2011
Journal article  Open Access

Geographical information system and environmental epidemiology: a cross-sectional spatial analysis of the effects of traffic-related air pollution on population respiratory health.

Nuvolone D, Della Maggiore R, Maio S, Fresco R, Baldacci S, Carrozzi L, Pistelli F, Viegi G

Atmospheric pollution  GIS  Environmental and Occupational Health  Toxicology and Mutagenesis  Public Health  Health  Research  Epidemiology  K.4 COMPUTERS AND SOCIETY 

Background: Traffic-related air pollution is a potential risk factor for human respiratory health. A Geographical Information System (GIS) approach was used to examine whether distance from a main road (the Tosco-Romagnola road) affected respiratory health status. Methods: We used data collected during an epidemiological survey performed in the Pisa-Cascina area (central Italy) in the period 1991-93. A total of 2841 subjects participated in the survey and filled out a standardized questionnaire on health status, socio-demographic information, and personal habits. A variable proportion of subjects performed lung function and allergy tests. Highly exposed subjects were defined as those living within 100 m of the main road, moderately exposed as those living between 100 and 250 m from the road, and unexposed as those living between 250 and 800 m from the road. Statistical analyses were conducted to compare the risks for respiratory symptoms and diseases between exposed and unexposed. All analyses were stratified by gender. Results: The study comprised 2062 subjects: mean age was 45.9 years for men and 48.9 years for women. Compared to subjects living between 250 m and 800 m from the main road, subjects living within 100 m of the main road had increased adjusted risks for persistent wheeze (OR = 1.76, 95% CI = 1.08-2.87), COPD diagnosis (OR = 1.80, 95% CI = 1.03-3.08), and reduced FEV(1)/FVC ratio (OR = 2.07, 95% CI = 1.11-3.87) among males, and for dyspnea (OR = 1.61, 95% CI = 1.13-2.27), positivity to skin prick test (OR = 1.83, 95% CI = 1.11-3.00), asthma diagnosis (OR = 1.68, 95% CI = 0.97-2.88) and attacks of shortness of breath with wheeze (OR = 1.67, 95% CI = 0.98-2.84) among females. Conclusion: This study points out the potential effects of traffic-related air pollution on respiratory health status, including lung function impairment. It also highlights the added value of GIS in environmental health research.

Source: Environmental health (London. 2002. Online) 10 (2011): 1–12. doi:10.1186/1476-069X-10-12

Publisher: BioMed Central,, [London] , Regno Unito


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Technical Report. Annual European Community LRTAP Convention emission inventory report 1990-2006. 2007
D'Amato, G. Urban air pollution and respiratory allergy. Monaldi Arch Chest Dis. 2004; 57: 136-140
Groneberg-Kloft, B, Kraus, T, Mark, A, Wagner, U, Fischer, A. Analysing the causes of chronic cough: relation to diesel exhaust, ozone, nitrogen oxides, sulphur oxides and other environmental factors. J Occup Med Toxicol. 2006; 18: 1-6
Pope, CA, Burnett, RT, Thun, MJ, Calle, EE, Krewski, D, Ito, K, Thurston, GD. Lung cancer, cardiopulmonary mortality, and long-term exposure to fine particulate air pollution. JAMA. 2002; 287: 1132-1141
Fusco, D, Forastiere, F, Michelozzi, P, Spadea, T, Ostro, B, Arca, M, Perucci, CA. Air pollution and hospital admissions for respiratory conditions in Rome, Italy. Eur Respir J. 2001; 17: 1143-1150
Ponce de Leon, A, Anderson, HR, Bland, JM, Strachan, DP, Bower, J. Effects of air pollution on daily hospital admissions for respiratory disease in London between 1987-88 and 1991-92. J Epidemiol Community Health. 1996; 50: 63-70
Spix, C, Anderson, HR, Schwartz, J, Vigotti, MA, Le Tretre, A, Vonk, JM. Short-term effects of air pollution on hospital admissions of respiratory diseases in Europe: a quantitative summary of APHEA study results. Air Pollution and Health: a European Approach. Arch Environ Health. 1998; 53: 54-64
Wong, CM, Atkinson, RW, Anderson, HR, Hedley, AJ, Ma, S, Chau, PY, Lam, TH. A tale of two cities: effects of air pollution on hospital admissions in Hong Kong and London compared. Environ Health Perspect. 2002; 110: 67-77
Garshick, E, Laden, F, Hart, JE, Caron, A. Residence near a major road and respiratory symptoms in U.S. veterans. Epidemiology. 2003; 14: 728-736
Kim, JJ, Smorodinsky, S, Lipsett, M, Singer, BC, Hodgson, AT, Ostro, B. Traffic related air pollution near busy roads. The East Bay Children's Respiratory Health Study. Am J Respir Crit Care Med. 2004; 170: 520-526
Morris, SE, Sale, RC, Wakefield, JC, Falconer, S, Elliott, P, Boucher, BJ. Hospital admissions for asthma and chronic obstructive airways disease in East London hospitals and proximity of residence to main roads. J Epidemiol Community Health. 2000; 54: 75-76
Schikowski, T, Sugiri, D, Ranft, U, Gehring, U, Heinrich, J, Wichmann, HE, Krämer, U. Long-term air pollution exposure and living close to busy roads are associated with COPD in women. Respir Res. 2005; 6: 152
Becklake, MR. Gender differences in airway behaviour (physiology) over the human lifespan. Eur Respir Mon. 2003; 25: 28-36
Bellander, T, Berglind, N, Gustavsson, P, Jonson, T, Nyberg, F, Pershagen, G, Järup, L. Using geographic information systems to assess individual historical exposure to air pollution from traffic and house heating in Stockholm. Environ Health Perspect. 2001; 109: 633-639
Rebolj, D, Sturm, P. A GIS based component-oriented integrated system for estimation, visualization and analysis of a road traffic air pollution. Environmental Modelling & Software. 1999; 14: 531-539
Ehrenstein, OSV, von Mutius, E, Nicolai, T. Prevalence of asthma, BHR and atopy in children reporting increased exposure to traffic jam in Munich. Epidemiology. 1999; 10: S171
Heinrich, J, Topp, R, Gehring, U, Thefeld, W. Traffic at residential address, respiratory health, and atopy in adults: the National German Health Survey 1998. Environ Res. 2004; 98: 240-249
McConnell, R, Berhane, K, Yao, L, Jerrett, M, Lurmann, F, Gilliland, F, Künzli, N, Gauderman, J, Avol, E, Thomas, D, Peters, J. Traffic, susceptibility, and childhood asthma. Environ Health Perspect. 2006; 114: 766-772
Venn, AJ, Lewis, SA, Cooper, M, Hubbard, R, Britton, J. Living near a main road and the risk of wheezing illness in children. Am J Respir Crit Care Med. 2001; 164: 2177-2180
Carr, D, von Ehrenstein, O, Weiland, S, Wagner, C, Wellie, O, Nicolai, T, von Mutius, E. Modeling annual benzene, toluene, NO2, and soot concentrations on the basis of road traffic characteristics. Environ Res. 2002; 90: 111-118
Hoek, G, Fischer, P, Van Den Brandt, P, Goldbohm, S, Brunekreef, B. Estimation of long-term average exposure to outdoor air pollution for a cohort study on mortality. J Expo Anal Environ Epidemiol. 2001; 11: 459-469
Janssen, NA, Brunekreef, B, van Vliet, P, Aarts, F, Meliefste, K, Harssema, H, Fischer, P. The relationship between air pollution from heavy traffic and allergic sensitization, bronchial hyperresponsiveness, and respiratory symptoms in Dutch schoolchildren. Environ Health Perspect. 2003; 111: 1512-1518
Zmirou, D, Gauvin, S, Pin, I, Momas, I, Sahraoui, F, Just, J, Le Moullec, Y, Brémont, F, Cassadou, S, Reungoat, P, Albertini, M, Lauvergne, N, Chiron, M, Labbé, A. Traffic-related air pollution and incidence of childhood asthma: results of the VESTA case control study. J Epidemiol Commun Health. 2004; 58: 18-23
Heinrich, J, Gehring, U, Cyrys, J, Hoek, G, Fischer, P, Bellander, T, Brunekreef, B. Exposure to traffic related air pollutants: self reported traffic intensity versus GIS modelled exposure. Occup Environ Med. 2005; 62: 517-523
Held, T, Chang, DPY, Niemeier, DA. UCD 2001: an improved model to simulate pollutant dispersion from roadways. Atmos Environ. 2003; 37: 5325-5336
Hertel, O, De Leeuw, FAAM, Raaschou-Nielsen, O, Jensen, SS, Gee, D, Herbarth, O, Pryor, S, Palmgren, F, Olsen, E. Human exposure to outdoor air pollution. Pure Appl Chem. 2001; 73: 933-958
Briggs, DJ, de Hoogh, C, Gulliver, J, Wills, J, Elliott, P, Kingham, S, Smallbone, K. A regression-based method for mapping traffic-related air pollution: application and testing in four contrasting urban environments. Sci Total Environ. 2000; 253: 151-167
Pierse, N, Rushton, L, Harris, RS, Kuehni, CE, Silverman, M, Grigg, J. Locally generated particulate pollution and respiratory symptoms in young children. Thorax. 2006; 61: 216-220
Viegi, G, Paoletti, P, Carrozzi, L, Vellutini, M, Diviggiano, E, Di Pede, C, Pistelli, G, Giuntini, G, Lebowitz, MD. Prevalence rates of respiratory symptoms in Italian general population samples, exposed to different levels of air pollution. Environ Health Perspect. 1991; 94: 95-99
Viegi, G, Pedreschi, M, Baldacci, S, Chiaffi, L, Pistelli, F, Modena, P, Vellutini, M, Di Pede, F, Carrozzi, L. Prevalence rates of respiratory symptoms and diseases in general population samples of North and Central Italy. Int J Tuberc Lung Dis. 1999; 3: 1034-1042
Maio, S, Baldacci, S, Carrozzi, L, Polverino, E, Angino, A, Pistelli, F, Di Pede, F, Simoni, M, Sherrill, D, Viegi, G. Urban residence is associated with bronchial hyperresponsiveness in Italian sgeneral population samples. Chest. 2009; 135: 434-441
Viegi, G, Carrozzi, L, Paoletti, P, Vellutini, M, Diviggiano, E, Baldacci, S, Modena, P, Pedreschi, M, Mammini, U, Di Pede, C, Giuntini, G. Effects of the home environment on respiratory symptoms of a general population sample in Middle Italy. Arch Environ Health. 1992; 47: 64-70
Simoni, M, Jaakkola, MS, Carrozzi, L, Baldacci, S, Di Pede, F, Viegi, G. Indoor air pollution and respiratory health in the elderly. Eur Respir J. 2003; 40: 15-20
Simoni, M, Scognamiglio, A, Carrozzi, L, Baldacci, S, Angino, A, Pistelli, F, Di Pede, F, Viegi, G. Indoor exposures and acute respiratory effects in two general population samples from a rural and an urban area in Italy. J Expo Anal Environ Epidemiol. 2004; 14: 144-152
Baldacci, S, Carrozzi, L, Viegi, G, Giuntini, C. Assessment of respiratory effect of air pollution: study design on general population samples. J Environ Pathol Toxicol Oncol. 1997; 16: 77-83
Pistelli, F, Bottai, M, Carrozzi, L, Baldacci, S, Simoni, M, Di Pede, F, Viegi, G. Reference equations for spirometry from a general population sample in central Italy. Respiratory Medicine. 2007; 101: 814-825
Lindgren, A, Stroh, E, Montnémery, P, Nihlén, U, Jakobsson, K, Axmon, A. Traffic-related air pollution associated with prevalence of asthma and COPD/chronic bronchitis. A cross-sectional study in Southern Sweden. International Journal of Health Geographics. 2009; 8: 2
Cesaroni, G, Badaloni, C, Porta, D, Forastiere, F, Peducci, CA. Comparison between several indices of exposure to traffic-related air pollution and their respiratory health impact in adults. Occup Environ Med. 2008; 65: 683-690
Bayer-Oglesby, L, Schindler, C, Hazenkamp-von Arx, ME, Braun-Fahrlander, C, Keidel, D, Rapp, R, Künzli, N, Braendli, O, Burdet, L, Liu, LJS, Leuenberger, P, Ackermann-Liebrich, U. Living near main streets and respiratory symptoms in adults: the Swiss Cohort Study on Air Pollution and Lung Diseases in Adults. Am J Epidemiol. 2006; 164: 1190-1198
Kan, H, Heiss, G, Rose, KM, Whitsel, E, Lurmann, F, London, SJ. Traffic exposure and lung function in adults: the atherosclerosis risk in communities study. Thorax. 2007; 62: 873-879
Gauderman, WJ, Vora, H, McConnell, R, Berhane, K, Gilliland, F, Thomas, D, Lurmann, F, Avol, E, Kunzli, N, Jerrett, M, Peters, J. Effect of exposure to traffic on lung development from 10 to 18 years of age: a cohort study. Lancet. 2007; 369: 571-577
Forbes, LJL, Kapetanakis, V, Rudnicka, AR, Cook, DG, Bush, T, Stedman, JR, Whincup, PH, Strachan, DP, Anderson, HR. Chronic exposure to outdoor air pollution and lung function in adults. Thorax. 2009; 64: 657-663
Abbey, DE, Burchette, RJ, Knutsen, SF, McDonnel, WF, Lebowitz, MD, Enright, PL. Long-term particulate and other air pollutants and lung function in nonsmokers. Am J Respir Crit Care Med. 1998; 158: 289-298
Paoletti, P, Prediletto, R, Carrozzi, L, Viegi, G, Di Pede, F, Carmignani, G, Mammini, U, Giuntini, C, Lebowitz, MD. Effects of childhood and adolescence-adulthood respiratory infections in a general population. Eur Respir J. 1989; 2: 428-436
Morgenstern, V, Zutavern, A, Cyrys, J, Brockow, I, Koletzko, S, Krämer, U, Behrendt, H, Herbarth, O, von Berg, A, Bauer, CP, Wichmann, HE, Heinrich, J. Atopic diseases, allergic sensitization, and exposure to traffic-related air pollution in children. Am J Respir Crit Care Med. 2008; 177: 1331-1337
Annesi-Maesano, I, Moreau, D, Caillaud, D, Lavaud, F, Le Moullec, Y, Taytard, A, Pauli, G, Charpin, D. Residential proximity fine particles related to allergic sensitisation and asthma in primary school children. Respir Med. 2007; 101: 1721-1729
Zandbergen, PA. Influence of geocoding quality on environmental exposure assessment of children living near high traffic roads. BMC Public Health. 2007; 7: 37
Rushton, G, Armstrong, MP, Gittler, J, Greene, B, Pavlik, CE, West, MW, Zimmerman, DL. Geocoding in cancer research: a review. Am J Prev Med. 2006; 30: 16-24
Ward, MH, Nuckols, JR, Giglierano, J, Bonner, MR, Wolter, C, Airola, M, Mix, W, Colt, JS, Hartge, P. Positional accuracy of two methods of geocoding. Epidemiology. 2005; 16: 542-547
Whitsel, EA, Quibrera, PM, Smith, RL, Catellier, DJ, Liao, D, Henley, AC, Heiss, G. Accuracy of commercial geocoding: assessment and implications. Epi Persp Innovations. 2006; 3: 8
Oliver, MN, Matthews, KA, Siadaty, M, Hauck, FR, Pickle, LW. Geographic bias related to geocoding in epidemiologic studies. Int J Health Geogr. 2005; 4: 29
Bonner, MR, Han, D, Nie, J, Rogerson, P, Vena, JE, Freudenheim, JL. Positional accuracy of geocoded addresses in epidemiologic research. Epidemiology. 2003; 14: 408-412
Cayo, MR, Talbot, TO. Positional error in automated geocoding of residential addresses. Int J Health Geographics. 2003; 2: 10

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BibTeX entry
@article{oai:it.cnr:prodotti:12659,
	title = {Geographical information system and environmental epidemiology: a cross-sectional spatial analysis of the effects of traffic-related air pollution on population respiratory health.},
	author = {Nuvolone D and Della Maggiore R and Maio S and Fresco R and Baldacci S and Carrozzi L and Pistelli F and Viegi G},
	publisher = {BioMed Central,, [London] , Regno Unito},
	doi = {10.1186/1476-069x-10-12},
	journal = {Environmental health (London. 2002. Online)},
	volume = {10},
	pages = {1–12},
	year = {2011}
}