Journal of Environmental Research and Public Health
Volume: 16
Issue: 11
Copyright Statement: © 2019 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
Keywords: Science & Technology
Life Sciences & Biomedicine
Environmental Sciences
Public, Environmental & Occupational Health
Environmental Sciences & Ecology
Europe
socioeconomic position
air pollution
environmental equality
lung function
RESPIRATORY HEALTH
NO2 EXPOSURE
QUALITY
PM10
MORTALITY
BENEFITS
DECLINE
EUROPE
AREAS
Europe
air pollution
environmental equality
lung function
socioeconomic position
Science & Technology
Life Sciences & Biomedicine
Environmental Sciences
Public, Environmental & Occupational Health
Environmental Sciences & Ecology
Europe
socioeconomic position
air pollution
environmental equality
lung function
RESPIRATORY HEALTH
NO2 EXPOSURE
QUALITY
PM10
MORTALITY
BENEFITS
DECLINE
EUROPE
AREAS
Toxicology
MD Multidisciplinary
Publication Status: Published
Article Number: 1901
Online Publication Date: 2019-05-29
Appears in Collections:Infectious Disease Epidemiology
National Heart and Lung Institute
Centre for Environmental Policy
Faculty of Natural Sciences
Epidemiology, Public Health and Primary Care



Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.

Creative Commons