Respiratory symptoms among residents of a heavy-industry province in China: Prevalence and risk factors

Donald Wilson, Ken Takahashi, Guowei Pan, Chang Chuan Chan, Shujuan Zhang, Yiping Feng, Tsutomu Hoshuyama, Kai Jen Chuang, Ro Ting Lin, Jing Shiang Hwang

Research output: Contribution to journalArticle

20 Citations (Scopus)

Abstract

Objective: In China, significant levels of environmental pollution, substandard worksite quality and high rates of smoking predispose the population to potentially high risks of respiratory illnesses and other diseases. We assessed the prevalence of respiratory symptoms and their risks in relation to personal, occupational and environmental risk factors in a heavy-industry province of northeastern China. Methods: Lifestyle, health, residential and occupational data were obtained in 2002 from 31,704 adults of six cities in Liaoning, China, using self-assessment questionnaires. General linear and multi-level models were used to evaluate prevalence rates and risks of respiratory symptoms, related to both individual and combined exposures to environmental and occupational risk factors. Results: The crude prevalence rates (PRs) for persistent cough, persistent phlegm, wheeze and asthma were 2.3, 3.8, 2.1 and 1.0%, respectively. The odds ratios (ORs) of all four respiratory symptoms examined were increased by: smoking (ORs from 2.06 to 5.02), occupational dust (ORs from 1.35 to 1.72), occupational gas (ORs from 1.48 to 1.72) and presence of irritating smoke during cooking (ORs from 1.54 to 2.22). An index combining proximity of residence to road, factory or chimney, indoor coal use and presence of irritating smoke during cooking was associated with up to 3.9-fold increased risks of all symptoms. Increasing values of each risk factor were generally associated with dose-response trends in prevalence rates and risks (all p for trend

Original languageEnglish
Pages (from-to)1536-1544
Number of pages9
JournalRespiratory Medicine
Volume102
Issue number11
DOIs
Publication statusPublished - Nov 2008
Externally publishedYes

Fingerprint

Metallurgy
China
Odds Ratio
Cooking
Smoke
Smoking
Environmental Pollution
Coal
Environmental Exposure
Occupational Health
Occupational Exposure
Respiratory Rate
Dust
Cough
Workplace
Life Style
Asthma
Gases
Population

Keywords

  • Childhood respiratory disease
  • China
  • Indoor pollution
  • NO
  • Occupational dust exposure
  • Occupational gas exposure
  • Parental history of respiratory disease
  • Prevalence rates
  • Residence-related pollution
  • Respiratory symptoms
  • Risk factors
  • Smoking
  • SO
  • TSP

ASJC Scopus subject areas

  • Pulmonary and Respiratory Medicine

Cite this

Wilson, D., Takahashi, K., Pan, G., Chan, C. C., Zhang, S., Feng, Y., ... Hwang, J. S. (2008). Respiratory symptoms among residents of a heavy-industry province in China: Prevalence and risk factors. Respiratory Medicine, 102(11), 1536-1544. https://doi.org/10.1016/j.rmed.2008.06.010

Respiratory symptoms among residents of a heavy-industry province in China : Prevalence and risk factors. / Wilson, Donald; Takahashi, Ken; Pan, Guowei; Chan, Chang Chuan; Zhang, Shujuan; Feng, Yiping; Hoshuyama, Tsutomu; Chuang, Kai Jen; Lin, Ro Ting; Hwang, Jing Shiang.

In: Respiratory Medicine, Vol. 102, No. 11, 11.2008, p. 1536-1544.

Research output: Contribution to journalArticle

Wilson, D, Takahashi, K, Pan, G, Chan, CC, Zhang, S, Feng, Y, Hoshuyama, T, Chuang, KJ, Lin, RT & Hwang, JS 2008, 'Respiratory symptoms among residents of a heavy-industry province in China: Prevalence and risk factors', Respiratory Medicine, vol. 102, no. 11, pp. 1536-1544. https://doi.org/10.1016/j.rmed.2008.06.010
Wilson, Donald ; Takahashi, Ken ; Pan, Guowei ; Chan, Chang Chuan ; Zhang, Shujuan ; Feng, Yiping ; Hoshuyama, Tsutomu ; Chuang, Kai Jen ; Lin, Ro Ting ; Hwang, Jing Shiang. / Respiratory symptoms among residents of a heavy-industry province in China : Prevalence and risk factors. In: Respiratory Medicine. 2008 ; Vol. 102, No. 11. pp. 1536-1544.
@article{4164b074bdc64f7080e8351f097bab1a,
title = "Respiratory symptoms among residents of a heavy-industry province in China: Prevalence and risk factors",
abstract = "Objective: In China, significant levels of environmental pollution, substandard worksite quality and high rates of smoking predispose the population to potentially high risks of respiratory illnesses and other diseases. We assessed the prevalence of respiratory symptoms and their risks in relation to personal, occupational and environmental risk factors in a heavy-industry province of northeastern China. Methods: Lifestyle, health, residential and occupational data were obtained in 2002 from 31,704 adults of six cities in Liaoning, China, using self-assessment questionnaires. General linear and multi-level models were used to evaluate prevalence rates and risks of respiratory symptoms, related to both individual and combined exposures to environmental and occupational risk factors. Results: The crude prevalence rates (PRs) for persistent cough, persistent phlegm, wheeze and asthma were 2.3, 3.8, 2.1 and 1.0{\%}, respectively. The odds ratios (ORs) of all four respiratory symptoms examined were increased by: smoking (ORs from 2.06 to 5.02), occupational dust (ORs from 1.35 to 1.72), occupational gas (ORs from 1.48 to 1.72) and presence of irritating smoke during cooking (ORs from 1.54 to 2.22). An index combining proximity of residence to road, factory or chimney, indoor coal use and presence of irritating smoke during cooking was associated with up to 3.9-fold increased risks of all symptoms. Increasing values of each risk factor were generally associated with dose-response trends in prevalence rates and risks (all p for trend",
keywords = "Childhood respiratory disease, China, Indoor pollution, NO, Occupational dust exposure, Occupational gas exposure, Parental history of respiratory disease, Prevalence rates, Residence-related pollution, Respiratory symptoms, Risk factors, Smoking, SO, TSP",
author = "Donald Wilson and Ken Takahashi and Guowei Pan and Chan, {Chang Chuan} and Shujuan Zhang and Yiping Feng and Tsutomu Hoshuyama and Chuang, {Kai Jen} and Lin, {Ro Ting} and Hwang, {Jing Shiang}",
year = "2008",
month = "11",
doi = "10.1016/j.rmed.2008.06.010",
language = "English",
volume = "102",
pages = "1536--1544",
journal = "Respiratory Medicine",
issn = "0954-6111",
publisher = "W.B. Saunders Ltd",
number = "11",

}

TY - JOUR

T1 - Respiratory symptoms among residents of a heavy-industry province in China

T2 - Prevalence and risk factors

AU - Wilson, Donald

AU - Takahashi, Ken

AU - Pan, Guowei

AU - Chan, Chang Chuan

AU - Zhang, Shujuan

AU - Feng, Yiping

AU - Hoshuyama, Tsutomu

AU - Chuang, Kai Jen

AU - Lin, Ro Ting

AU - Hwang, Jing Shiang

PY - 2008/11

Y1 - 2008/11

N2 - Objective: In China, significant levels of environmental pollution, substandard worksite quality and high rates of smoking predispose the population to potentially high risks of respiratory illnesses and other diseases. We assessed the prevalence of respiratory symptoms and their risks in relation to personal, occupational and environmental risk factors in a heavy-industry province of northeastern China. Methods: Lifestyle, health, residential and occupational data were obtained in 2002 from 31,704 adults of six cities in Liaoning, China, using self-assessment questionnaires. General linear and multi-level models were used to evaluate prevalence rates and risks of respiratory symptoms, related to both individual and combined exposures to environmental and occupational risk factors. Results: The crude prevalence rates (PRs) for persistent cough, persistent phlegm, wheeze and asthma were 2.3, 3.8, 2.1 and 1.0%, respectively. The odds ratios (ORs) of all four respiratory symptoms examined were increased by: smoking (ORs from 2.06 to 5.02), occupational dust (ORs from 1.35 to 1.72), occupational gas (ORs from 1.48 to 1.72) and presence of irritating smoke during cooking (ORs from 1.54 to 2.22). An index combining proximity of residence to road, factory or chimney, indoor coal use and presence of irritating smoke during cooking was associated with up to 3.9-fold increased risks of all symptoms. Increasing values of each risk factor were generally associated with dose-response trends in prevalence rates and risks (all p for trend

AB - Objective: In China, significant levels of environmental pollution, substandard worksite quality and high rates of smoking predispose the population to potentially high risks of respiratory illnesses and other diseases. We assessed the prevalence of respiratory symptoms and their risks in relation to personal, occupational and environmental risk factors in a heavy-industry province of northeastern China. Methods: Lifestyle, health, residential and occupational data were obtained in 2002 from 31,704 adults of six cities in Liaoning, China, using self-assessment questionnaires. General linear and multi-level models were used to evaluate prevalence rates and risks of respiratory symptoms, related to both individual and combined exposures to environmental and occupational risk factors. Results: The crude prevalence rates (PRs) for persistent cough, persistent phlegm, wheeze and asthma were 2.3, 3.8, 2.1 and 1.0%, respectively. The odds ratios (ORs) of all four respiratory symptoms examined were increased by: smoking (ORs from 2.06 to 5.02), occupational dust (ORs from 1.35 to 1.72), occupational gas (ORs from 1.48 to 1.72) and presence of irritating smoke during cooking (ORs from 1.54 to 2.22). An index combining proximity of residence to road, factory or chimney, indoor coal use and presence of irritating smoke during cooking was associated with up to 3.9-fold increased risks of all symptoms. Increasing values of each risk factor were generally associated with dose-response trends in prevalence rates and risks (all p for trend

KW - Childhood respiratory disease

KW - China

KW - Indoor pollution

KW - NO

KW - Occupational dust exposure

KW - Occupational gas exposure

KW - Parental history of respiratory disease

KW - Prevalence rates

KW - Residence-related pollution

KW - Respiratory symptoms

KW - Risk factors

KW - Smoking

KW - SO

KW - TSP

UR - http://www.scopus.com/inward/record.url?scp=55549091701&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=55549091701&partnerID=8YFLogxK

U2 - 10.1016/j.rmed.2008.06.010

DO - 10.1016/j.rmed.2008.06.010

M3 - Article

C2 - 18684604

AN - SCOPUS:55549091701

VL - 102

SP - 1536

EP - 1544

JO - Respiratory Medicine

JF - Respiratory Medicine

SN - 0954-6111

IS - 11

ER -