Long-term air pollution exposure, greenspace and health-related quality of life in the ECRHS study - Université de Rennes Accéder directement au contenu
Article Dans Une Revue Science of the Total Environment Année : 2022

Long-term air pollution exposure, greenspace and health-related quality of life in the ECRHS study

Bertil Forsberg
  • Fonction : Auteur
Elaine Fuertes
  • Fonction : Auteur
  • PersonId : 1111392
Joachim Heinrich
Ane Johannessen

Résumé

BACKGROUND: Associations of long-term exposure to air pollution and greenspace with health-related quality of life (HRQOL) are poorly studied and few studies have accounted for asthma-rhinitis status. OBJECTIVE: To assess the associations of air pollution and greenspace with HRQOL and whether asthma and/or rhinitis modify these associations. METHODS: The study was based on the participants in the second (2000-2002, n = 6542) and third (2011-2013, n = 3686) waves of the European Community Respiratory Health Survey (ECRHS) including 19 centres. The mean follow-up time was 11.3 years. HRQOL was assessed by the SF-36 Physical and Mental Component Summary scores (PCS and MCS). NO(2), PM(2.5) and PM(10) annual concentrations were estimated at the residential address from existing land-use regression models. Greenspace around the residential address was estimated by the (i) mean of the Normalized Difference Vegetation Index (NDVI) and by the (ii) presence of green spaces within a 300 m buffer. Associations of each exposure variable with PCS and MCS were assessed by mixed linear regression models, accounting for the multicentre design and repeated data, and adjusting for potential confounders. Analyses were stratified by asthma-rhinitis status. RESULTS: The mean (SD) age of the ECRHS-II and III participants was 43 (7.1) and 54 (7.2) years, respectively, and 48 % were men. Higher NO(2), PM(2.5) and PM(10) concentrations were associated with lower MCS (regression coefficients [95%CI] for one unit increase in the inter-quartile range of exposures were -0.69 [-1.23; -0.15], -1.79 [-2.88; -0.70], -1.80 [-2.98; -0.62] respectively). Higher NDVI and presence of forests were associated with higher MCS. No consistent associations were observed for PCS. Similar association patterns were observed regardless of asthma-rhinitis status. CONCLUSION: European adults who resided at places with higher air pollution and lower greenspace were more likely to have lower mental component of HRQOL. Asthma or rhinitis status did not modify these associations.
Fichier principal
Vignette du fichier
Pre_proof_HAL_QOL_pollution-greeness_ECRHS_Stoten_20220711.pdf (1.1 Mo) Télécharger le fichier
Origine : Fichiers produits par l'(les) auteur(s)

Dates et versions

hal-03789665 , version 1 (15-12-2022)

Identifiants

Citer

Anne Boudier, Iana Markevych, Bénédicte Jacquemin, Michael J Abramson, Simone Accordini, et al.. Long-term air pollution exposure, greenspace and health-related quality of life in the ECRHS study. Science of the Total Environment, 2022, 849, pp.157693. ⟨10.1016/j.scitotenv.2022.157693⟩. ⟨hal-03789665⟩
62 Consultations
92 Téléchargements

Altmetric

Partager

Gmail Facebook X LinkedIn More