umu.sePublications
Change search
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf
Chronic traffic-induced PM exposure and self-reported respiratory and cardiovascular health in the RHINE Tartu cohort
Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine, Occupational and Environmental Medicine.
Lung Clinic, Tartu University Hospital.
Institute of Physics, University of Tartu.
Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine, Occupational and Environmental Medicine.
2009 (English)In: International journal of environmental research and public health, ISSN 1660-4601, Vol. 6, no 11, 68 p.2740-2751 p.Article in journal (Refereed) Published
Abstract [en]

The relationship between exposure to traffic induced particles and respiratory health, and cardiac diseases was studied in the RHINE Tartu cohort. A postal questionnaire with commonly used questions regarding respiratory symptoms, cardiac disease, lifestyle as smoking habits, indoor environment, occupation, early life exposure and sleep disorders was sent to 2460 adults. The annual concentrations of local traffic induced particles were modelled with an atmospheric dispersion model with traffic flow data, and obtained PMexhaust concentrations in 40x40 m grids were linked with home addresses with GIS. The relationship between the level of exhaust particles outside home and self-reported health problems were analyzed using a multiple logistic regression model. We found a significant relation between fine exhaust particles and cardiac disease, OR = 1.64 (95% CI 1.12-2.43) for increase in PMexhaust corresponding to the fifth to the 95th percentile range. The associations also were positive but non-significant for hypertension OR = 1.42 (95% CI 0.94-2.13), shortness of breath OR = 1.27 (95% CI 0.84-1.94) and other respiratory symptoms.

Place, publisher, year, edition, pages
2009. Vol. 6, no 11, 68 p.2740-2751 p.
Keyword [en]
Air pollution, particulate matter, traffic, respiratory diseases, cardiovascular diseases
National Category
Environmental Health and Occupational Health
Research subject
Occupational and Environmental Medicine
Identifiers
URN: urn:nbn:se:umu:diva-29761DOI: 10.3390/ijerph6112740ISBN: 978-91-7264-905-7 (print)OAI: oai:DiVA.org:umu-29761DiVA: diva2:277980
Available from: 2009-11-23 Created: 2009-11-23 Last updated: 2015-04-02Bibliographically approved
In thesis
1. Exposure to particulate matter and the related health impacts in major Estonian cities
Open this publication in new window or tab >>Exposure to particulate matter and the related health impacts in major Estonian cities
2009 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

Particulate matter (PM) is one of the most studied and problematic pollutants due to its toxicity and relati­vely high concentrations. This thesis aims to clarify the main sources and exposures of PM in Tallinn and Tartu, study the associations with health effects, and estimate the extent of those effects with health impact assessment (HIA).

It appeared that the main sources of particulate air pollution in Tallinn (the capital of Estonia) and Tartu (the second largest city of Estonia) are local heating and traffic, inclu­ding road dust. In addition to local emissions, particulate levels are affected by transboundary pollution. If the transboundary air masses originated from the Eastern European areas, the concentration as well as the oxidative capacity of fine particles was significantly higher in urban background air in Tartu compared to air masses coming from Scandinavian areas (Paper I).

During the last 15 years, traffic increase has been very fast in Tartu. However, due to the improvement in vehicle technology during this period, there has been only a slight increase in concentration of exhaust particles (Paper II). Nevertheless, a greater increase in road dust emissions was detected.

A statistically significant relationship between long-term exposure to those traffic induced par­tic­les and cardiac disease in the RHINE (Respiratory Health in Northern Europe) Tartu cohort was shown (Paper III). However, no significant associations with respira­tory health were found.

The HIA in Tallinn demonstrated 296 (95% CI = 76–528) premature deaths annually, because of PM (Paper IV). The average decrease in life expectancy was predicted to be 0.64 (95% CI 0.17–1.10) years. However, among risk groups it can be higher. In addi­tion, several cardiovascular hospitalizations are related. The costs to society be­cause of health effects reach up to €150 million annually (95% CI = 40–260) from pre­mature deaths and hospitali­zation constitute an additional €0.3 million (95% CI = 0.2–0.4).

The special HIA scenario, when more pollution fuel peat will be used in boiler houses was analysed as well (Paper V). It indicated that peat bur­ning would result in up to 55.5 YLL per year within the population of Tartu. However, the health effects of pollution from current traffic, local heating, and industry are at least 28 times bigger.

In conclusion, exposure to PM cause considerable health effects in the form of cardio­pulmo­nary diseases in main Estonian cities.

Place, publisher, year, edition, pages
Umeå: Umeå University, 2009. 68 p.
Series
Umeå University medical dissertations, ISSN 0346-6612 ; 1314
Keyword
Particulate matter, traffic, health impact assessment, cardiopulmonary
National Category
Environmental Health and Occupational Health
Research subject
Occupational and Environmental Medicine
Identifiers
urn:nbn:se:umu:diva-29769 (URN)978-91-7264-905-7 (ISBN)
External cooperation:
Public defence
2009-12-15, Sal B, 1D NUS 9tr, Umeå University, 09:00 (English)
Opponent
Supervisors
Available from: 2009-11-26 Created: 2009-11-23 Last updated: 2016-09-01Bibliographically approved

Open Access in DiVA

No full text

Other links

Publisher's full text

Authority records BETA

Orru, HansForsberg, Bertil

Search in DiVA

By author/editor
Orru, HansForsberg, Bertil
By organisation
Occupational and Environmental Medicine
Environmental Health and Occupational Health

Search outside of DiVA

GoogleGoogle Scholar

doi
isbn
urn-nbn

Altmetric score

doi
isbn
urn-nbn
Total: 84 hits
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf