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Association between Exposure to Ambient Air Pollution and Rheumatoid Arthritis in Adults

Author

Listed:
  • Jiyoung Shin

    (Department of Occupational and Environmental Medicine, Ewha Womans University School of Medicine, Seoul 07985, Korea)

  • Jiyoung Lee

    (Department of Occupational and Environmental Medicine, Ewha Womans University School of Medicine, Seoul 07985, Korea)

  • Jueun Lee

    (Department of Medical Science, Ewha Womans University School of Medicine, Seoul 07985, Korea)

  • Eun-Hee Ha

    (Department of Occupational and Environmental Medicine, Ewha Womans University School of Medicine, Seoul 07985, Korea)

Abstract

Environmental factors may play roles in the development of rheumatoid arthritis (RA), and some studies have shown that air pollution was associated with the development of autoimmune disease. This study was designed to investigate the effect of air pollutants on the development of adult RA. A nested case-control cohort study was performed using the National Health Insurance Service-National Sample Cohort during 2002–2014 in Korea. Air pollution data were collected from the National Ambient Air Monitoring System (NAMIS), and exposure levels were extrapolated using geographic information systems. The group with RA ( n = 444) was compared with a propensity score-matched control group ( n = 1776), and one-year average concentrations of air pollution were predicted at each patient’s residence. The adjusted binary logistic regression analysis showed a positive association between O 3 exposure and the incidence risk of RA for the third (odds ratios (OR) = 1.45, 95% confidence intervals (CI): 1.08–1.96) and fourth (OR = 1.35, 95% CI: 1.00–1.83) quartiles in adults over 20 years of age. The third quartile CO exposure was also associated with an increased risk of RA (OR = 1.57, 95% CI: 1.16–2.12). The results of this nationwide population-based study showed that a one-year exposure to CO and O 3 in adults was associated with an increased risk of RA.

Suggested Citation

  • Jiyoung Shin & Jiyoung Lee & Jueun Lee & Eun-Hee Ha, 2019. "Association between Exposure to Ambient Air Pollution and Rheumatoid Arthritis in Adults," IJERPH, MDPI, vol. 16(7), pages 1-10, April.
    • Handle: RePEc:gam:jijerp:v:16:y:2019:i:7:p:1227-:d:220450
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    Citations

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    Cited by:

    1. Iwona Markiewicz-Górka & Małgorzata Chowaniec & Helena Martynowicz & Anna Wojakowska & Aleksandra Jaremków & Grzegorz Mazur & Piotr Wiland & Krystyna Pawlas & Rafał Poręba & Paweł Gać, 2022. "Cadmium Body Burden and Inflammatory Arthritis: A Pilot Study in Patients from Lower Silesia, Poland," IJERPH, MDPI, vol. 19(5), pages 1-19, March.
    2. Ahmad Alsaber & Jiazhu Pan & Adeeba Al-Herz & Dhary S. Alkandary & Adeeba Al-Hurban & Parul Setiya & on behalf of the KRRD Group, 2020. "Influence of Ambient Air Pollution on Rheumatoid Arthritis Disease Activity Score Index," IJERPH, MDPI, vol. 17(2), pages 1-17, January.

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