一个共同创建的公民科学项目,研究户外住宅木烟对荷兰成年人呼吸系统健康的短期影响。

IF 5.3 2区 环境科学与生态学 Q1 ENVIRONMENTAL SCIENCES
Frederique Froeling, Jie Chen, Kees Meliefste, Marieke Oldenwening, Esther Lenssen, Roel Vermeulen, Miriam Gerlofs-Nijland, Jos van Triel, Amber Woutersen, Dave de Jonge, Henke Groenwold, Paula Bronsveld, Danielle van Dinther, Marcus Blom, Gerard Hoek
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引用次数: 0

摘要

背景和目的:在荷兰,家庭壁炉产生的木烟是造成室外空气污染的主要原因。目前,人们对暴露于住宅木材燃烧产生的烟雾对呼吸系统健康的影响了解有限。本研究调查了荷兰成人户外木烟暴露的短期变化与肺功能、呼吸道症状和药物使用之间的关系:这项研究是与公民科学家和其他相关利益方共同创建的。在 2021 年 2 月至 5 月期间,对荷兰四个城镇的 46 名成年人进行了重复观察。参与者在每日日记中记录自己的症状和用药情况,并进行早晚的家庭肺活量测量。通过在中央监测点测量左旋葡聚糖(木烟暴露的最特异性标志物)、黑/棕碳、细颗粒物和超细颗粒物来确定木烟暴露的特征。个人的木烟感知(气味)记录在每日日记中。采用线性和逻辑回归模型来研究呼吸系统健康与木烟暴露之间的关系。模型对随时间变化的混杂因素进行了调整,并考虑了参与者的重复观察:结果:发现左旋葡聚糖与休息时呼吸急促(SOB)和额外呼吸药物使用之间存在一致的正相关。根据左旋葡聚糖浓度的四分位间范围(69.16 纳克/立方米),当日暴露于左旋葡聚糖的几率比为:休息时气短 1.12(95% CI:0.97,1.30),额外用药 1.19(95% CI:1.07,1.33)。研究发现,左旋葡聚糖与鼻部症状、咳嗽和因呼吸困难而醒来之间存在非显著的正相关关系。左旋葡聚糖与肺功能之间没有发现一致的联系。将PM2.5和UFP纳入双污染物模型后,木烟标记物、休息时呼吸困难和额外用药之间的关系仍然存在:结论:在室外木烟浓度较高的日子里,成年人在休息时出现更多的呼吸困难和鼻部症状,并使用更多的药物来治疗呼吸道症状。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
A co-created citizen science project on the short term effects of outdoor residential woodsmoke on the respiratory health of adults in the Netherlands.

Background and aim: Woodsmoke from household fireplaces contributes significantly to outdoor air pollution in the Netherlands. The current understanding of the respiratory health effects of exposure to smoke from residential wood burning is limited. This study investigated the association between short-term changes in outdoor woodsmoke exposure and lung function, respiratory symptoms, and medication use in adults in the Netherlands.

Methods: This study was co-created with citizen scientists and other relevant stakeholders. A panel study was conducted with repeated observations in 46 adults between February and May 2021 in four Dutch towns. Participants recorded their symptoms and medication use in daily diaries, and conducted morning and evening home spirometry measurements. Woodsmoke exposure was characterized by measuring levoglucosan (most specific marker for woodsmoke exposure), black/brown carbon, fine and ultrafine particulate matter at central monitoring sites. Individual woodsmoke perception (smell) was recorded in daily diaries. Linear and logistic regression models were used to investigate the association between respiratory health and woodsmoke exposure. Models were adjusted for time-varying confounders and accounted for repeated observations within participants.

Results: Consistent positive associations were found between levoglucosan and shortness of breath (SOB) during rest and extra respiratory medication use. Odds ratios for current day exposure to levoglucosan were 1.12 (95% CI: 0.97, 1.30) for SOB during rest and 1.19 (95% CI: 1.07, 1.33) for extra medication use, expressed per interquartile range of levoglucosan concentrations (69.16 ng/m3). Positive non-significant associations were found between levoglucosan and nasal symptoms, cough and waking up with SOB. No consistent association was found between levoglucosan and lung function. Associations found between woodsmoke markers, SOB during rest and extra medication use remained after the inclusion of PM2.5 and UFP in two-pollutant models.

Conclusions: Adults experienced more SOB during rest, nasal symptoms and used more medication to treat respiratory symptoms on days with higher levels of outdoor woodsmoke concentrations.

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来源期刊
Environmental Health
Environmental Health 环境科学-公共卫生、环境卫生与职业卫生
CiteScore
10.10
自引率
1.70%
发文量
115
审稿时长
3.0 months
期刊介绍: Environmental Health publishes manuscripts on all aspects of environmental and occupational medicine and related studies in toxicology and epidemiology. Environmental Health is aimed at scientists and practitioners in all areas of environmental science where human health and well-being are involved, either directly or indirectly. Environmental Health is a public health journal serving the public health community and scientists working on matters of public health interest and importance pertaining to the environment.
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