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Title: Determination of priority among air pollution factors in preventing COPD in residents of Shanghai City proper

Conference · · Archives of Environmental Health; (USA)
OSTI ID:5642600

The purpose of our study is to determine the priority among ambient sulphur dioxide (SO{sub 2}), inhalable particulates (IP), and indoor use of coal for cooking or heating to prevent COPD in residents of Shanghai city proper. We describe spatial and temporal distribution of the concentration of ambient SO{sub 2}, IP, and the proportion of families who use coal (1980-1985) by the trend surface simulating method and other statistics. Stratified by two sets of extreme levels of ambient SO{sub 2}, IP, and the proportion of coal-using families, we selected eight groups with different combinations of exposure levels. We analyzed the relationship between air pollution factors and their health effects at levels of mortality (1978-1987, 232,459 person years), prevalence (1987, 12,037 persons), lung function and local immunologic function (1987, 514 women) with logistic and stepwise regression, and ridit analysis. After controlling for possible confounders, e.g., tobacco smoking and occupational exposure, we found that indoor use of coal is a more important risk factor than ambient SO{sub 2} and IP. We then used canonical correlation analysis to evaluate the overall exposure-effect relationship between one set of air pollution and confounding factors and the other set of health effect indices. High correlation is found between the two. The indoor use of coal is more important for the overall health effects than the ambient SO{sub 2} and IP, to change from coal to gas could reduce the environmental exposure canonical variable more readily, with an effect equivalent to a reduction of 0.1839 mg/m{sup 3} for ambient SO{sub 2}, or 0.2806 mg/m{sup 3} for ambient IP in concentration.

OSTI ID:
5642600
Report Number(s):
CONF-890937-; CODEN: AEHLA
Journal Information:
Archives of Environmental Health; (USA), Vol. 45:5; Conference: 1. annual meeting of the International Society for Environmental Epidemiology, Upton, NY (USA), 13-15 Sep 1989; ISSN 0003-9896
Country of Publication:
United States
Language:
English