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Long-term air pollu...
Long-term air pollution exposure is associated with sick leave 20 years later
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- Johannessen, Ane (author)
- Univ Bergen, Dept Global Publ Hlth & Primary Care, Ctr Int Hlth, Bergen, Norway
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- Kuiper, Ingrid Nordeide (author)
- Haukeland Hosp, Dept Occupat Med, Bergen, Norway
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- Accordini, Simone (author)
- Univ Verona, Dept Diagnost & Publ Hlth, Unit Epidemiol & Med Stat, Verona, Italy
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- Bertelsen, Randi Jacobsen (author)
- Univ Bergen, Dept Clin Sci, Bergen, Norway
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- Forsberg, Bertil (author)
- Umeå universitet,Yrkes- och miljömedicin,Umea Univ, Div Occupat & Environm Med, Dept Publ Hlth & Clin Med, Umea, Sweden
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- Gislason, Thorarinn (author)
- Landspitali Univ Hosp Reykjavik, Dept Resp Med & Sleep, Reykjavik, Iceland
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- Heinrich, Joachim (author)
- Ludwig Maximilians Univ Munchen, Inst & Clin Occupat Social & Environm Med, Munich, Germany
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- Holm, Mathias (author)
- Sahlgrens Univ Hosp, Dept Occupat & Environm Med, Gothenburg, Sweden
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- Jögi, Rain (author)
- Tartu Univ Hosp, Lung Clin, Tartu, Estonia
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- Kirkeleit, Jorunn (author)
- Haukeland Hosp, Dept Occupat Med, Bergen, Norway
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- Malinovschi, Andrei, 1978- (author)
- Uppsala universitet,Klinisk fysiologi
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- Marcon, Alessandro (author)
- Univ Verona, Dept Diagnost & Publ Hlth, Unit Epidemiol & Med Stat, Verona, Italy
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- Markevych, Iana (author)
- Helmholtz Zentrum Munchen, German Res Ctr Environm Hlth, Inst Epidemiol 1, Neuherberg, Germany
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- Oudin, Anna (author)
- Umea Univ, Div Occupat & Environm Med, Dept Publ Hlth & Clin Med, Umea, Sweden
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- Schlünssen, Vivi (author)
- Aarhus Univ, Sect Environm Occupat & Hlth, Danish Ramazzini Ctr, Dept Publ Hlth, Aarhus, Denmark
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- Sigsgaard, Torben (author)
- Aarhus Univ, Dept Publ Hlth, Aarhus, Denmark
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- Svanes, Cecilie (author)
- Haukeland Hosp, Dept Occupat Med, Bergen, Norway
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- Torén, Kjell (author)
- Sahlgrens Univ Hosp, Dept Occupat & Environm Med, Gothenburg, Sweden
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- Janson, Christer (author)
- Uppsala universitet,Lung- allergi- och sömnforskning
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(creator_code:org_t)
- European Respiratory Society, 2018
- 2018
- English.
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In: European Respiratory Journal. - : European Respiratory Society. - 0903-1936 .- 1399-3003. ; 52
- Related links:
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https://urn.kb.se/re...
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https://doi.org/10.1...
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https://urn.kb.se/re...
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Abstract
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- Background: Little is known on outdoor air pollution in a long-term perspective and societal costs such as sick leave. In the Nordic countries, recent pollution health impact assessments have had to rely on outdated studies.Aims: To investigate if air pollution exposure is associated with sick leave 20 years later.Methods: We analysed self-reported sick leave (all-cause and respiratory) in 7 466 subjects from Bergen, Gothenburg, Umea, Uppsala in the RHINE3 study in 2010-12. Home addresses were geocoded and linked to annual average concentrations of PM2.5, PM10 and NO2 at RHINE3, 10 years earlier and 20 years earlier, using existing land-use regression (LUR) models. We performed multilevel logistic regression clustered by centre, and adjusted for sex, smoking, education and previous health-related workplace change.Results: Age range in RHINE3 was 40-66 yrs, 34% and 4% reported all-cause and respiratory sick leave during the last year. In the adjusted analyses all-cause sick leave was associated with PM2.520 years earlier (OR per interquartile range (IQR) difference (2.6 µg/m³) 1.12 (95%CI 1.01, 1.24)), and borderline with NO2 (OR per IQR diff (8.1 µg/m³) 1.09 (95%CI 0.99, 1.19)). Respiratory sick leave was associated with PM10 20 years earlier (OR per IQR diff (3.92 µg/m³) 1.54 (95%CI 1.06, 2.25)), and borderline with PM2.5 (OR per IQR diff 1.31 (95%CI 0.97, 1.76)). Pollution exposures at present as well as 10 years earlier were not significantly associated with sick leave.Conclusions: Air pollution exposure in a general population is associated with sick leave in a 20-year perspective. Our findings suggest that even low air pollution levels such as in Northern Europe have societal costs over time.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Lungmedicin och allergi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Respiratory Medicine and Allergy (hsv//eng)
Publication and Content Type
- vet (subject category)
- art (subject category)
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- By the author/editor
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Johannessen, Ane
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Kuiper, Ingrid N ...
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Accordini, Simon ...
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Bertelsen, Randi ...
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Forsberg, Bertil
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Gislason, Thorar ...
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Heinrich, Joachi ...
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Holm, Mathias
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Jögi, Rain
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Kirkeleit, Jorun ...
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Malinovschi, And ...
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Marcon, Alessand ...
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Markevych, Iana
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Oudin, Anna
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Schlünssen, Vivi
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Sigsgaard, Torbe ...
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Svanes, Cecilie
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Torén, Kjell
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Janson, Christer
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- About the subject
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- MEDICAL AND HEALTH SCIENCES
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MEDICAL AND HEAL ...
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and Clinical Medicin ...
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and Respiratory Medi ...
- Articles in the publication
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European Respira ...
- By the university
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Umeå University
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Uppsala University