title: Association between annoyance and individuals' values of nitrogen dioxide in a European setting.
abstract: BACKGROUND
  Annoyance caused by air pollution has been proposed as an indicator of exposure to air pollution. The aim of this study was to assess the geographical homogeneity of the relationship between annoyance and modelled home-based nitrogen dioxide (NO2) measurements.
  
  
  METHODS
  The European Community Respiratory Health Survey II was conducted in 2000-1, in 25 European centres in 12 countries. This analysis included 4753 subjects (from 37 in Tartu, Estonia, to 532 in Antwerp, Belgium) who answered the annoyance question and with available outdoor residential NO2 (4399 modelled and 354 measured) including 20 cities from 10 countries. Annoyance as a result of air pollution was self-reported on an 11-point scale (0, no disturbance at all; 10, intolerable disturbance). Demographic and socioeconomic factors, smoking status and the presence of respiratory symptoms or disease were measured through a standard questionnaire. Negative binomial regression was used.
  
  
  RESULTS
  The median NO2 concentration was 27 microg.m(-3) (from 10 in Umeå, Sweden, to 57 in Barcelona, Spain). The mean of annoyance was 2.5 (from 0.7 in Reykjavik, Iceland, to 4.4 in Huelva, Spain). NO2 was associated with annoyance (ratio of the mean score 1.26 per 10 microg.m(-3), 95% CI 1.19 to 1.34). The association between NO2 and annoyance was heterogeneous among cities (p for heterogeneity <0.001).
  
  
  CONCLUSIONS
  Annoyance is associated with home outdoor air pollution but with a different strength by city. This indicates that annoyance is not a valid surrogate for air pollution exposure. Nevertheless, it may be a useful measure of perceived ambient air quality and could be considered a complementary tool for health surveillance.
authors.affiliation: Municipal Institute of Medical Research, Barcelona, Spain. benedicte.jacquemin@inserm.fr
authors.forename: B
authors.initials: B
authors.lastname: Jacquemin
authors.forename: J
authors.initials: J
authors.lastname: Sunyer
authors.forename: B
authors.initials: B
authors.lastname: Forsberg
authors.forename: I
authors.initials: I
authors.lastname: Aguilera
authors.forename: D
authors.initials: D
authors.lastname: Briggs
authors.forename: T
authors.initials: T
authors.lastname: Götschi
authors.forename: J
authors.initials: J
authors.lastname: Heinrich
authors.forename: K
authors.initials: K
authors.lastname: Torén
authors.forename: D
authors.initials: D
authors.lastname: Vienneau
authors.forename: N
authors.initials: N
authors.lastname: Künzli
mesh_terms: D000328:Adult; D000397:Air Pollution / Q000009:adverse effects / Q000032:analysis*; D000786:Anger; D002947:Cities / Q000453:epidemiology; D005060:Europe / Q000453:epidemiology; D005260:Female; D006801:Humans; D019570:Inhalation Exposure / Q000706:statistics & numerical data*; D008297:Male; D008962:Models, Theoretical; D009585:Nitrogen Dioxide / Q000032:analysis*; D012307:Risk Factors; D014504:Urban Health
chemical_list: D009585:Nitrogen Dioxide