Effects of traffic-related air and noise pollution exposure on allergic diseases in the elderly: an observational study

Autor: Sofia Tagliaferro, Federico Pirona, Salvatore Fasola, Ilaria Stanisci, Giuseppe Sarno, Sandra Baldacci, Claudio Gariazzo, Gaetano Licitra, Antonino Moro, Camillo Silibello, Massimo Stafoggia, Giovanni Viegi, Sara Maio
Jazyk: angličtina
Rok vydání: 2024
Předmět:
Zdroj: Annals of Medicine, Vol 56, Iss 1 (2024)
Druh dokumentu: article
ISSN: 07853890
1365-2060
0785-3890
DOI: 10.1080/07853890.2024.2398193
Popis: Introduction Traffic-related air and noise pollution are important public health issues. The aim of this study was to estimate their effects on allergic/respiratory outcomes in adult and elderly subjects.Materials and methods Six hundred and forty-five subjects living in Pisa (Tuscany, Italy) were investigated through a questionnaire on allergic/respiratory symptoms and diseases. Traffic-related air pollution and noise exposures were assessed at residential address by questionnaire, modelled annual mean NO2 concentrations (1 km and 200 m resolution), and noise level over a 24-h period (Lden). Exposure effects were assessed through logistic regression models stratified by age group (18–64 years, ≥65 years), and adjusted for sex, educational level, occupational exposure, and smoking habits.Results 63.6% of the subjects reported traffic exposure near home. Mean exposure levels were: 28.24 (±3.26 SD) and 27.23 (±3.16 SD) µg/m3 for NO2 at 200 m and 1 km of resolution, respectively; 57.79 dB(A) (±6.12 SD) for Lden. Exposure to vehicular traffic (by questionnaire) and to high noise levels [Lden ≥ 60 dB(A)] were significantly associated with higher odds of allergic rhinitis (OR 2.01, 95%CI 1.09–3.70, and OR 1.99, 95%CI 1.18–3.36, respectively) and borderline with rhino-conjunctivitis (OR 2.20, 95%CI 0.95–5.10, and OR 1.76, 95%CI 0.91–3.42, respectively) only in the elderly. No significant result emerged for NO2.Conclusions Our findings highlighted the need to better assess the effect of traffic-related exposure in the elderly, considering the increasing trend in the future global population’s ageing.
Databáze: Directory of Open Access Journals