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The Role of Socioeconomic Status in the Association of Lung Function and Air Pollution—A Pooled Analysis of Three Adult ESCAPE Cohorts

Author

Listed:
  • Dirk Keidel

    (Swiss Tropical and Public Health Institute, 4051 Basel, Switzerland
    Department of Public Health, University of Basel, 4001 Basel, Switzerland)

  • Josep Maria Anto

    (ISGlobal, 08003 Barcelona, Spain
    Hospital del Mar Medical Research Institute, 08003 Barcelona, Spain
    Department of Experimental and Health Sciences, Universitat Pompeu Fabra, 08002 Barcelona, Spain
    CIBER Epidemiología y Salud Pública, 08005 Barcelona, Spain)

  • Xavier Basagaña

    (ISGlobal, 08003 Barcelona, Spain
    Department of Experimental and Health Sciences, Universitat Pompeu Fabra, 08002 Barcelona, Spain
    CIBER Epidemiología y Salud Pública, 08005 Barcelona, Spain)

  • Roberto Bono

    (Department of Public Health and Pediatrics, University of Turin, 10126 Turin, Italy)

  • Emilie Burte

    (ISGlobal, 08003 Barcelona, Spain
    Department of Experimental and Health Sciences, Universitat Pompeu Fabra, 08002 Barcelona, Spain
    INSERM, U1168, VIMA: Aging and Chronic Diseases, Epidemiological and Public Health Approaches, 94807 Villejuif, France
    Univ Versailles St-Quentin-en-Yvelines, UMR-S 1168, 78180 Montigny le Bretonneux, France)

  • Anne-Elie Carsin

    (ISGlobal, 08003 Barcelona, Spain
    Department of Experimental and Health Sciences, Universitat Pompeu Fabra, 08002 Barcelona, Spain
    CIBER Epidemiología y Salud Pública, 08005 Barcelona, Spain)

  • Bertil Forsberg

    (Public Health and Clinical Medicine, Umea University, University Hospital, 901 87 Umea, Sweden)

  • Elaine Fuertes

    (National Heart and Lung Institute, Imperial College London, London SW3 6LY, UK)

  • Bruna Galobardes

    (School of Social and Community Medicine, University of Bristol, Bristol BS8 1QU, UK)

  • Joachim Heinrich

    (Institute of Epidemiology, German Research Center for Environmental Health (GmbH), Helmholtz Zentrum München, 85764 Neuherberg, Germany
    Institute and Outpatient Clinic for Occupational, Social and Environmental Medicine, Ludwig Maximilians University, 80336 Munich, Germany)

  • Kees de Hoogh

    (Swiss Tropical and Public Health Institute, 4051 Basel, Switzerland
    Department of Public Health, University of Basel, 4001 Basel, Switzerland)

  • Debbie Jarvis

    (National Heart and Lung Institute, Imperial College London, London SW3 6LY, UK
    MRC-PHE Centre for Environment and Health, Imperial College London, London W2 1PG, UK)

  • Nino Künzli

    (Swiss Tropical and Public Health Institute, 4051 Basel, Switzerland
    Department of Public Health, University of Basel, 4001 Basel, Switzerland)

  • Bénédicte Leynaert

    (INSERM UMR1152, Physiopathologie et épidémiologie des Maladies Respiratoires, équipe Epidémiologie, 75018 Paris, France)

  • Alessandro Marcon

    (Unit of Epidemiology and Medical Statistics, Department of Diagnostics and Public Health, University of Verona, 37134 Verona, Italy)

  • Nicole Le Moual

    (INSERM, U1168, VIMA: Aging and Chronic Diseases, Epidemiological and Public Health Approaches, 94807 Villejuif, France
    Univ Versailles St-Quentin-en-Yvelines, UMR-S 1168, 78180 Montigny le Bretonneux, France)

  • Audrey de Nazelle

    (Centre for Environmental Policy, Imperial College London, Exhibition Road, South Kensington Campus, London SW7 2AZ, UK)

  • Christian Schindler

    (Swiss Tropical and Public Health Institute, 4051 Basel, Switzerland
    Department of Public Health, University of Basel, 4001 Basel, Switzerland)

  • Valérie Siroux

    (Institute for Advanced Biosciences, Inserm U1209, UMR CNRS 5309, Université Grenoble-Alpes, Team of Environmental Epidemiology Applied to Reproduction and Respiratory Health, 38700 Grenoble, France)

  • Morgane Stempfelet

    (InVS, French Institute for Public Health Surveillance, 94415 Saint-Maurice, France)

  • Jordi Sunyer

    (ISGlobal, 08003 Barcelona, Spain
    Department of Experimental and Health Sciences, Universitat Pompeu Fabra, 08002 Barcelona, Spain
    CIBER Epidemiología y Salud Pública, 08005 Barcelona, Spain)

  • Sofia Temam

    (INSERM, U1168, VIMA: Aging and Chronic Diseases, Epidemiological and Public Health Approaches, 94807 Villejuif, France
    Univ Versailles St-Quentin-en-Yvelines, UMR-S 1168, 78180 Montigny le Bretonneux, France
    InVS, French Institute for Public Health Surveillance, 94415 Saint-Maurice, France)

  • Ming-Yi Tsai

    (Department of Environmental and Occupational Health Sciences, University of Washington, Seattle, WA 98195, USA)

  • Raphaëlle Varraso

    (INSERM, U1168, VIMA: Aging and Chronic Diseases, Epidemiological and Public Health Approaches, 94807 Villejuif, France
    Univ Versailles St-Quentin-en-Yvelines, UMR-S 1168, 78180 Montigny le Bretonneux, France)

  • Bénédicte Jacquemin

    (ISGlobal, 08003 Barcelona, Spain
    Department of Experimental and Health Sciences, Universitat Pompeu Fabra, 08002 Barcelona, Spain
    CIBER Epidemiología y Salud Pública, 08005 Barcelona, Spain
    INSERM, U1168, VIMA: Aging and Chronic Diseases, Epidemiological and Public Health Approaches, 94807 Villejuif, France)

  • Nicole Probst-Hensch

    (Swiss Tropical and Public Health Institute, 4051 Basel, Switzerland
    Department of Public Health, University of Basel, 4001 Basel, Switzerland)

Abstract

Ambient air pollution is a leading environmental risk factor and its broad spectrum of adverse health effects includes a decrease in lung function. Socioeconomic status (SES) is known to be associated with both air pollution exposure and respiratory function. This study assesses the role of SES either as confounder or effect modifier of the association between ambient air pollution and lung function. Cross-sectional data from three European multicenter adult cohorts were pooled to assess factors associated with lung function, including annual means of home outdoor NO 2 . Pre-bronchodilator lung function was measured according to the ATS-criteria. Multiple mixed linear models with random intercepts for study areas were used. Three different factors (education, occupation and neighborhood unemployment rate) were considered to represent SES. NO 2 exposure was negatively associated with lung function. Occupation and neighborhood unemployment rates were not associated with lung function. However, the inclusion of the SES-variable education improved the models and the air pollution-lung function associations got slightly stronger. NO 2 associations with lung function were not substantially modified by SES-variables. In this multicenter European study we could show that SES plays a role as a confounder in the association of ambient NO 2 exposure with lung function.

Suggested Citation

  • Dirk Keidel & Josep Maria Anto & Xavier Basagaña & Roberto Bono & Emilie Burte & Anne-Elie Carsin & Bertil Forsberg & Elaine Fuertes & Bruna Galobardes & Joachim Heinrich & Kees de Hoogh & Debbie Jarv, 2019. "The Role of Socioeconomic Status in the Association of Lung Function and Air Pollution—A Pooled Analysis of Three Adult ESCAPE Cohorts," IJERPH, MDPI, vol. 16(11), pages 1-14, May.
    • Handle: RePEc:gam:jijerp:v:16:y:2019:i:11:p:1901-:d:235392
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    References listed on IDEAS

    as
    1. Meltem Kutlar Joss & Marloes Eeftens & Emily Gintowt & Ron Kappeler & Nino Künzli, 2017. "Time to harmonize national ambient air quality standards," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 62(4), pages 453-462, May.
    2. Brunt, H. & Barnes, J. & Longhurst, J.W.S. & Scally, G. & Hayes, E., 2016. "Local Air Quality Management policy and practice in the UK: The case for greater Public Health integration and engagement," Environmental Science & Policy, Elsevier, vol. 58(C), pages 52-60.
    3. Jamie L. Humphrey & Megan Lindstrom & Kelsey E. Barton & Prateek Man Shrestha & Elizabeth J. Carlton & John L. Adgate & Shelly L. Miller & Elisabeth Dowling Root, 2019. "Social and Environmental Neighborhood Typologies and Lung Function in a Low-Income, Urban Population," IJERPH, MDPI, vol. 16(7), pages 1-14, March.
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