Monitoring long term effects of air pollution in Italy: Use of the national health interview survey and its possibilities in Epidemiology
2012
ASL Torino 3
ARPA Piemonte
Tipo pubblicazione
Conference Abstract
Autori/Collaboratori (7)Vedi tutti...
Zanini G
Sebastiani G
Gandini M
et alii...
Abstract
Background: Few studies on long term effects of air pollution are available, mainly in the USA and in some European countries. No study has been conducted in Italy so far, despite the fact that Italy is one of the more polluted countries in Europe. Objectives: Our aim is to assess the feasibility of a surveillance system to monitor the risk of mortality and hospital admission in relation to long term exposure to air pollution in Italy. Methods: The study is based on a 7-year follow-up of mortality and hospital admission of a cohort of about 130.000 subjects (128.818 for mortality and 126601 for hospital admissions), belonging to 52332 families interviewed in the 2000 National Italian Health Survey, living in 1449 municipalities representative of the Italian population and with very different exposure to air pollution. Exposure to Pm2.5, PM10 and NO2 will be assessed using models with spatial resolution of 2kmx2Km. Individual data on age, gender, occupational and educational status, BMI, smoking habit, diet, alcohol consumption, physical activity will be the main confounders to control for. Data will be analysed using Cox proportional regression. Results: The analysis are currently ongoing. The results for mortality and hospital admissions in relation to air pollution exposure will be available for the end of June, 2012. Conclusions: National Health Interview Surveys are a promising approach for establishing surveillance systems for many purposes, given that a follow up could be performed.
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DOI : 10.1097/01.ede.0000417361.26540.09
Keywords
model; risk; alcohol consumption; Europe; long term exposure; health survey; population; follow up; exposure; epidemiology; interview; public health; monitoring; Italy; hospital admission; society; mortality; human; cohort analysis; air pollution; diet; smoking habit; educational status; gender; physical activity;