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Title [sv]
Luftföroreningar utomhus och innemiljö i bostäder och skolor i Kina: effekter på astma, rinit, dermatit och luftvägshälsa hos förskolebarn och elever.
Title [en]
Outdoor air pollution and indoor environment in homes and school in China: effects on asthma, rhinitis, dermatitis and respiratory health in preschool children and students
Abstract [en]
The overall aim is to study health effects of outdoor air pollution, climate and indoor environment (homes, schools) across China on asthma, rhinitis, dermatitis and respiratory health in Chinese children. The main focus is on early life exposure to outdoor air pollution (PM10, PM2.5, NO2, SO2, CO; O3) and indoor air pollution during pregnancy, the first years of life and later in life at home and at school. In addition, data on life-style factors, BMI and socio-economic status (SES) will be collected and analysed. Two large questionnaire studies in pre-school children (N=28000) and elementary school students (N=35000) are performed in seven cities across China. The pre-school children study investigates trend in health and indoor and outdoor exposures over a 10-year period by comparing with previous data from the CCHH-study. The elementary school study includes a 2-year follow up (cohort study). Two detailed school environment studies are performed in an urban and a rural area. Finally, two panel studies are done, one in south China and one in north China, to study respiratory effects of short term variation of outdoor air pollution (including PM2.5). The project has large public health relevance. It includes questionnaire data on health as well as clinical investigations such as lung function, allergy testing (atopy), blood serum biomarkers (of inflammation and oxidative stress), urine metabolites and fractional exhaled nitric oxide (FeNO), a marker of airway inflammation.
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Yang, L., Chen, H., Gao, H., Wang, Y., Chen, T., Svartengren, M., . . . Zhang, X. (2024). Prenatal and postnatal early life exposure to greenness and particulate matter of different size fractions in relation to childhood rhinitis: A multi-center study in China. Science of the Total Environment, 938, Article ID 173402.
Open this publication in new window or tab >>Prenatal and postnatal early life exposure to greenness and particulate matter of different size fractions in relation to childhood rhinitis: A multi-center study in China
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2024 (English)In: Science of the Total Environment, ISSN 0048-9697, E-ISSN 1879-1026, Vol. 938, article id 173402Article in journal (Refereed) Published
Abstract [en]

The impact of early life exposure to residential greenness on childhood rhinitis and its interaction with particulate matter (PM) of different size fractions remain inconsistent. Herein, we recruited 40,486 preschool children from randomly selected daycare centers in 7 cities in China from 2019 to 2020, and estimated exposure to residential greenness by the normalized difference vegetation index (NDVI) with a 500 m buffer. Exposure to ambient PM (PM1, PM2.5, and PM10) was evaluated using a satellite-based prediction model (daily, at a resolution of 1 km × 1 km). By mixed-effect logistic regression, NDVI values during pregnancy, in the first (0–1 year old) and the second (1–2 years old) year of life were negatively associated with lifetime rhinitis (LR) and current rhinitis (CR) (P < 0.001). PM in the same time windows was associated with increased risks of LR and CR in children, with smaller size fraction of PM showing greater associations. The negative associations between prenatal and postnatal NDVI and LR and CR in preschool children remained robust after adjusting for concomitant exposure to PM, whereas the associations of postnatal NDVI and rhinitis showed significant interactions with PM. At lower levels of PM, postnatal NDVI remained negatively associated with rhinitis and was partly mediated by PM (10.0–40.9 %), while at higher levels of PM, the negative associations disappeared or even turned positive. The cut-off levels of PM were identified for each size fraction of PM. In conclusion, prenatal exposure to greenness had robust impacts in lowering the risk of childhood rhinitis, while postnatal exposure to greenness depended on the co-exposure levels to PM. This study revealed the complex interplay of greenness and PM on rhinitis in children. The exposure time window in prenatal or postnatal period and postnatal concomitant PM levels played important roles in influencing the associations between greenness, PM and rhinitis.

Place, publisher, year, edition, pages
Elsevier, 2024
Keywords
Allergy, Air pollution, Children, Greenness, Interaction
National Category
Occupational Health and Environmental Health
Identifiers
urn:nbn:se:uu:diva-534373 (URN)10.1016/j.scitotenv.2024.173402 (DOI)001249391600001 ()38797418 (PubMedID)
Funder
Swedish Research Council, 2017-05845
Available from: 2024-07-04 Created: 2024-07-04 Last updated: 2024-07-04Bibliographically approved
Principal InvestigatorNorbäck, Dan
Coordinating organisation
Uppsala University
Funder
Period
2018-01-01 - 2020-12-31
National Category
Public Health, Global Health, Social Medicine and EpidemiologyEnvironmental Health and Occupational Health
Identifiers
DiVA, id: project:5948Project, id: 2017-05845_VR