The mediating role of risk perception in the association between industry-related air pollution and health (2024)

Abstract

BACKGROUND: Heavy industry emits many potentially hazardous pollutants into the air which can affect health. Awareness about the potential health impacts of air pollution from industry can influence people's risk perception. This in turn can affect (self-reported) symptoms. Our aims were to investigate the associations of air pollution from heavy industry with health symptoms and to evaluate whether these associations are mediated by people's risk perception about local industry.

METHODS: A cross-sectional questionnaire study was conducted among children (2-18 years) and adults (19 years and above) living in the direct vicinity of an area with heavy industry. A dispersion model was used to characterize individual-level exposures to air pollution emitted from the industry in the area. Associations between PM2.5 and NOX with presence of chronic diseases (adults) and respiratory symptoms (adults and children) were investigated by logistic regression analysis. Risk perception was indirectly measured by worries about local industry (0-10 scale). Mediation analyses were performed to investigate the role of mediation by these worries.

RESULTS: The response was 54% (2,627/4,877). In adults exposure to modelled PM2.5 from industry (per μg/m3) was related with reported high blood pressure (OR 1.56, 95% CI 1.13-2.15) and exposure to modelled NOX (per μg/m3) was inversely related with cardiovascular diseases (OR 0.91, 95% CI 0.84-0.98). In children higher PM2.5 and NOX concentrations (per μg/m3) were related with wheezing (OR 2.00, 95% CI 1.24-3.24 and OR 1.13, 95% CI 1.06-1.21 respectively) and dry cough (OR 2.33, 95% CI 1.55-3.52 and OR 1.16, 95% CI 1.10-1.22 respectively). Parental worry about local industry was an important mediator in exposure-health relations in children (indirect effect between 19-28%).

CONCLUSION: Exposure from industry was associated with self-reported reported high blood pressure among adults and respiratory symptoms among their children. Risk perception was found to mediate these associations for children.

Original languageEnglish
Article numbere0196783
JournalPLoS One
Volume13
Issue number5
DOIs
Publication statusPublished - May 2018

Keywords

  • Adolescent
  • Adult
  • Aged
  • Air Pollutants/toxicity
  • Air Pollution/adverse effects
  • Attitude to Health
  • Child
  • Child, Preschool
  • Chronic Disease/epidemiology
  • Cross-Sectional Studies
  • Environmental Exposure
  • Environmental Health
  • Health Behavior
  • Humans
  • Hypertension/epidemiology
  • Manufacturing and Industrial Facilities
  • Middle Aged
  • Netherlands/epidemiology
  • Nitrogen Oxides/toxicity
  • Particulate Matter/toxicity
  • Respiration Disorders/epidemiology
  • Risk Assessment
  • Smoking/epidemiology
  • Socioeconomic Factors
  • Surveys and Questionnaires
  • Young Adult

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    Bergstra, A. D., Brunekreef, B., & Burdorf, A. (2018). The mediating role of risk perception in the association between industry-related air pollution and health. PLoS One, 13(5), Article e0196783. https://doi.org/10.1371/journal.pone.0196783

    Bergstra, Arnold D ; Brunekreef, Bert ; Burdorf, Alex. / The mediating role of risk perception in the association between industry-related air pollution and health. In: PLoS One. 2018 ; Vol. 13, No. 5.

    @article{de0539806a494f1e81da2dc9863c426d,

    title = "The mediating role of risk perception in the association between industry-related air pollution and health",

    abstract = "BACKGROUND: Heavy industry emits many potentially hazardous pollutants into the air which can affect health. Awareness about the potential health impacts of air pollution from industry can influence people's risk perception. This in turn can affect (self-reported) symptoms. Our aims were to investigate the associations of air pollution from heavy industry with health symptoms and to evaluate whether these associations are mediated by people's risk perception about local industry.METHODS: A cross-sectional questionnaire study was conducted among children (2-18 years) and adults (19 years and above) living in the direct vicinity of an area with heavy industry. A dispersion model was used to characterize individual-level exposures to air pollution emitted from the industry in the area. Associations between PM2.5 and NOX with presence of chronic diseases (adults) and respiratory symptoms (adults and children) were investigated by logistic regression analysis. Risk perception was indirectly measured by worries about local industry (0-10 scale). Mediation analyses were performed to investigate the role of mediation by these worries.RESULTS: The response was 54% (2,627/4,877). In adults exposure to modelled PM2.5 from industry (per μg/m3) was related with reported high blood pressure (OR 1.56, 95% CI 1.13-2.15) and exposure to modelled NOX (per μg/m3) was inversely related with cardiovascular diseases (OR 0.91, 95% CI 0.84-0.98). In children higher PM2.5 and NOX concentrations (per μg/m3) were related with wheezing (OR 2.00, 95% CI 1.24-3.24 and OR 1.13, 95% CI 1.06-1.21 respectively) and dry cough (OR 2.33, 95% CI 1.55-3.52 and OR 1.16, 95% CI 1.10-1.22 respectively). Parental worry about local industry was an important mediator in exposure-health relations in children (indirect effect between 19-28%).CONCLUSION: Exposure from industry was associated with self-reported reported high blood pressure among adults and respiratory symptoms among their children. Risk perception was found to mediate these associations for children.",

    keywords = "Adolescent, Adult, Aged, Air Pollutants/toxicity, Air Pollution/adverse effects, Attitude to Health, Child, Child, Preschool, Chronic Disease/epidemiology, Cross-Sectional Studies, Environmental Exposure, Environmental Health, Health Behavior, Humans, Hypertension/epidemiology, Manufacturing and Industrial Facilities, Middle Aged, Netherlands/epidemiology, Nitrogen Oxides/toxicity, Particulate Matter/toxicity, Respiration Disorders/epidemiology, Risk Assessment, Smoking/epidemiology, Socioeconomic Factors, Surveys and Questionnaires, Young Adult",

    author = "Bergstra, {Arnold D} and Bert Brunekreef and Alex Burdorf",

    year = "2018",

    month = may,

    doi = "10.1371/journal.pone.0196783",

    language = "English",

    volume = "13",

    journal = "PLoS One",

    issn = "1932-6203",

    publisher = "Public Library of Science",

    number = "5",

    }

    Bergstra, AD, Brunekreef, B & Burdorf, A 2018, 'The mediating role of risk perception in the association between industry-related air pollution and health', PLoS One, vol. 13, no. 5, e0196783. https://doi.org/10.1371/journal.pone.0196783

    The mediating role of risk perception in the association between industry-related air pollution and health. / Bergstra, Arnold D; Brunekreef, Bert; Burdorf, Alex.
    In: PLoS One, Vol. 13, No. 5, e0196783, 05.2018.

    Research output: Contribution to journalArticleAcademicpeer-review

    TY - JOUR

    T1 - The mediating role of risk perception in the association between industry-related air pollution and health

    AU - Bergstra, Arnold D

    AU - Brunekreef, Bert

    AU - Burdorf, Alex

    PY - 2018/5

    Y1 - 2018/5

    N2 - BACKGROUND: Heavy industry emits many potentially hazardous pollutants into the air which can affect health. Awareness about the potential health impacts of air pollution from industry can influence people's risk perception. This in turn can affect (self-reported) symptoms. Our aims were to investigate the associations of air pollution from heavy industry with health symptoms and to evaluate whether these associations are mediated by people's risk perception about local industry.METHODS: A cross-sectional questionnaire study was conducted among children (2-18 years) and adults (19 years and above) living in the direct vicinity of an area with heavy industry. A dispersion model was used to characterize individual-level exposures to air pollution emitted from the industry in the area. Associations between PM2.5 and NOX with presence of chronic diseases (adults) and respiratory symptoms (adults and children) were investigated by logistic regression analysis. Risk perception was indirectly measured by worries about local industry (0-10 scale). Mediation analyses were performed to investigate the role of mediation by these worries.RESULTS: The response was 54% (2,627/4,877). In adults exposure to modelled PM2.5 from industry (per μg/m3) was related with reported high blood pressure (OR 1.56, 95% CI 1.13-2.15) and exposure to modelled NOX (per μg/m3) was inversely related with cardiovascular diseases (OR 0.91, 95% CI 0.84-0.98). In children higher PM2.5 and NOX concentrations (per μg/m3) were related with wheezing (OR 2.00, 95% CI 1.24-3.24 and OR 1.13, 95% CI 1.06-1.21 respectively) and dry cough (OR 2.33, 95% CI 1.55-3.52 and OR 1.16, 95% CI 1.10-1.22 respectively). Parental worry about local industry was an important mediator in exposure-health relations in children (indirect effect between 19-28%).CONCLUSION: Exposure from industry was associated with self-reported reported high blood pressure among adults and respiratory symptoms among their children. Risk perception was found to mediate these associations for children.

    AB - BACKGROUND: Heavy industry emits many potentially hazardous pollutants into the air which can affect health. Awareness about the potential health impacts of air pollution from industry can influence people's risk perception. This in turn can affect (self-reported) symptoms. Our aims were to investigate the associations of air pollution from heavy industry with health symptoms and to evaluate whether these associations are mediated by people's risk perception about local industry.METHODS: A cross-sectional questionnaire study was conducted among children (2-18 years) and adults (19 years and above) living in the direct vicinity of an area with heavy industry. A dispersion model was used to characterize individual-level exposures to air pollution emitted from the industry in the area. Associations between PM2.5 and NOX with presence of chronic diseases (adults) and respiratory symptoms (adults and children) were investigated by logistic regression analysis. Risk perception was indirectly measured by worries about local industry (0-10 scale). Mediation analyses were performed to investigate the role of mediation by these worries.RESULTS: The response was 54% (2,627/4,877). In adults exposure to modelled PM2.5 from industry (per μg/m3) was related with reported high blood pressure (OR 1.56, 95% CI 1.13-2.15) and exposure to modelled NOX (per μg/m3) was inversely related with cardiovascular diseases (OR 0.91, 95% CI 0.84-0.98). In children higher PM2.5 and NOX concentrations (per μg/m3) were related with wheezing (OR 2.00, 95% CI 1.24-3.24 and OR 1.13, 95% CI 1.06-1.21 respectively) and dry cough (OR 2.33, 95% CI 1.55-3.52 and OR 1.16, 95% CI 1.10-1.22 respectively). Parental worry about local industry was an important mediator in exposure-health relations in children (indirect effect between 19-28%).CONCLUSION: Exposure from industry was associated with self-reported reported high blood pressure among adults and respiratory symptoms among their children. Risk perception was found to mediate these associations for children.

    KW - Adolescent

    KW - Adult

    KW - Aged

    KW - Air Pollutants/toxicity

    KW - Air Pollution/adverse effects

    KW - Attitude to Health

    KW - Child

    KW - Child, Preschool

    KW - Chronic Disease/epidemiology

    KW - Cross-Sectional Studies

    KW - Environmental Exposure

    KW - Environmental Health

    KW - Health Behavior

    KW - Humans

    KW - Hypertension/epidemiology

    KW - Manufacturing and Industrial Facilities

    KW - Middle Aged

    KW - Netherlands/epidemiology

    KW - Nitrogen Oxides/toxicity

    KW - Particulate Matter/toxicity

    KW - Respiration Disorders/epidemiology

    KW - Risk Assessment

    KW - Smoking/epidemiology

    KW - Socioeconomic Factors

    KW - Surveys and Questionnaires

    KW - Young Adult

    U2 - 10.1371/journal.pone.0196783

    DO - 10.1371/journal.pone.0196783

    M3 - Article

    C2 - 29723277

    SN - 1932-6203

    VL - 13

    JO - PLoS One

    JF - PLoS One

    IS - 5

    M1 - e0196783

    ER -

    Bergstra AD, Brunekreef B, Burdorf A. The mediating role of risk perception in the association between industry-related air pollution and health. PLoS One. 2018 May;13(5):e0196783. doi: 10.1371/journal.pone.0196783

    The mediating role of risk perception in the association between industry-related air pollution and health (2024)
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