H. Duhme et al., THE ASSOCIATION BETWEEN SELF-REPORTED SYMPTOMS OF ASTHMA AND ALLERGICRHINITIS AND SELF-REPORTED TRAFFIC DENSITY ON STREET OF RESIDENCE IN ADOLESCENTS, Epidemiology, 7(6), 1996, pp. 578-582
We examined the association between self-reported symptoms of asthma a
nd allergic rhinitis and self-reported exposure to motor vehicle traff
ic in adolescents in Munster, Germany. A total of 3,703 German student
s age 12-15 years completed a written and video questionnaire in 1994-
1995. We found positive associations between both wheezing and symptom
s of allergic rhinitis during the past 12 months and self-reported fre
quency of truck traffic. The sex- and age-adjusted prevalence odds rat
ios and 95% confidence intervals (CI) for truck traffic, contrasting t
he categories ''frequent'' and ''constant'' against ''never,'' were, f
or wheezing obtained by written questionnaire: 1.53 (95% CI = 1.15-2.0
5) and 2.15 (95% CI = 1.44-3.21); for wheezing obtained by video quest
ionnaire: 1.61 (95% CI = 1.26-2.07) and 2.47 (95% CI = 1.74-3.52); and
for symptoms of allergic rhinitis: 1.71 (95% CI = 1.36-2.15) and 1.96
(95% CI = 1.40-2.76), respectively. We found a similar positive assoc
iation with self-reports on traffic noise. Putative confounding variab
les, including indicators of socioeconomic status, smoking, etc, did n
ot alter these associations substantially. The results correspond clos
ely with findings of a survey carried out in 1991 in Bochum, Germany.
Our results support the hypothesis that exposure to motor vehicle traf
fic is related to symptoms of asthma and allergic rhinitis in children
, but we cannot rule out misclassification due to self-reports of traf
fic exposure.