Environmental exposure as an independent risk factor of chronic bronchitis in northwest Russia
Autor: | Pentti Nieminen, Alexander Nikanov, Sergei Lyalyushkin, Vuokko L. Kinnula, Tuula Toljamo, Dmitry Panychev, Mark Borisenko, German Komarov |
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Přispěvatelé: | Clinicum, Department of Medicine, Keuhkosairauksien yksikkö |
Jazyk: | angličtina |
Rok vydání: | 2013 |
Předmět: |
LUNG-DISEASE
Male Pediatrics Chronic bronchitis Health (social science) Time Factors Epidemiology Cross-sectional study Environmental pollution mining EXERCISE CAPACITY Russia NORTHERN SWEDEN 0302 clinical medicine Risk Factors Prevalence Sulfur Dioxide pollution 030212 general & internal medicine Original Research Article Aged 80 and over Air Pollutants Arctic Regions Phlegm Smoking respiratory symptoms General Medicine Environmental exposure CHRONIC COUGH Middle Aged ARCTIC POPULATIONS 3142 Public health care science environmental and occupational health 3. Good health Chronic cough sulphur dioxide Bronchitis Female KOLA-PENINSULA medicine.symptom 0305 other medical science Adult medicine.medical_specialty lcsh:Arctic medicine. Tropical medicine Adolescent lcsh:RC955-962 education Murmansk OBSTRUCTIVE PULMONARY-DISEASE pulmonary environmental 03 medical and health sciences Young Adult Environmental health medicine Humans Risk factor Occupations Aged 030505 public health business.industry Public Health Environmental and Occupational Health AIR-POLLUTION Environmental Exposure medicine.disease BIRTH-WEIGHT sulfur dioxide Cross-Sectional Studies Cough 13. Climate action 3121 General medicine internal medicine and other clinical medicine Chronic Disease business |
Zdroj: | International Journal of Circumpolar Health, Vol 72, Iss 0, Pp 1-7 (2013) International Journal of Circumpolar Health; Vol 72 (2013) International Journal of Circumpolar Health |
ISSN: | 2242-3982 1797-237X 1239-9736 |
Popis: | Background. In some parts of the northwest Russia, Murmansk region, high exposures to heavy mining and refining industrial air pollution, especially sulphur dioxide, have been documented. Objective. Our aim was to evaluate whether living in the mining area would be an independent risk factor of the respiratory symptoms. Design. A cross-sectional survey of 200 Murmansk region adult citizens was performed. The main outcome variable was prolonged cough with sputum production that fulfilled the criteria of chronic bronchitis. Results. Of the 200 participants, 53 (26.5%) stated that they had experienced chronic cough with phlegm during the last 2 years. The prevalence was higher among those subjects living in the mining area with its high pollution compared to those living outside this region (35% vs. 18%). Multivariable regression model confirmed that the risk for the chronic cough with sputum production was elevated in a statistical significant manner in the mining and refining area (adjusted OR 2.16, 95% CI 1.07–4.35) after adjustment for smoking status, age and sex. Conclusions. The increased level of sulphur dioxide emitted during nickel mining and refining may explain these adverse health effects. This information is important for medical authorities when they make recommendations and issue guidelines regarding the relationship between environmental pollution and health outcomes. Keywords: sulphur dioxide; pollution; respiratory symptoms; Murmansk; mining (Published: 22 Ferbuary 2013) Citation: Int J Circumpolar Health 2013, 72 : 19742 - http://dx.doi.org/10.3402/ijch.v72i0.19742 |
Databáze: | OpenAIRE |
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