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Published on: November 4, 2010
Childhood asthma hospitalization and residential exposure to state route traffic
Shao Lin1, Jean Pierre Munsie, Syni-An Hwang
1Bureau of Environmental and Occupational Epidemiology, Troy, New York 12180, USA.
Insights
Living near busy roads, especially those with heavy truck traffic within 200 meters, increases the risk of pediatric asthma hospitalizations. This highlights the impact of traffic exposure on childhood respiratory health.
Area of Science:
- Environmental Health
- Pediatric Pulmonology
- Epidemiology
Background:
- Childhood asthma is a significant public health concern.
- Urban air pollution, particularly from traffic, is a suspected environmental trigger.
- Understanding specific traffic-related exposures is crucial for prevention.
Purpose of the Study:
- To investigate the association between pediatric asthma hospitalization and proximity to heavy traffic.
- To identify specific traffic characteristics (e.g., vehicle miles traveled, truck presence) linked to asthma hospitalizations.
Main Methods:
- A case-control study design was employed in Erie County, New York.
- Cases were children hospitalized for asthma (N=417); controls were children hospitalized for non-respiratory conditions (N=461).
- Residential addresses were linked to traffic data, including vehicle miles traveled (VMT) and truck presence within 200m and 500m.
Main Results:
- Children hospitalized for asthma were more likely to reside within 200m of roads with high VMT (OR=1.93).
- Increased odds of asthma hospitalization were associated with truck and trailer traffic within 200m (OR=1.43).
- No significant associations were found for exposures within 500m or residential distance from state roads.
Conclusions:
- Proximity to high-volume traffic and truck traffic within 200m is a risk factor for childhood asthma hospitalizations.
- These findings suggest a localized impact of traffic emissions on pediatric respiratory health.
- Targeted interventions near high-traffic zones may help reduce asthma-related hospitalizations in children.
Abstract:
This study investigated whether pediatric hospitalization for asthma was related to living near a road with heavy traffic. In this case-control study, cases (N=417) consisted of white children aged 0-14 years who were admitted for asthma and who resided in Erie County, New York, excluding the city of Buffalo. Controls (N=461) were children in the same age range admitted during the same time period for nonrespiratory diseases. Subjects' residential addresses were linked to traffic information provided by the New York State Department of Transportation. After adjustments for age and poverty level were made, children hospitalized for asthma were more likely to live on roads with the highest tertile of vehicle miles traveled (VMT) (odds ratio (OR): 1.93, 95% confidence interval (CI): 1.13-3.29) within 200 m and were more likely to have trucks and trailers passing by within 200 m of their residence (OR=1.43, 95% CI: 1.03-1.99) compared to controls. However, childhood asthma hospitalization was not significantly associated with residential distance from state roads, annual VMT within 500 m, or whether trucks or trailers passed by within 500 m. This study suggests that exposure to high volumes of traffic/truck within 200 m of homes contributes to childhood asthma hospitalizations.
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