Traffic at residential address, respiratory health, and atopy in adults: the National German Health Survey 1998

• Published in: Environmental research Vol. 98; no. 2; pp. 240 - 249
• Main Authors: Heinrich, Joachim, Topp, Rebekka, Gehring, Ulrike, Thefeld, Wolfgang
• Format: Journal Article
• Language: English
• Published: Amsterdam Elsevier Inc 01-06-2005; Elsevier
• Subjects: Adolescent; Adult; Adults; Aged; Air; Air Pollutants - adverse effects; Air Pollutants - analysis; Allergic sensitisation; Biological and medical sciences; Cross-Sectional Studies; Environmental Exposure - adverse effects; Environmental Monitoring; Environmental pollutants toxicology; Epidemiological Monitoring; Female; Germany; Germany - epidemiology; Health Surveys; Humans; Hypersensitivity, Immediate - epidemiology; Hypersensitivity, Immediate - etiology; Male; Medical sciences; Middle Aged; Motor Vehicles; Respiratory symptoms; Respiratory Tract Diseases - epidemiology; Respiratory Tract Diseases - etiology; Risk; Surveys and Questionnaires; Toxicology; Traffic intensity; Urban Population; Vehicle Emissions - adverse effects; Vehicle Emissions - analysis; Europe; Germany; Adults; Allergic sensitisation; Germany; Traffic intensity; Respiratory symptoms; Human; Immunopathology; Allergy; Proximity; Respiratory disease; Health; Toxicity; Epidemiology; Atopy; Residential zone; Survey; Air pollution; Road traffic; Public health
• ISSN: 0013-9351; 1096-0953
• DOI: 10.1016/j.envres.2004.08.004

Motor vehicle traffic contributes to more than 50% of PM
10 in Europe and might have far reaching impacts on human health. We investigated the relationship between residential street type as a surrogate for traffic intensity and the prevalence of respiratory symptoms, atopic diseases, and allergic sensitization in adults. Data from 6896 subjects of the German Health Survey 1998 with complete information on residential street type were used. Multiple logistic regression analyses were applied to model associations between street type categories, and respiratory and atopic outcomes were assessed by screening questionnaire of The European Respiratory Health Survey and specific IgE measurements. Living at extremely or considerably busy roads (23.9% of total study population) compared to roads with no or rare traffic (64.5%) was statistically significantly associated with chronic bronchitis (aOR 1.36 (95% CI) (1.01–1.83)) while nocturnal coughing attacks (past 12 months) (1.24 (0.98–1.57)), wheeze during the past 12 months (1.21 (0.93–57)), and hay fever (1.16 (0.94–1.42)) were marginally increased after adjustment for several potential confounders and for multiple testing. No increased risks were found for asthma (0.97 (0.67–1.42)) and allergic sensitization (1.05 (0.91–1.20)). We conclude that exposure to traffic-related air pollutants increases the risk of nonallergic respiratory symptoms and to a lesser degree the risk of hay fever and allergic sensitization but not the risk of asthma in adults.