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首页> 外文期刊>International Journal of Population Data Science >Is educational attainment associated with acute exposure to air pollution and pollen, and is it worse for pupils with asthma and seasonal allergic rhinitis?
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Is educational attainment associated with acute exposure to air pollution and pollen, and is it worse for pupils with asthma and seasonal allergic rhinitis?

机译：受教育程度与急性暴露于空气污染和花粉有关吗？对于患有哮喘和季节性变应性鼻炎的学生来说，学业恶化了吗？

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IntroductionThere is a lack of evidence of the adverse effects of air pollution and pollen on cognition for people with air quality related health conditions. This study explored the effects of air quality and respiratory health conditions on educational attainment for 18,241 pupils across the city of Cardiff, United Kingdom. Objectives and ApproachAnonymised, routinely collected health and education data were linked at the household and school level with modelled high spatial resolution pollution data, and daily pollen measurements using the Secure Anonymised Information Linkage (SAIL) databank. This created 7 repeated cross-sectional cohorts (2009-2015). Multilevel linear regression analysis examined whether exam performance was associated with health status and/or air quality levels averaged at school and home locations during revision and examination periods. We also investigated the combined effects of air quality and associations with educational attainment for pupils who were treated for asthma and/or Severe Allergic Rhinitis (SAR), and those who were not. ResultsThe cohort contained 9337 males and 8904 female pupils. There were 871 treated for asthma, 2091 for SAR, and 634 treated for both. Asthma was not associated with exam performance (p=0.700). However, SAR was positively associated with exam performance (p 2) was negatively associated with educational attainment (p = 0.002). Other indicators of air quality (pollutants: Ozone, Particulate Matter - PM2.5, and pollen) were not associated with educational attainment (p 0.05). Exposure to NO2 was negatively associated with educational attainment irrespective of treatment for asthma or SAR. There was no combined effect of air quality on the variation in educational attainment between those who are treated for asthma and/or SAR and those who were not. Conclusion/ImplicationsIrrespective of health status, exposure to NO2 was negatively associated with educational attainment. Treatment seeking behaviour may be a possible explanation for the positive association between SAR and educational attainment. For a more accurate reflection of health status, health outcomes not subject to treatment seeking behaviour should be investigated.
机译：简介缺乏证据表明空气污染和花粉对患有与空气质量有关的健康状况的人们的认知有不利影响。这项研究探讨了空气质量和呼吸健康状况对英国卡迪夫市18241名学生教育程度的影响。目标和方法使用安全匿名信息链接（SAIL）数据库在家庭和学校级别将匿名的常规收集的健康和教育数据与建模的高空间分辨率污染数据和每日花粉测量值进行链接。这创建了7个重复的横断面队列（2009-2015年）。多级线性回归分析检查了考试成绩是否与修订和考试期间学校和家庭所在地的健康状况和/或空气质量水平相关。我们还研究了接受哮喘和/或严重过敏性鼻炎（SAR）的学生和未接受过哮喘的学生的空气质量，教育程度与学习成绩的联系。结果该队列包含9337名男性学生和8904名女性学生。共有871例哮喘患者，2091例SAR患者和634例同时治疗。哮喘与考试成绩无关（p = 0.700）。但是，SAR与考试成绩呈正相关（p 2）与受教育程度呈负相关（p = 0.002）。其他空气质量指标（污染物：臭氧，颗粒物-PM2.5和花粉）与受教育程度无关（p> 0.05）。无论是否治疗哮喘或SAR，暴露于NO 2与受教育程度均呈负相关。在接受哮喘和/或SAR治疗的人与未接受哮喘和/或SAR的人之间，空气质量对教育程度的变化没有综合影响。结论/意义与健康状况无关，暴露于NO2与受教育程度呈负相关。寻求治疗的行为可能是SAR与受教育程度之间呈正相关的一种可能解释。为了更准确地反映健康状况，应研究不受治疗行为影响的健康结局。

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