Long-term associations between ambient air pollution and self-perceived health status: Results from the population-based KORA-Fit study

IF 4.5 2区医学 Q1 INFECTIOUS DISEASES

International journal of hygiene and environmental health Pub Date : 2024-12-23 DOI:10.1016/j.ijheh.2024.114513

Minqi Liao , Siqi Zhang , Kathrin Wolf , Gabriele Bolte , Michael Laxy , Lars Schwettmann , Annette Peters , Alexandra Schneider , Ute Kraus

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引用次数: 0

Abstract

Background

Little is known about the association between air pollution and self-perceived health (including both health-related quality of life [HRQoL] and self-rated health [SRH]). The aim of this study was therefore to explore whether long-term air pollution exposure is associated with worse self-perceived health, as measured by different tools.

Methods

We used a land-use regression model to determine the annual average levels of particulate matter with a diameter <10 μm (PM₁₀), coarse particles (PM_coarse), fine particles (PM_2.5), fine particle absorbances (PM_2.5abs), particle number concentration (PNC), ozone (O₃), nitrogen dioxide (NO₂), and nitrogen oxide (NO_X) for geocoded residential addresses (2014–2015). Questionnaires and face-to-face interviews were used to collect HRQoL (measured using the European Quality of Life 5 Dimensions [EQ-5D] index and the European Quality of Life Visual Analogue Scale [EQ-VAS]) and SRH indicators (measured through two survey questions) (2018–2019) from participants of the Cooperative Health Research in the Region of Augsburg (KORA)-Fit study in Germany. We explored associations via generalized additive models, multinomial logistic regression, and logistic regression.

Results

We included 2610 participants with a mean age of 64.0 years in this cross-sectional study, of which 1428 (54.7%) were female. Each interquartile range (IQR) increase in O₃ was associated with a reduced EQ-5D index value (% change of mean points and 95% confidence interval: -0.91% [-1.76; -0.06]). The average EQ-VAS score declined between -1.57% and -0.96% with each IQR increase in PM₁₀, PM_coarse, PM_2.5abs, PNC, NO₂, and NO_X. These pollutants were associated with increased occurrence of poor SRH, with odds ratios ranging from 1.24 to 2.67. PM_2.5abs was linked to a higher likelihood of reporting a worse comparative SRH (2.59 [1.12; 5.99]). Body mass index and self-perceived stress modified these associations.

Conclusions

Long-term air pollution exposure was associated with poor self-perceived health, presenting as lower HRQoL and higher odds of poor SRH. Single-item indicators measuring self-perceived health status may work better than multi-dimensional indicators.

Abstract Image

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环境空气污染与自我感知健康状况之间的长期关联：基于人群的KORA-Fit研究结果

背景：空气污染与自我感知健康（包括与健康相关的生活质量[HRQoL]和自我评价健康[SRH]）之间的关系知之甚少。因此，这项研究的目的是通过不同的工具来探索长期接触空气污染是否与自我感知的健康状况恶化有关。方法：利用土地利用回归模型确定2014-2015年地理编码居住地址的直径10)、粗颗粒（pm粗）、细颗粒（PM2.5）、细颗粒吸光度（PM2.5abs）、颗粒数浓度（PNC）、臭氧（O3）、二氧化氮（NO2）和氮氧化物（NOX）的年平均水平。采用问卷调查和面对面访谈的方式收集德国奥格斯堡地区合作健康研究(KORA)-Fit研究参与者的HRQoL（使用欧洲生活质量5维度指数[EQ-5D]和欧洲生活质量视觉模拟量表[EQ-VAS]测量）和SRH指标（通过两个调查问题测量）（2018-2019年）。我们通过广义加性模型、多项逻辑回归和逻辑回归来探索关联。结果：我们纳入了2610名平均年龄为64.0岁的参与者，其中1428名（54.7%）为女性。O3的每一个四分位数范围（IQR）的增加与EQ-5D指数值的降低相关(平均值和95%置信区间的变化百分比：-0.91% [-1.76；-0.06])。pm2.5、PM10、pm2.5、PNC、NO2和NOX每增加1个IQR，平均EQ-VAS评分下降-1.57% ~ -0.96%。这些污染物与不良SRH发生率增加有关，比值比从1.24到2.67不等。PM2.5abs与报告较差的相对SRH的可能性较高相关(2.59 [1.12；5.99])。体重指数和自我感知的压力改变了这些联系。结论：长期空气污染暴露与自我感觉健康状况不佳有关，表现为HRQoL较低，SRH较差的几率较高。衡量自我感知健康状况的单项指标可能比多维指标效果更好。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

International journal of hygiene and environmental health 医学-传染病学

CiteScore

11.50

自引率

5.00%

发文量

151

审稿时长

22 days

期刊介绍： The International Journal of Hygiene and Environmental Health serves as a multidisciplinary forum for original reports on exposure assessment and the reactions to and consequences of human exposure to the biological, chemical, and physical environment. Research reports, short communications, reviews, scientific comments, technical notes, and editorials will be peer-reviewed before acceptance for publication. Priority will be given to articles on epidemiological aspects of environmental toxicology, health risk assessments, susceptible (sub) populations, sanitation and clean water, human biomonitoring, environmental medicine, and public health aspects of exposure-related outcomes.