IDEAS home Printed from https://ideas.repec.org/a/gam/jijerp/v14y2017i11p1392-d119121.html
   My bibliography  Save this article

Air Pollution and Dispensed Medications for Asthma, and Possible Effect Modifiers Related to Mental Health and Socio-Economy: A Longitudinal Cohort Study of Swedish Children and Adolescents

Author

Listed:
  • Anna Oudin

    (Occupational and Environmental Medicine, Umeå University, 90187 Umeå, Sweden)

  • Lennart Bråbäck

    (Occupational and Environmental Medicine, Umeå University, 90187 Umeå, Sweden)

  • Daniel Oudin Åström

    (Occupational and Environmental Medicine, Umeå University, 90187 Umeå, Sweden)

  • Bertil Forsberg

    (Occupational and Environmental Medicine, Umeå University, 90187 Umeå, Sweden)

Abstract

It has been suggested that children that are exposed to a stressful environment at home have an increased susceptibility for air pollution-related asthma. The aim here was to investigate the association between air pollution exposure and asthma, and effect modification by mental health and by socio-economic status (as markers of a stressful environment). All individuals under 18 years of age in four Swedish counties during 2007 to 2010 (1.2 million people) were included. The outcome was defined as dispensing at least two asthma medications during follow up. We linked data on NO 2 from an empirical land use regression to data from national registers on outcome and potential confounders. Data was analyzed with logistic regression. There was an odds ratio (OR) of 1.02 (95% Confidence Interval (CI: 1.01–1.03) for asthma associated with a 10 µg·m −3 increase in NO 2 . The association only seemed to be present in areas where NO 2 was higher than 15 µg·m −3 with an OR of 1.09 (95% CI: 1.07–1.12), and the association seemed stronger in children with parents with a high education, OR = 1.05 (95% CI: 1.02–1.09) and OR = 1.04 (95% CI: 1.01–1.07) in children to mothers and father with a high education, respectively. The association did not seem to depend on medication history of psychiatric disorders. There was weak evidence for the association between air pollution and asthma to be stronger in neighborhoods with higher education levels. In conclusion, air pollution was associated with dispensed asthma medications, especially in areas with comparatively higher levels of air pollution, and in children to parents with high education. We did not observe support for our hypothesis that stressors linked to socio-economy or mental health problems would increase susceptibility to the effects of air pollution on the development of asthma.

Suggested Citation

  • Anna Oudin & Lennart Bråbäck & Daniel Oudin Åström & Bertil Forsberg, 2017. "Air Pollution and Dispensed Medications for Asthma, and Possible Effect Modifiers Related to Mental Health and Socio-Economy: A Longitudinal Cohort Study of Swedish Children and Adolescents," IJERPH, MDPI, vol. 14(11), pages 1-12, November.
    • Handle: RePEc:gam:jijerp:v:14:y:2017:i:11:p:1392-:d:119121
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/1660-4601/14/11/1392/pdf
    Download Restriction: no
    File URL: https://www.mdpi.com/1660-4601/14/11/1392/
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Florian Lederbogen & Peter Kirsch & Leila Haddad & Fabian Streit & Heike Tost & Philipp Schuch & Stefan Wüst & Jens C. Pruessner & Marcella Rietschel & Michael Deuschle & Andreas Meyer-Lindenberg, 2011. "City living and urban upbringing affect neural social stress processing in humans," Nature, Nature, vol. 474(7352), pages 498-501, June.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Chorong Song & Harumi Ikei & Bum-Jin Park & Juyoung Lee & Takahide Kagawa & Yoshifumi Miyazaki, 2018. "Psychological Benefits of Walking through Forest Areas," IJERPH, MDPI, vol. 15(12), pages 1-10, December.
    2. Migle Baceviciene & Rasa Jankauskiene, 2022. "The Mediating Effect of Nature Restorativeness, Stress Level, and Nature Connectedness in the Association between Nature Exposure and Quality of Life," IJERPH, MDPI, vol. 19(4), pages 1-15, February.
    3. Jake M. Robinson & Martin F. Breed, 2019. "Green Prescriptions and Their Co-Benefits: Integrative Strategies for Public and Environmental Health," Challenges, MDPI, vol. 10(1), pages 1-14, January.
    4. Ben Senkler & Julius Freymueller & Susanne Lopez Lumbi & Claudia Hornberg & Hannah-Lea Schmid & Kristina Hennig-Fast & Gernot Horstmann & Timothy Mc Call, 2022. "Urbanicity—Perspectives from Neuroscience and Public Health: A Scoping Review," IJERPH, MDPI, vol. 20(1), pages 1-16, December.
    5. Hiromi Suenaga & Kanako Murakami & Nozomi Murata & Syoriki Nishikawa & Masae Tsutsumi & Hiroshi Nogaki, 2020. "The Effects of an Artificial Garden on Heart Rate Variability among Healthy Young Japanese Adults," IJERPH, MDPI, vol. 17(24), pages 1-10, December.
    6. Kyunghun Min & Baysok Jun & Jaehyuck Lee & Hong Kim & Katsunori Furuya, 2019. "Analysis of Environmental Issues with an Application of Civil Complaints: The Case of Shiheung City, Republic of Korea," IJERPH, MDPI, vol. 16(6), pages 1-21, March.
    7. Chorong Song & Harumi Ikei & Miho Igarashi & Michiko Takagaki & Yoshifumi Miyazaki, 2015. "Physiological and Psychological Effects of a Walk in Urban Parks in Fall," IJERPH, MDPI, vol. 12(11), pages 1-13, November.
    8. Brittany E Evans & Kirstin Greaves-Lord & Anja S Euser & Joke H M Tulen & Ingmar H A Franken & Anja C Huizink, 2013. "Determinants of Physiological and Perceived Physiological Stress Reactivity in Children and Adolescents," PLOS ONE, Public Library of Science, vol. 8(4), pages 1-13, April.
    9. Pykett, Jessica & Campbell, Niyah & Fenton, Sarah-Jane & Gagen, Elizabeth & Lavis, Anna & Newbigging, Karen & Parkin, Verity & Williams, Jessy, 2023. "Urban precarity and youth mental health: An interpretive scoping review of emerging approaches," Social Science & Medicine, Elsevier, vol. 320(C).
    10. Brittany E Evans & Anja C Huizink & Kirstin Greaves-Lord & Joke H M Tulen & Karin Roelofs & Jan van der Ende, 2020. "Urbanicity, biological stress system functioning and mental health in adolescents," PLOS ONE, Public Library of Science, vol. 15(3), pages 1-24, March.
    11. Charalambous, Efrosini, 2023. "Neurourbanism and Neuroarchitecture: How can Cognitive Sciences Inform Design?," OSF Preprints 6f4uc, Center for Open Science.
    12. Na Lu & Chorong Song & Takanori Kuronuma & Harumi Ikei & Yoshifumi Miyazaki & Michiko Takagaki, 2020. "The Possibility of Sustainable Urban Horticulture Based on Nature Therapy," Sustainability, MDPI, vol. 12(12), pages 1-11, June.
    13. Johan Colding & Karl Samuelsson & Lars Marcus & Åsa Gren & Ann Legeby & Meta Berghauser Pont & Stephan Barthel, 2022. "Frontiers in Social–Ecological Urbanism," Land, MDPI, vol. 11(6), pages 1-18, June.
    14. Ulrich Dettweiler & Christoph Becker & Bjørn H. Auestad & Perikles Simon & Peter Kirsch, 2017. "Stress in School. Some Empirical Hints on the Circadian Cortisol Rhythm of Children in Outdoor and Indoor Classes," IJERPH, MDPI, vol. 14(5), pages 1-14, April.
    15. Bessa, Eduardo & Gonçalves-de-Freitas, Eliane, 2014. "How does tourist monitoring alter fish behavior in underwater trails?," Tourism Management, Elsevier, vol. 45(C), pages 253-259.
    16. Chorong Song & Harumi Ikei & Bum-Jin Park & Juyoung Lee & Takahide Kagawa & Yoshifumi Miyazaki, 2020. "Association between the Psychological Effects of Viewing Forest Landscapes and Trait Anxiety Level," IJERPH, MDPI, vol. 17(15), pages 1-9, July.
    17. Zhao, Yabo & Wang, Shaojian & Ge, Yuejing & Liu, Qianqian & Liu, Xiaofeng, 2017. "The spatial differentiation of the coupling relationship between urbanization and the eco-environment in countries globally: A comprehensive assessment," Ecological Modelling, Elsevier, vol. 360(C), pages 313-327.
    18. Wilma L Zijlema & Bart Klijs & Ronald P Stolk & Judith G M Rosmalen, 2015. "(Un)Healthy in the City: Respiratory, Cardiometabolic and Mental Health Associated with Urbanity," PLOS ONE, Public Library of Science, vol. 10(12), pages 1-11, December.
    19. Li, Canbing & Zhou, Jinju & Cao, Yijia & Zhong, Jin & Liu, Yu & Kang, Chongqing & Tan, Yi, 2014. "Interaction between urban microclimate and electric air-conditioning energy consumption during high temperature season," Applied Energy, Elsevier, vol. 117(C), pages 149-156.
    20. Junfang Xie & Binyi Liu & Mohamed Elsadek, 2021. "How Can Flowers and Their Colors Promote Individuals’ Physiological and Psychological States during the COVID-19 Lockdown?," IJERPH, MDPI, vol. 18(19), pages 1-15, September.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:gam:jijerp:v:14:y:2017:i:11:p:1392-:d:119121. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: MDPI Indexing Manager (email available below). General contact details of provider: https://www.mdpi.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.