Prevalence of obstructive lung diseases and respiratory symptoms in relation to living environment and socio-economic group
(2001) In Respiratory Medicine 95(9). p.744-752- Abstract
- We wanted to test whether living environment, occupation and social position are risk factors for asthma and chronic bronchitis/emphysema (CBE). The prevalence of bronchial asthma, CBE, respiratory symptoms and smoking habits in a random sample of 12,071 adults aged 20-59 years was assessed in a postal survey with a slightly modified questionnaire previously used in central and northern Sweden (The OLIN studies). Occupation was coded according to a socio-economic classification system. Six different living environment areas were defined; city-countryside, seaside-not seaside and living close to heavy traffic-not living close to heavy traffic. Multiple logistic regression analysis (forward conditional) was applied to estimate the... (More)
- We wanted to test whether living environment, occupation and social position are risk factors for asthma and chronic bronchitis/emphysema (CBE). The prevalence of bronchial asthma, CBE, respiratory symptoms and smoking habits in a random sample of 12,071 adults aged 20-59 years was assessed in a postal survey with a slightly modified questionnaire previously used in central and northern Sweden (The OLIN studies). Occupation was coded according to a socio-economic classification system. Six different living environment areas were defined; city-countryside, seaside-not seaside and living close to heavy traffic-not living close to heavy traffic. Multiple logistic regression analysis (forward conditional) was applied to estimate the association between the proposed set of risk factors and self-reported obstructive lung diseases and lower respiratory symptoms controlling for age, gender and smoking. After two reminders, the response rate was 70.1% (n=8469); 33.8% of the responders were smokers. In all, 469 subjects (5.5%) stated that they had asthma and 4.6% reported CBE. Besides smoking, which was a risk for both asthma and CBE, there were different risk patterns for self-reported asthma and CBE. In the economically active population there was a tendency that CBE was more common among 'unskilled and semi-skilled workers'. This fact was further emphasized when the population was merged into the two groups 'low social position' and 'middle/high social position', with 'low social position' as a risk for CBE (OR=1.35, 95% CI=1.06-1.72). No social risk factors were identified for asthma. Living close to heavy traffic was a risk factor for asthma (OR=1.29, 95% CI=1.02-1.62) but not for CBE. Apart from this no living environmental risk factors for obstructive pulmonary diseases were identified. Asthma symptoms and long-standing cough were more common among those subjects living close to heavy traffic compared to those not living close to heavy traffic. To conclude, low social position was a risk factor for CBE and living close to heavy traffic was a risk factor for asthma. (Less)
Please use this url to cite or link to this publication:
https://lup.lub.lu.se/record/1122231
- author
- Montnemery, Peter LU ; Bengtsson, P ; Elliot, A ; Lindholm, L H ; Nyberg, Per LU and Löfdahl, Claes-Göran LU
- organization
- publishing date
- 2001
- type
- Contribution to journal
- publication status
- published
- subject
- keywords
- asthma, chronic bronchitis, environmental factors, postal questionnaire, respiratory symptoms, smoking, socio-economy.
- in
- Respiratory Medicine
- volume
- 95
- issue
- 9
- pages
- 744 - 752
- publisher
- Elsevier
- external identifiers
-
- pmid:11575896
- scopus:0034817226
- pmid:11575896
- ISSN
- 1532-3064
- DOI
- 10.1053/rmed.2001.1129
- language
- English
- LU publication?
- yes
- additional info
- The information about affiliations in this record was updated in December 2015. The record was previously connected to the following departments: Division of Nursing (Closed 2012) (013065000), Respiratory Medicine and Allergology (013230111), Division of Geriatric Medicine (013040040)
- id
- 3577e461-cb8b-4dc6-8582-cdc98cd5bb11 (old id 1122231)
- date added to LUP
- 2016-04-01 17:11:32
- date last changed
- 2022-01-29 01:00:55
@article{3577e461-cb8b-4dc6-8582-cdc98cd5bb11, abstract = {{We wanted to test whether living environment, occupation and social position are risk factors for asthma and chronic bronchitis/emphysema (CBE). The prevalence of bronchial asthma, CBE, respiratory symptoms and smoking habits in a random sample of 12,071 adults aged 20-59 years was assessed in a postal survey with a slightly modified questionnaire previously used in central and northern Sweden (The OLIN studies). Occupation was coded according to a socio-economic classification system. Six different living environment areas were defined; city-countryside, seaside-not seaside and living close to heavy traffic-not living close to heavy traffic. Multiple logistic regression analysis (forward conditional) was applied to estimate the association between the proposed set of risk factors and self-reported obstructive lung diseases and lower respiratory symptoms controlling for age, gender and smoking. After two reminders, the response rate was 70.1% (n=8469); 33.8% of the responders were smokers. In all, 469 subjects (5.5%) stated that they had asthma and 4.6% reported CBE. Besides smoking, which was a risk for both asthma and CBE, there were different risk patterns for self-reported asthma and CBE. In the economically active population there was a tendency that CBE was more common among 'unskilled and semi-skilled workers'. This fact was further emphasized when the population was merged into the two groups 'low social position' and 'middle/high social position', with 'low social position' as a risk for CBE (OR=1.35, 95% CI=1.06-1.72). No social risk factors were identified for asthma. Living close to heavy traffic was a risk factor for asthma (OR=1.29, 95% CI=1.02-1.62) but not for CBE. Apart from this no living environmental risk factors for obstructive pulmonary diseases were identified. Asthma symptoms and long-standing cough were more common among those subjects living close to heavy traffic compared to those not living close to heavy traffic. To conclude, low social position was a risk factor for CBE and living close to heavy traffic was a risk factor for asthma.}}, author = {{Montnemery, Peter and Bengtsson, P and Elliot, A and Lindholm, L H and Nyberg, Per and Löfdahl, Claes-Göran}}, issn = {{1532-3064}}, keywords = {{asthma; chronic bronchitis; environmental factors; postal questionnaire; respiratory symptoms; smoking; socio-economy.}}, language = {{eng}}, number = {{9}}, pages = {{744--752}}, publisher = {{Elsevier}}, series = {{Respiratory Medicine}}, title = {{Prevalence of obstructive lung diseases and respiratory symptoms in relation to living environment and socio-economic group}}, url = {{http://dx.doi.org/10.1053/rmed.2001.1129}}, doi = {{10.1053/rmed.2001.1129}}, volume = {{95}}, year = {{2001}}, }