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Are frequent asthma symptoms among low-income individuals related to heavy traffic near homes, vulnerabilities, or both?

机译:低收入人群中频繁出现的哮喘症状是否与家附近交通拥挤,脆弱性或两者相关?

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PURPOSE: To investigate whether frequent asthma symptoms (daily/weekly symptoms) can be attributed to traffic-related exposures, poverty, and/or vulnerabilities. METHODS: Annual average daily vehicle traffic density (TD) within 500 feet of 2001 California Health Interview Survey respondents' residential cross streets was calculated. Logistic regression analyses were performed to evaluate the association between annual average TD and frequent asthma symptoms with income as a confounder and a modifier. RESULTS: After adjustment for age, sex, and race/ethnicity, a 92% increase in frequent asthma symptoms was observed among those in high TD and a 50% increase among those in medium TD compared to those in low TD. Adjustment for poverty did not change these estimates, but individuals in poverty were twice more likely to experience frequent symptoms. Furthermore, delays in care, a poor/fair health status, current/previous smoking, overweight/obese, or unemployment showed independent associations with frequentasthma symptoms. Analyses stratified on income indicated greater estimated traffic effects for asthmatics in poverty, whereas the estimates for asthmatics above the poverty level moved closer toward the null. CONCLUSIONS: Traffic-related exposures, poverty and vulnerabilities all increased the risk of frequent asthma symptoms. Those in poverty appeared to be more strongly affected by heavy traffic near their residences.
机译:目的:调查频繁的哮喘症状(每日/每周的症状)是否可归因于交通相关的暴露,贫困和/或脆弱性。方法:计算了2001年加利福尼亚健康访问调查受访者的住宅过街处500英尺内的年平均每日车辆交通密度(TD)。进行逻辑回归分析以评估年平均TD和频繁哮喘症状之间的关联,并以收入作为混杂因素和修正量。结果:在调整了年龄,性别和种族/种族之后,与低TD者相比,高TD者的频繁哮喘症状增加了92%,中TD者增加了50%。调整贫困并没有改变这些估计数,但是贫困人口出现频繁症状的可能性要高两倍。此外,护理延误,健康状况差/一般,当前/以前吸烟,超重/肥胖或失业显示出与哮喘症状相关的独立因素。对收入进行分层的分析表明,贫困人口中哮喘患者的估计交通影响更大,而贫困水平以上哮喘患者的估计值则接近零值。结论:与交通有关的接触,贫穷和脆弱性均增加了频繁出现哮喘症状的风险。贫困者似乎受到住所附近交通拥挤的严重影响。

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