울산지역 대기오염과 알레르기 비염 유병률과의 관계
An Association Between Air Pollution and the Prevalence of Allergic Rhinitis in the Ulsan Metropolitan Region
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초록
This study aims to investigate the relationship between air pollution exposure and the prevalence of allergic rhinitis in a young population in the Ulsan metropolitan region (UMR). Data on physician-diagnosed allergic rhinitis (past 12months) in 1,449 infants and children aged 1-18 years who lived within 1.5 or 2 km of air quality monitoring sites were collected in a cross-sectional health interview survey conducted between January-February 2006 in the UMR. Comparisons of the spatial distribution of the prevalence rates for allergic rhinitis and annual average pollutant concentrations over the region showed that a relatively high prevalence rate occurred around the coastal industrial area, with high PM10concentrations. A linear correlation analysis demonstrated a positive correlation relationship between them (R = 0.680,p = 0.04). Multiple linear regression analysis revealed that the combined effect of the PM10 and SO2 variables accounts for approximately 81% of the variance (R-square: 0.81) in the prevalence rate. From the multiple logistic regression analysis after adjustment by age, sex, and air-pollutant factors, the PM10 and SO2 which were mainly from industrialrelated emissions were found to be significantly associated with an increased risk of allergic rhinitis (aOR: 1.76, 95%CI: 1.15-2.70 for PM10 ; aOR: 1.63, 95% CI: 1.12-2.35 for SO2).
Abstract
This study aims to investigate the relationship between air pollution exposure and the prevalence of allergic rhinitis in a young population in the Ulsan metropolitan region (UMR). Data on physician-diagnosed allergic rhinitis (past 12months) in 1,449 infants and children aged 1-18 years who lived within 1.5 or 2 km of air quality monitoring sites were collected in a cross-sectional health interview survey conducted between January-February 2006 in the UMR. Comparisons of the spatial distribution of the prevalence rates for allergic rhinitis and annual average pollutant concentrations over the region showed that a relatively high prevalence rate occurred around the coastal industrial area, with high PM10concentrations. A linear correlation analysis demonstrated a positive correlation relationship between them (R = 0.680,p = 0.04). Multiple linear regression analysis revealed that the combined effect of the PM10 and SO2 variables accounts for approximately 81% of the variance (R-square: 0.81) in the prevalence rate. From the multiple logistic regression analysis after adjustment by age, sex, and air-pollutant factors, the PM10 and SO2 which were mainly from industrialrelated emissions were found to be significantly associated with an increased risk of allergic rhinitis (aOR: 1.76, 95%CI: 1.15-2.70 for PM10 ; aOR: 1.63, 95% CI: 1.12-2.35 for SO2).
참고문헌 (24)
- World Health Organization (WHO) : Health aspectsof air pollution with particulate matter, ozone andnitrogen dioxide, , Report on a WHO working Group,EUR, 5042688, pp.2003, 7~56
- Bernstein, J. A, "Health effects of air pollution", Journalof Allergy and Clinical Immunology, 114(5), pp.1116~1126 (2004)
- Asher, M. I, "theISAAC Phase Three Study Group : Worldwide timetrends in the prevalence of symptoms of asthma,allergic rhinoconjunctivitis, and eczema in childhood:ISAAC phases one and three repeat multicountrycross-sectional surveys", Lancet, 368, pp.733~743 (2006)
- 지혜미, "2006년 초등학생의 알레르기 질환 유병률의 전국적 역학조사", 대한소아알레르기및호흡기학회지, 19(2), pp.165~172 (2009), 대한 소아알레르기 호흡기학회
- D'Amato, G, "Outdoor air pollution, climate andallergic respiratory disease: evidence of a link", Clinical& Experimental Allergy, 32, pp.1391~1393 (2002)
- Diaz-Sanchez, D, "Nasal challenge with dieselexhaust particles can induce sensitization to aneoallergen in the human mucosa", Journal of Allergyand Clinical Immunology, 104(6), pp.1183~1188 (1999)
- Miyamoto, T, "Effect of sulfur dioxide upon respiratory sensitizationin animals", Japanese Journal of Allergy, 17, pp.179~182 (1989)
- Matsumura, Y, "The effects of ozone, nitrogen dioxide,and sulfur dioxide on the experimentally inducedallergic respiratory disorders in guinea pigs", TheAmerican Review of Respiratory Disease, 102, pp.430~447 (1970)
- Muranaka, M., "AdjuvantActivity of diesel-exhaust particulates for the productionof IgE antibody in mice", Journal of Allergyand Clinical Immunology, 77, pp.616~623 (1986)
- 기영선, "일부공단지역에 거주하는 성인남성의 알레르기 반응과 산화손상에 대한 연구", 한국환경보건학회지, 34(2), pp.117~123 (2008), 한국환경보건학회
- Krämer, U, "Traffic-related air pollution is associated withatopy in children living in urban areas", Epidemiology, 11(1), pp.64~70 (2000)
- Hajat, S, "Associationbetween air pollution and daily consultations withgeneral practitioners for allergic rhinitis in London,United Kingdom", American Journal of Epidemiology, 153(7), pp.704~714 (2001)
- Lee, Y. L, "Climate,traffic-related air pollutants and allergic rhinitisprevalence in middle-school children in Taiwan", European Respiratory Journal, 21, pp.964~970 (2003)
- Hwang, B.-F, "Relation between air pollution andallergic rhinitis in Taiwanese schoolchildren", RespiratoryResearch, 7, pp.23~29 (2006)
- Mygind, N, "Epidemiology of allergicrhinitis", Pediatric Allergy and Immunology, 7, pp.57~62 (1996)
- Aberg, N, "Prevalence of allergic diseases inschoolchildren in relation to family history, upper respiratoryinfections, and residential characteristics", Allergy, 51, pp.232~237 (1996)
- Wyler, C, "Exposure to motorvehicle traffic and allergic sensitization. The SwissStudy on Air Pollution and Lung Diseases in Adults(SAPALDIA) Team", Epidemiology, 11, pp.450~456 (2000)
- Dockery, D. W, "Health effects ofacid aerosols on North American children: respiratorysymptoms", Environ Health Perspect, 104, pp.500~505 (1996)
- Charpin, D, "Gaseous air pollution and atopy", Clinical & ExperimentalAllergy, 29, pp.1474~1480 (1999)
- Hirsch, T., "Inner city air pollution and respiratoryhealth and atopy in children", European RespiratoryJournal, 14, pp.669~676 (1999)
- 김환철, "교통관련 대기오염과 알레르기질환", 천식 및 알레르기, 30(1), pp.5~11 (2010), 대한천식알레르기학회
- Korea Ministry of Environment, , Annual Report ofAmbient Air Quality in Korea(2008), 44~44 (2009)
- Cho, S.-H, "Prevalenceof chronic rhinitis in Korean children and adolescents", Allergyand Clinical Immunology, 19(3), pp.452~458 (1999)
- Polosa, R, "Allergic susceptibilityassociated with diesel exhaust particleexposure", clear as mud. Archives of EnvironmentalHealth, 57(3), pp.188~193 (2002)
