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Incidence of Respiratory Symptoms for Residents Living Near a Petrochemical Industrial Complex: A Meta-Analysis

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  • Wen-Wen Chang

    (Department of Occupational Safety and Health, College of Public Health, China Medical University, Taichung 40402, Taiwan)

  • Hathaichon Boonhat

    (Graduate Institute of Public Health, College of Public Health, China Medical University, Taichung 40402, Taiwan)

  • Ro-Ting Lin

    (Department of Occupational Safety and Health, College of Public Health, China Medical University, Taichung 40402, Taiwan)

Abstract

The air pollution emitted by petrochemical industrial complexes (PICs) may affect the respiratory health of surrounding residents. Previous meta-analyses have indicated a higher risk of lung cancer mortality and incidence among residents near a PIC. Therefore, in this study, a meta-analysis was conducted to estimate the degree to which PIC exposure increases the risk of the development of nonmalignant respiratory symptoms among residents. We followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines to systematically identify, select, and critically appraise relevant research. Finally, we identified 16 study groups reporting 5 types of respiratory symptoms: asthma, bronchitis, cough, rhinitis, and wheezing. We estimated pooled odds ratios (ORs) using random-effect models and investigated the robustness of pooled estimates in subgroup analyses by location, observation period, and age group. We determined that residential exposure to a PIC was significantly associated with a higher incidence of cough (OR = 1.35), wheezing (OR = 1.28), bronchitis (OR = 1.26), rhinitis (OR = 1.17), and asthma (OR = 1.15), although the latter two associations did not reach statistical significance. Subgroup analyses suggested that the association remained robust across different groups for cough and bronchitis. We identified high heterogeneity for asthma, rhinitis, and wheezing, which could be due to higher ORs in South America. Our meta-analysis indicates that residential exposure to a PIC is associated with an increased risk of nonmalignant respiratory symptoms.

Suggested Citation

  • Wen-Wen Chang & Hathaichon Boonhat & Ro-Ting Lin, 2020. "Incidence of Respiratory Symptoms for Residents Living Near a Petrochemical Industrial Complex: A Meta-Analysis," IJERPH, MDPI, vol. 17(7), pages 1-16, April.
    • Handle: RePEc:gam:jijerp:v:17:y:2020:i:7:p:2474-:d:341589
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    References listed on IDEAS

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    1. Elisa Bustaffa & Alessio Coi & Fabrizio Minichilli & Michele Santoro & Renato Prediletto & Simonetta Monti & Ivana Pavlickova & Fabrizio Bianchi, 2018. "Respiratory Symptoms in Relation to Living near a Crude Oil First Treatment Plant in Italy: A Cross-Sectional Study," IJERPH, MDPI, vol. 15(12), pages 1-12, November.
    2. Marie-Eve Héroux & H. Anderson & Richard Atkinson & Bert Brunekreef & Aaron Cohen & Francesco Forastiere & Fintan Hurley & Klea Katsouyanni & Daniel Krewski & Michal Krzyzanowski & Nino Künzli & Inga , 2015. "Quantifying the health impacts of ambient air pollutants: recommendations of a WHO/Europe project," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 60(5), pages 619-627, July.
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    1. Cheng-Hsien Huang & Tung-Jung Huang & Yu-Chih Lin & Chia-Ni Lin & Mei-Yen Chen, 2022. "Factors Associated with Urinary 1-Hydroxypyrene and Malondialdehyde among Adults near a Petrochemical Factory: Implications for Sex and Lifestyle Modification," IJERPH, MDPI, vol. 19(3), pages 1-13, January.

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