Air quality and acute respiratory disorders in children

Detalhes bibliográficos
Autor(a) principal: Moura, Marisa
Data de Publicação: 2008
Outros Autores: Junger, Washington Leite, Mendonça, Gulnar Azevedo e Silva, Ponce De Leon, Antonio
Tipo de documento: Artigo
Idioma: por
eng
Título da fonte: Revista de Saúde Pública
Texto Completo: https://www.revistas.usp.br/rsp/article/view/32458
Resumo: OBJECTIVE: To assess the relationship between air pollution and acute respiratory disorders in children. METHODS: A time series ecological study was carried out in three public health posts in a region of the city of Rio de Janeiro (Southeastern Brazil), between April 2002 and March 2003. Data for PM10, SO2, NO2, CO and O3 were analyzed daily and as closure variables, a total of 45,595 emergency pediatric consultations for respiratory symptoms or specifically for disorders in the upper and lower airways. To control for confounders, other variables were included in the model including those relating to weather, seasonality, temperature, relative air humidity, rain volume, respiratory infections and the calendar effects (such as holidays and weekends). A Poisson regression was applied using generalized counting models to estimate the effects of pollutants and confusing factors. RESULTS: Only O3 had a positive and statistically significant effect, both among emergency consultations for respiratory problems and consultations for symptoms relating to the lower airways. Effect and exposure occurred on the same day (lag 0). A significant negative association was found with CO and pediatric consultations for respiratory complaints. Other air pollutants were not found to have a significant effect. CONCLUSIONS: There were found associations between outdoor air pollution and the number of emergency pediatric consultations for respiratory problems in the studied area, in spite of the fact that the levels of all pollutants monitored during the study period were below recommended levels.
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spelling Air quality and acute respiratory disorders in children Qualidade do ar e transtornos respiratórios agudos em crianças CriançaPoluição do ArPoluentes do Ar^i1^sefeitos adverDoenças Respiratórias^i1^sepidemioloEstudos EcológicosChildAir PollutionAir Pollutants^i2^sadverse effeRespiratory Tract Diseases^i2^sepidemiolEcological Studies OBJECTIVE: To assess the relationship between air pollution and acute respiratory disorders in children. METHODS: A time series ecological study was carried out in three public health posts in a region of the city of Rio de Janeiro (Southeastern Brazil), between April 2002 and March 2003. Data for PM10, SO2, NO2, CO and O3 were analyzed daily and as closure variables, a total of 45,595 emergency pediatric consultations for respiratory symptoms or specifically for disorders in the upper and lower airways. To control for confounders, other variables were included in the model including those relating to weather, seasonality, temperature, relative air humidity, rain volume, respiratory infections and the calendar effects (such as holidays and weekends). A Poisson regression was applied using generalized counting models to estimate the effects of pollutants and confusing factors. RESULTS: Only O3 had a positive and statistically significant effect, both among emergency consultations for respiratory problems and consultations for symptoms relating to the lower airways. Effect and exposure occurred on the same day (lag 0). A significant negative association was found with CO and pediatric consultations for respiratory complaints. Other air pollutants were not found to have a significant effect. CONCLUSIONS: There were found associations between outdoor air pollution and the number of emergency pediatric consultations for respiratory problems in the studied area, in spite of the fact that the levels of all pollutants monitored during the study period were below recommended levels. OBJETIVO: Avaliar a relação entre poluição do ar e efeitos respiratórios agudos em crianças. MÉTODOS: Foi realizado um estudo ecológico de séries temporais em três unidades públicas de saúde do bairro de Jacarepaguá, município do Rio de Janeiro, entre abril de 2002 e março de 2003. Foram analisados dados diários de PM10, SO2, NO2, CO e O3, e como variáveis de desfecho 45.595 atendimentos pediátricos de emergência por sintomas respiratórios ou específicos por transtornos nas vias aéreas superiores e nas vias aéreas inferiores. Foram incluídas no modelo para controle de confundimento as variáveis referentes à tendência temporal, sazonalidade, temperatura, umidade relativa do ar, precipitação de chuva, infecções respiratórias e os efeitos do calendário (como feriados e finais de semana). Foi empregada a regressão de Poisson via modelos aditivos generalizados para estimar os efeitos dos poluentes e dos fatores de confusão. RESULTADOS: Somente o O3 apresentou resultado positivo e estatisticamente significativo, tanto com todos os atendimentos de emergência por queixas respiratórias como com os atendimentos motivados por sintomas nas vias aéreas inferiores. O efeito foi no mesmo dia da exposição (lag 0). Associação significativa e de sentido inverso ocorreu com o CO e os atendimentos pediátricos por queixas respiratórias. Não se observou resultado significativo com os demais poluentes atmosféricos. CONCLUSÕES: Foram encontradas associações entre indicadores de poluição atmosférica e o número de atendimentos pediátricos de emergência por motivos respiratórios em Jacarepaguá, apesar de os níveis de todos os poluentes monitorados permanecessem abaixo dos limites recomendados durante todo o período de estudos. Universidade de São Paulo. Faculdade de Saúde Pública2008-06-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfapplication/pdfhttps://www.revistas.usp.br/rsp/article/view/3245810.1590/S0034-89102008005000016Revista de Saúde Pública; Vol. 42 No. 3 (2008); 503-511 Revista de Saúde Pública; Vol. 42 Núm. 3 (2008); 503-511 Revista de Saúde Pública; v. 42 n. 3 (2008); 503-511 1518-87870034-8910reponame:Revista de Saúde Públicainstname:Universidade de São Paulo (USP)instacron:USPporenghttps://www.revistas.usp.br/rsp/article/view/32458/34712https://www.revistas.usp.br/rsp/article/view/32458/34713Copyright (c) 2017 Revista de Saúde Públicainfo:eu-repo/semantics/openAccessMoura, MarisaJunger, Washington LeiteMendonça, Gulnar Azevedo e SilvaPonce De Leon, Antonio2012-07-09T01:23:44Zoai:revistas.usp.br:article/32458Revistahttps://www.revistas.usp.br/rsp/indexONGhttps://www.revistas.usp.br/rsp/oairevsp@org.usp.br||revsp1@usp.br1518-87870034-8910opendoar:2012-07-09T01:23:44Revista de Saúde Pública - Universidade de São Paulo (USP)false
dc.title.none.fl_str_mv Air quality and acute respiratory disorders in children
Qualidade do ar e transtornos respiratórios agudos em crianças
title Air quality and acute respiratory disorders in children
spellingShingle Air quality and acute respiratory disorders in children
Moura, Marisa
Criança
Poluição do Ar
Poluentes do Ar^i1^sefeitos adver
Doenças Respiratórias^i1^sepidemiolo
Estudos Ecológicos
Child
Air Pollution
Air Pollutants^i2^sadverse effe
Respiratory Tract Diseases^i2^sepidemiol
Ecological Studies
title_short Air quality and acute respiratory disorders in children
title_full Air quality and acute respiratory disorders in children
title_fullStr Air quality and acute respiratory disorders in children
title_full_unstemmed Air quality and acute respiratory disorders in children
title_sort Air quality and acute respiratory disorders in children
author Moura, Marisa
author_facet Moura, Marisa
Junger, Washington Leite
Mendonça, Gulnar Azevedo e Silva
Ponce De Leon, Antonio
author_role author
author2 Junger, Washington Leite
Mendonça, Gulnar Azevedo e Silva
Ponce De Leon, Antonio
author2_role author
author
author
dc.contributor.author.fl_str_mv Moura, Marisa
Junger, Washington Leite
Mendonça, Gulnar Azevedo e Silva
Ponce De Leon, Antonio
dc.subject.por.fl_str_mv Criança
Poluição do Ar
Poluentes do Ar^i1^sefeitos adver
Doenças Respiratórias^i1^sepidemiolo
Estudos Ecológicos
Child
Air Pollution
Air Pollutants^i2^sadverse effe
Respiratory Tract Diseases^i2^sepidemiol
Ecological Studies
topic Criança
Poluição do Ar
Poluentes do Ar^i1^sefeitos adver
Doenças Respiratórias^i1^sepidemiolo
Estudos Ecológicos
Child
Air Pollution
Air Pollutants^i2^sadverse effe
Respiratory Tract Diseases^i2^sepidemiol
Ecological Studies
description OBJECTIVE: To assess the relationship between air pollution and acute respiratory disorders in children. METHODS: A time series ecological study was carried out in three public health posts in a region of the city of Rio de Janeiro (Southeastern Brazil), between April 2002 and March 2003. Data for PM10, SO2, NO2, CO and O3 were analyzed daily and as closure variables, a total of 45,595 emergency pediatric consultations for respiratory symptoms or specifically for disorders in the upper and lower airways. To control for confounders, other variables were included in the model including those relating to weather, seasonality, temperature, relative air humidity, rain volume, respiratory infections and the calendar effects (such as holidays and weekends). A Poisson regression was applied using generalized counting models to estimate the effects of pollutants and confusing factors. RESULTS: Only O3 had a positive and statistically significant effect, both among emergency consultations for respiratory problems and consultations for symptoms relating to the lower airways. Effect and exposure occurred on the same day (lag 0). A significant negative association was found with CO and pediatric consultations for respiratory complaints. Other air pollutants were not found to have a significant effect. CONCLUSIONS: There were found associations between outdoor air pollution and the number of emergency pediatric consultations for respiratory problems in the studied area, in spite of the fact that the levels of all pollutants monitored during the study period were below recommended levels.
publishDate 2008
dc.date.none.fl_str_mv 2008-06-01
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://www.revistas.usp.br/rsp/article/view/32458
10.1590/S0034-89102008005000016
url https://www.revistas.usp.br/rsp/article/view/32458
identifier_str_mv 10.1590/S0034-89102008005000016
dc.language.iso.fl_str_mv por
eng
language por
eng
dc.relation.none.fl_str_mv https://www.revistas.usp.br/rsp/article/view/32458/34712
https://www.revistas.usp.br/rsp/article/view/32458/34713
dc.rights.driver.fl_str_mv Copyright (c) 2017 Revista de Saúde Pública
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Copyright (c) 2017 Revista de Saúde Pública
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
application/pdf
dc.publisher.none.fl_str_mv Universidade de São Paulo. Faculdade de Saúde Pública
publisher.none.fl_str_mv Universidade de São Paulo. Faculdade de Saúde Pública
dc.source.none.fl_str_mv Revista de Saúde Pública; Vol. 42 No. 3 (2008); 503-511
Revista de Saúde Pública; Vol. 42 Núm. 3 (2008); 503-511
Revista de Saúde Pública; v. 42 n. 3 (2008); 503-511
1518-8787
0034-8910
reponame:Revista de Saúde Pública
instname:Universidade de São Paulo (USP)
instacron:USP
instname_str Universidade de São Paulo (USP)
instacron_str USP
institution USP
reponame_str Revista de Saúde Pública
collection Revista de Saúde Pública
repository.name.fl_str_mv Revista de Saúde Pública - Universidade de São Paulo (USP)
repository.mail.fl_str_mv revsp@org.usp.br||revsp1@usp.br
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