Effects of home environment on respiratory symptoms and lung function in a general population sample in north Italy.
Effects of indoor pollution exposure were evaluated in a general population sample (n = 3,289) living in the Po River Delta area. Prevalence rates of chronic cough in men and dyspnoea in women were significantly higher in association with the use of bottled gas (propane) for cooking instead of natural gas (methane). Chronic cough and phlegm in men and dyspnoea in women were significantly associated with the use of a stove for heating. When combining type of heating and fuel used, in men a trend toward higher prevalence rates of chronic cough and phlegm was shown in those with stove or fan heating (regardless of the fuel); in women the trend reached statistical significance for dyspnoea. The relationship between stove (regardless of fuel) and decrease in forced expirograms was statistically significant only in women. In multiple logistic models, accounting for independent effects of age, smoking, pack-years, parents' smoking, socio-economic status, body mass index, significantly increased odds ratios were found in males for the associations of: bottled gas for cooking with cough (1.66) and dyspnoea (1.81); stove for heating with cough (1.44) and phlegm (1.39); stove fuelled by natural gas and fan or stove fuelled other than by natural gas with cough (1.54 and 1.66). In females, significantly increased odds ratios were found only for dyspnoea when associated with bottled gas for cooking (1.45), stove for heating (1.46), stove fuelled by natural gas (1.58), stove or fan fuelled other than by natural gas (1.73).(ABSTRACT TRUNCATED AT 250 WORDS)
CNR Institute of Clinical Physiology, 2nd Medical Clinic, University ofPisa, Italy.
G
G
Viegi
P
P
Paoletti
L
L
Carrozzi
M
M
Vellutini
L
L
Ballerin
P
P
Biavati
G
G
Nardini
F
F
Di Pede
T
T
Sapigni
M D
MD
Lebowitz
D000293:Adolescent; D000328:Adult; D000393:Air Pollutants / Q000009:adverse effects*; D000704:Analysis of Variance; D001249:Asthma / Q000453:epidemiology / Q000209:etiology; D002648:Child; D002908:Chronic Disease; D003371:Cough / Q000453:epidemiology* / Q000209:etiology; D004417:Dyspnea / Q000453:epidemiology* / Q000209:etiology; D005260:Female; D005648:Fuel Oils / Q000009:adverse effects*; D006361:Heating; D006801:Humans; D007558:Italy / Q000453:epidemiology; D016015:Logistic Models; D008297:Male; D008875:Middle Aged; D016017:Odds Ratio; D015995:Prevalence; D012123:Pulmonary Ventilation; D011897:Random Allocation; D012135:Respiratory Sounds / Q000209:etiology; D013183:Sputum
D000393:Air Pollutants; D005648:Fuel Oils