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Cross-sectional ass...
Cross-sectional associations between air pollution and chronic bronchitis : an ESCAPE meta-analysis across five cohorts
- Article/chapterEnglish2014
Publisher, publication year, extent ...
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2014-08-11
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BMJ,2014
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printrdacarrier
Numbers
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LIBRIS-ID:oai:DiVA.org:umu-95713
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https://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-95713URI
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https://doi.org/10.1136/thoraxjnl-2013-204352DOI
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Language:English
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Summary in:English
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Subject category:ref swepub-contenttype
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Subject category:art swepub-publicationtype
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BACKGROUND: This study aimed to assess associations of outdoor air pollution on prevalence of chronic bronchitis symptoms in adults in five cohort studies (Asthma-E3N, ECRHS, NSHD, SALIA, SAPALDIA) participating in the European Study of Cohorts for Air Pollution Effects (ESCAPE) project.METHODS: Annual average particulate matter (PM10, PM2.5, PMabsorbance, PMcoarse), NO2, nitrogen oxides (NOx) and road traffic measures modelled from ESCAPE measurement campaigns 2008-2011 were assigned to home address at most recent assessments (1998-2011). Symptoms examined were chronic bronchitis (cough and phlegm for ≥3 months of the year for ≥2 years), chronic cough (with/without phlegm) and chronic phlegm (with/without cough). Cohort-specific cross-sectional multivariable logistic regression analyses were conducted using common confounder sets (age, sex, smoking, interview season, education), followed by meta-analysis.RESULTS: 15 279 and 10 537 participants respectively were included in the main NO2 and PM analyses at assessments in 1998-2011. Overall, there were no statistically significant associations with any air pollutant or traffic exposure. Sensitivity analyses including in asthmatics only, females only or using back-extrapolated NO2 and PM10 for assessments in 1985-2002 (ECRHS, NSHD, SALIA, SAPALDIA) did not alter conclusions. In never-smokers, all associations were positive, but reached statistical significance only for chronic phlegm with PMcoarse OR 1.31 (1.05 to 1.64) per 5 µg/m(3) increase and PM10 with similar effect size. Sensitivity analyses of older cohorts showed increased risk of chronic cough with PM2.5abs (black carbon) exposures.CONCLUSIONS: Results do not show consistent associations between chronic bronchitis symptoms and current traffic-related air pollution in adult European populations.
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Schikowski, Tamara
(author)
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Adam, Martin
(author)
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Buschka, Anna
(author)
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Carsin, Anne-Elie
(author)
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Jacquemin, Benedicte
(author)
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Marcon, Alessandro
(author)
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Sanchez, Margaux
(author)
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Vierkötter, Andrea
(author)
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Al-Kanaani, Zaina
(author)
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Beelen, Rob
(author)
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Birk, Matthias
(author)
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Brunekreef, Bert
(author)
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Cirach, Marta
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Clavel-Chapelon, Françoise
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Declercq, Christophe
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de Hoogh, Kees
(author)
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de Nazelle, Audrey
(author)
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Ducret-Stich, Regina E.
(author)
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Valeria Ferretti, Virginia
(author)
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Forsberg, BertilUmeå universitet,Yrkes- och miljömedicin,Arcum(Swepub:umu)befo0001
(author)
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Gerbase, Margaret W.
(author)
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Hardy, Rebecca
(author)
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Heinrich, Joachim
(author)
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Hoek, Gerard
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Jarvis, Debbie
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Keidel, Dirk
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Kuh, Diana
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Nieuwenhuijsen, Mark J.
(author)
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Ragettli, Martina S.
(author)
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Ranzi, Andrea
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Rochat, Thierry
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Schindler, Christian
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Sugiri, Dorothea
(author)
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Temam, Sofia
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Tsai, Ming-Yi
(author)
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Varraso, Raphaëlle
(author)
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Kauffmann, Francine
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Krämer, Ursula
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Sunyer, Jordi
(author)
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Künzli, Nino
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Probst-Hensch, Nicole
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Hansell, Anna L.
(author)
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Umeå universitetYrkes- och miljömedicin
(creator_code:org_t)
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In:Thorax: BMJ69:11, s. 1005-10140040-63761468-3296
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