期刊
ENVIRONMENTAL RESEARCH
卷 192, 期 -, 页码 -出版社
ACADEMIC PRESS INC ELSEVIER SCIENCE
DOI: 10.1016/j.envres.2020.110269
关键词
Asthma; Rhinitis; Onset and remission; Smoking; Environmental tobacco smoke; Painting
资金
- Icelandic Research Council
- Swedish Heart and Lung Foundation
- Vardal Foundation for Health Care and Allergic Research
- Swedish Association Against Asthma and Allergy
- Swedish Council for Work Live and Social Research
- Swedish AFA Insurance [467801100]
- Bror Hjerpstedt Foundation
- Norwegian Research Council
- Norwegian Asthma and Allergy Association
- Danish Lung Association
- Estonian Science Foundation
The study found that smoking, passive smoking, and indoor painting may increase the risk of respiratory symptoms onset, while wood and floor painting may reduce the remission of respiratory symptoms. Smoking could also increase the incidence of rhinitis. Living in older buildings may be a risk factor for nocturnal cough and doctor diagnosed asthma, while living in new buildings may increase the incidence of nocturnal breathlessness and rhinitis.
We studied associations between tobacco smoke, home environment and respiratory health in a 10 year follow up of a cohort of 11,506 adults in Northern Europe. Multilevel logistic regression models were applied to estimate onset and remission of symptoms. Current smokers at baseline developed more respiratory symptoms (OR = 1.39-4.43) and rhinitis symptoms (OR = 1.35). Starting smoking during follow up increased the risk of new respiratory symptoms (OR = 1.54-1.97) and quitting smoking decreased the risk (OR = 0.34-0.60). ETS at baseline increased the risk of wheeze (OR = 1.26). Combined ETS at baseline or follow up increased the risk of wheeze (OR = 1.27) and nocturnal cough (OR = 1.22). Wood painting at baseline reduced remission of asthma (OR 95%CI: 0.61, 0.38-0.99). Floor painting at home increased productive cough (OR 95%CI: 1.64, 1.15-2.34) and decreased remission of wheeze (OR 95%CI: 0.63, 0.40-0.996). Indoor painting (OR 95%CI: 1.43, 1.16-1.75) and floor painting (OR 95%CI: 1.77, 1.11-2.82) increased remission of allergic rhinitis. Living in the oldest buildings (constructed before 1960) was associated with higher onset of nocturnal cough and doctor diagnosed asthma. Living in the newest buildings (constructed 1986-2001) was associated with higher onset of nocturnal breathlessness (OR = 1.39) and rhinitis (OR = 1.34). In conclusion, smoking, ETS and painting indoor can be risk factors for respiratory symptoms. Wood painting and floor painting can reduce remission of respiratory symptoms. Smoking can increase rhinitis. Living in older buildings can be a risk factor for nocturnal cough and doctor diagnosed asthma. Living in new buildings can increase nocturnal dyspnoea and rhinitis.
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