| Industrial air pollution and children's respiratory health: a natural experiment in Călăraşi. | |
| | |
MedLine Citation:
|
PMID: 17853183 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
BACKGROUND: In 1993-1997, we described a high incidence of wheezing in children living near the iron, steel, and coke factory of Călăraşi (Romania). In 1998, the factory was closed. OBJECTIVE: To investigate the influence of closing the factory on the incidence of wheezing in children living near the factory. METHODS: We used this natural experiment to compare wheezing occurrence in children below age 2 in an area near the factory and in a village 10 km from the factory (Roseţi). We studied three birth cohorts: those 2 years old before the closing of the factory (group 1), those born before the closing and returning 2 after the closing (group 2), those born after the closing (group 3). RESULTS: The relative risk (95% CI) of having at least one episode of wheezing during the first life-year was 0.51 (0.30-0.85) in group 3 versus group 1, and 0.95 (0.64-1.40) for group 2 versus group 1. After adjusting for possible confounders, the incidence dropped in Călăraşi (odds ratio [OR] 0.38, 95% CI 0.19-0.76), while it increased in Roseţi (OR 8.36, 95% CI 1.84-38.0). Results for the 2-year incidence were similar. CONCLUSION: Industrial air pollution by the factory was the main risk factor for wheezing during the first life-years of the children of Călăraşi. Closing the factory resulted in a significant decrease in wheezing incidence rates, which still remained higher than in a nearby village. |
| | |
Authors:
|
Alexandra Carmen Câra; Frank Buntinx; Marjan Van den Akker; Geert-Jan Dinant; Carmen Manolovici |
Related Documents
:
|
8256893 - Association of indoor and outdoor particulate level with chronic respiratory illness. 3266553 - Recurrent and non-recurrent croup: an epidemiological study. 10795563 - Comparison of the gross motor function measure and paediatric evaluation of disability ... |
Publication Detail:
|
Type: Journal Article |
Journal Detail:
|
Title: The European journal of general practice Volume: 13 ISSN: 1381-4788 ISO Abbreviation: Eur J Gen Pract Publication Date: 2007 |
Date Detail:
|
Created Date: 2007-11-30 Completed Date: 2008-01-29 Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 9513566 Medline TA: Eur J Gen Pract Country: England |
Other Details:
|
Languages: eng Pagination: 135-43 Citation Subset: IM |
Affiliation:
|
Department of General Practice, University of Maastricht, Maastricht, The Netherlands. carmen_cara@zappmobile.ro |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Air Pollutants
/
toxicity* Air Pollution / adverse effects* Cohort Studies Coke Environmental Exposure / adverse effects* Humans Incidence Industry Infant Iron Odds Ratio Prospective Studies Respiratory Sounds / etiology* Risk Risk Assessment Romania Steel Time Factors |
| Chemical | |
Reg. No./Substance:
|
0/Air Pollutants; 0/Coke; 12597-69-2/Steel; 7439-89-6/Iron |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Determinants of healthcare utilization in Greece: implications for decision-making.
Next Document: Maternal serum soluble CD30 is increased in pregnancies complicated with acute pyelonephritis.