Residential exposure

住宅暴露
  • 文章类型: Systematic Review
    吸烟后,居住氡是普通人群中肺癌的第二危险因素,也是不吸烟者中的第一危险因素。以前的研究已经分析了一些国家的氡可归因于肺癌的死亡率。我们的目标是确定,总结,并批判性地分析有关氡导致的肺癌死亡负担的现有数据,对包括在内的论文进行质量评估,比较不同国家的结果。我们使用主要的生物医学数据库进行了系统的范围审查。我们纳入了与氡暴露相关的归因死亡率数据的原始研究。我们根据具体的纳入和排除标准选择研究。遵循PRISMA2020方法和PRISMA扩展范围审查要求。使用标准化数据表提取数据,并使用定制的量表评估质量。我们选择了24项研究,描述了来自14个不同国家的氡归因死亡率。总的来说,13项研究使用了基于矿工群体的风险模型,8个使用了住宅氡病例对照研究中的风险,3个使用了两种风险模型选择。氡几何平均浓度为每立方米11至83贝克勒尔(Bq/m3),种群归因分数(PAF)为0.2至26%。在氡易发地区进行的研究获得了最高的归因死亡率。高质量的出版物报告说,住宅风险源的PAF为3%至12%,矿工风险源的PAF为7%至25%。肺癌死亡率的氡PAF在研究之间差异很大。很大一部分变化是由于所使用的风险源和假定的氡暴露概念描述的差异。从现在开始,应该描述和使用一种通用方法,以改善这些结果的交流。
    After smoking, residential radon is the second risk factor of lung cancer in general population and the first in never-smokers. Previous studies have analyzed radon attributable lung cancer mortality for some countries. We aim to identify, summarize, and critically analyze the available data regarding the mortality burden of lung cancer due to radon, performing a quality assessment of the papers included, and comparing the results from different countries. We performed a systematic scoping review using the main biomedical databases. We included original studies with attributable mortality data related to radon exposure. We selected studies according to specific inclusion and exclusion criteria. PRISMA 2020 methodology and PRISMA Extension for Scoping Reviews requirements were followed. Data were abstracted using a standardized data sheet and a tailored scale was used to assess quality. We selected 24 studies describing radon attributable mortality derived from 14 different countries. Overall, 13 studies used risk models based on cohorts of miners, 8 used risks from residential radon case-control studies and 3 used both risk model options. Radon geometric mean concentration ranged from 11 to 83 Becquerels per cubic meter (Bq/m3) and the population attributable fraction (PAF) ranged from 0.2 to 26%. Studies performed in radon prone areas obtained the highest attributable mortality. High-quality publications reported PAF ranging from 3 to 12% for residential risk sources and from 7 to 25% for miner risk sources. Radon PAF for lung cancer mortality varies widely between studies. A large part of the variation is due to differences in the risk source used and the conceptual description of radon exposure assumed. A common methodology should be described and used from now on to improve the communication of these results.
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  • 文章类型: Journal Article
    进行系统审查,以评估住宅或职业短期和长期暴露于工业来源的气味污染与暴露人群的健康状况之间的关系。
    搜索是在Medline进行的,EMBASE和Scopus在2021年4月。考虑了在源附近居住的人口或工人中暴露于来自工业源的环境气味。我们考虑了有生物学合理性的结果,比如喘息和哮喘,咳嗽,头痛,恶心和呕吐(主要结果)。我们还包括与压力相关的症状和新结果(例如情绪状态)。使用OHAT工具评估偏倚风险。对于主要结果,当至少有3项研究通过比较暴露受试者和未暴露受试者提供效果估计时,我们使用随机效应模型汇总了研究特有的气味相关效应估计值.用HigginsI2评估异质性。
    30项研究符合本次审查的条件,主要是横截面(n=23)。只有一项研究涉及学龄儿童,两项研究涉及工人。只有五项研究报告了气味对客观实验室或临床结果的影响。动物饲养操作和废物是最常见的工业来源。暴露人群与未暴露人群的总体优势比为1.15(95%CI1.01至1.29)(7项研究),恶心/呕吐为1.09(95%CI0.88至1.30)(7项研究),咳嗽/痰为1.27(95%CI1.10至1.44)(5项研究)。异质性是一个适度的问题。总的来说,由于大多数研究使用的是自我报告的信息,因此在暴露和结局评估方面,证据体受到绝对高偏倚风险的影响.
    研究结果强调了气味污染对居住在工业气味来源附近的人群的公共卫生重要性。大多数结果的有限证据支持需要对气味污染及其对人类健康的影响之间的关联进行高质量的流行病学研究。
    To conduct a systematic review to evaluate the association between residential or occupational short- and long-term exposure to odour pollution from industrial sources and the health status of the exposed population.
    The searches were conducted in Medline, EMBASE and Scopus in April 2021. Exposure to an environmental odour from industrial sources in population resident near the source or in workers was considered. We considered outcomes for which there was a biological plausibility, such as wheezing and asthma, cough, headache, nausea and vomiting (primary outcomes). We also included stress-related symptoms and novel outcomes (e.g. mood states). Risk of bias was evaluated using the OHAT tool. For primary outcomes, when at least 3 studies provided effect estimates by comparing exposed subjects versus not exposed, we pooled the study-specific estimates of odour-related effect using random effects models. Heterogeneity was evaluated with Higgins I2.
    Thirty studies were eligible for this review, mainly cross-sectional (n = 23). Only one study involved school-age children and two studies involved workers. Only five studies reported odour effects on objective laboratory or clinical outcomes. Animal Feeding Operations and waste were the most common industrial sources. The overall odds ratios in exposed versus not exposed population were 1.15 (95% CI 1.01 to 1.29) for headache (7 studies), 1.09 (95% CI 0.88 to 1.30) for nausea/vomiting (7 studies), and 1.27 (95% CI 1.10 to 1.44) for cough/phlegm (5 studies). Heterogeneity was a moderate concern. Overall, the body of evidence was affected by a definitely high risk of bias in exposure and outcome assessment since most studies used self-reported information.
    Findings underline the public health importance of odour pollution for population living nearby industrial odour sources. The limited evidence for most outcomes supports the need for high quality epidemiological studies on the association between odour pollution and its effects on human health.
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  • 文章类型: Journal Article
    (1) Background: There is increasing awareness that the quality of the indoor environment affects our health and well-being. Indoor air quality (IAQ) in particular has an impact on multiple health outcomes, including respiratory and cardiovascular illness, allergic symptoms, cancers, and premature mortality. (2) Methods: We carried out a global systematic literature review on indoor exposure to selected air pollutants associated with adverse health effects, and related household characteristics, seasonal influences and occupancy patterns. We screened records from six bibliographic databases: ABI/INFORM, Environment Abstracts, Pollution Abstracts, PubMed, ProQuest Biological and Health Professional, and Scopus. (3) Results: Information on indoor exposure levels and determinants, emission sources, and associated health effects was extracted from 141 studies from 29 countries. The most-studied pollutants were particulate matter (PM2.5 and PM10); nitrogen dioxide (NO2); volatile organic compounds (VOCs) including benzene, toluene, xylenes and formaldehyde; and polycyclic aromatic hydrocarbons (PAHs) including naphthalene. Identified indoor PM2.5 sources include smoking, cooking, heating, use of incense, candles, and insecticides, while cleaning, housework, presence of pets and movement of people were the main sources of coarse particles. Outdoor air is a major PM2.5 source in rooms with natural ventilation in roadside households. Major sources of NO2 indoors are unvented gas heaters and cookers. Predictors of indoor NO2 are ventilation, season, and outdoor NO2 levels. VOCs are emitted from a wide range of indoor and outdoor sources, including smoking, solvent use, renovations, and household products. Formaldehyde levels are higher in newer houses and in the presence of new furniture, while PAH levels are higher in smoking households. High indoor particulate matter, NO2 and VOC levels were typically associated with respiratory symptoms, particularly asthma symptoms in children. (4) Conclusions: Household characteristics and occupant activities play a large role in indoor exposure, particularly cigarette smoking for PM2.5, gas appliances for NO2, and household products for VOCs and PAHs. Home location near high-traffic-density roads, redecoration, and small house size contribute to high indoor air pollution. In most studies, air exchange rates are negatively associated with indoor air pollution. These findings can inform interventions aiming to improve IAQ in residential properties in a variety of settings.
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  • 文章类型: Journal Article
    Accumulating evidence suggests a positive association between exposure to non-agricultural pesticides and childhood brain tumors (CBT).
    (1) To conduct a systematic review and meta-analysis of published studies on the association between residential/household/domestic exposure to pesticides and childhood brain tumors. (2) To clarify variables that could impact the results.
    Publications in English were identified from a MEDLINE search through 28 February 2017 and from the reference list of identified publications. Risk estimates were extracted from 18 case-control studies published between 1979 and 2016 and study quality assessments were performed. Summary odds ratios (mOR) were calculated according to fixed and random-effect meta-analysis models. Separate analyses were conducted after stratification for study quality, critical exposure period, exposure location, specific exposures, pesticide category, application methods, type of pest treated, type of CBT, child\'s age at diagnosis and geographic location.
    Statistically significant associations were observed with CBT after combining all studies (mOR: 1.26; 95% CI: 1.13-1.40) without evidence of inconsistency between study results or publication bias. Specifically, increased risks were observed for several groupings and more particularly for gliomas and exposure involving insecticides. Statistical significance was also reached for high quality studies, for all exposure periods, for indoor exposure and, more particularly, during the prenatal period for all stratifications involving insecticides (except for outdoor use), for pet treatments, for flea/tick treatment, for studies from USA/Canada and studies from Europe (borderline) as well as for data from studies including children of up to 10years at diagnosis and of up to 15years.
    Our findings support an association between residential exposure to pesticides and childhood brain tumors. Although causality cannot be established, these results add to the evidence leading to recommend limiting residential use of pesticides and to support public health policies serving this objective.
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