The relevance of commuter and work/school exposure in an epidemiological study on traffic-related air pollution

J Expo Sci Environ Epidemiol. 2015 Sep-Oct;25(5):474-81. doi: 10.1038/jes.2014.83. Epub 2014 Dec 10.

Abstract

Exposure during transport and at non-residential locations is ignored in most epidemiological studies of traffic-related air pollution. We investigated the impact of separately estimating NO2 long-term outdoor exposures at home, work/school, and while commuting on the association between this marker of exposure and potential health outcomes. We used spatially and temporally resolved commuter route data and model-based NO2 estimates of a population sample in Basel, Switzerland, to assign individual NO2-exposure estimates of increasing complexity, namely (1) home outdoor concentration; (2) time-weighted home and work/school concentrations; and (3) time-weighted concentration incorporating home, work/school and commute. On the basis of their covariance structure, we estimated the expectable relative differences in the regression slopes between a quantitative health outcome and our measures of individual NO2 exposure using a standard measurement error model. The traditional use of home outdoor NO2 alone indicated a 12% (95% CI: 11-14%) underestimation of related health effects as compared with integrating both home and work/school outdoor concentrations. Mean contribution of commuting to total weekly exposure was small (3.2%; range 0.1-13.5%). Thus, ignoring commute in the total population may not significantly underestimate health effects as compared with the model combining home and work/school. For individuals commuting between Basel-City and Basel-Country, ignoring commute may produce, however, a significant attenuation bias of 4% (95% CI: 4-5%). Our results illustrate the importance of including work/school locations in assessments of long-term exposures to traffic-related air pollutants such as NO2. Information on individuals' commuting behavior may further improve exposure estimates, especially for subjects having lengthy commutes along major transportation routes.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Air Pollutants / analysis*
  • Air Pollution / analysis*
  • Bicycling
  • Environmental Exposure / analysis
  • Environmental Monitoring / methods*
  • Epidemiologic Methods*
  • Female
  • Humans
  • Longitudinal Studies
  • Lung Diseases / chemically induced
  • Lung Diseases / epidemiology
  • Male
  • Middle Aged
  • Nitrogen Dioxide / analysis*
  • Occupational Exposure / analysis
  • Regression Analysis
  • Risk Assessment / methods*
  • Schools
  • Spatio-Temporal Analysis
  • Switzerland / epidemiology
  • Time Factors
  • Transportation
  • Urban Population
  • Walking
  • Work
  • Young Adult

Substances

  • Air Pollutants
  • Nitrogen Dioxide