2008 Progress Report: Development of Exposure and Health Outcome Indicators for Those with Asthma or Other Respiratory Problems

EPA Grant Number: R833629
Title: Development of Exposure and Health Outcome Indicators for Those with Asthma or Other Respiratory Problems
Investigators: Meng, Ying-Ying , Jerrett, Michael , Ritz, Beate R. , Wilhelm, Michelle
Institution: University of California - Los Angeles
EPA Project Officer: Hahn, Intaek
Project Period: September 1, 2007 through August 31, 2010 (Extended to February 29, 2012)
Project Period Covered by this Report: September 1, 2007 through August 31,2008
Project Amount: $500,000
RFA: Development of Environmental Health Outcome Indicators (2006) RFA Text |  Recipients Lists
Research Category: Health Effects , Health

Objective:

This research will investigate the feasibility of combining existing environmental monitoring and health survey data (California Health Interview Survey (CHIS)) to develop health outcome indicators, such as asthma-related emergency department (ED) visits, doctor’s visits, absences from school/work, medication use, and frequency of asthma symptoms for those with asthma, as well as asthma-like symptoms, doctor’s visits and absences from work/school due to breathing problems for those without asthma diagnoses. 

Progress Summary:

We have developed long-term (12-, 24- and 36-month) criteria air pollutant exposure indicators for all CHIS 2003 respondents and 2005 asthmatic respondents using existing measurement data for O3, NO2, PM10, and PM2. 5 from California Air Resources Board ambient air monitors. Additionally, we have explored exposure indicators using geostatistical modeling (e.g., kriging for O3, and land use regression (LUR) for PM10, PM2.5, NOx, NO and NO2) for CHIS 2005 respondents in Los Angeles. We have found that ordinary kriging for O3 and universal kriging for PM2.5 and PM10 produced reasonable predictions on cross validation, while the scarcity of monitors precluded generating land use regressions for PM10 and PM2.5. We have also developed traffic-related exposure indicators based on residential TD and proximity to roadways for all CHIS 2003 respondents and 2005 asthmatic respondents. 

Future Activities:

With the combined data, we will investigate spatial and temporal links between the exposure indicators and health outcome indicators, such as asthma-related emergency department (ED) visits, doctor’s visits, absences from school/work, medication use, and frequency of asthma symptoms for those with asthma, as well as asthma-like symptoms, doctor’s visits and absences from work/school due to breathing problems for those without asthma diagnoses after adjusting for other factors. We will also identify whether the types of health outcomes (e.g., prevalence of persistent asthma or prevalence of asthma-like symptoms) and the magnitude of associations estimated for our air pollution exposure indicators differ by type of area (e.g., rural and urban) and by sub-population (e.g., children and the elderly, or racial and ethnic groups).

Journal Articles:

No journal articles submitted with this report: View all 3 publications for this project

Supplemental Keywords:

Indoor air, mobile sources, risk, health effects, ecological effects, vulnerability, public policy, decision making, public good, Bayesian, socio-economic,  epidemiology, modeling, analytical, measurement methods, Northwest, California, CA, EPA Region 9

Progress and Final Reports:

Original Abstract
  • 2009 Progress Report
  • 2010 Progress Report
  • 2011
  • Final Report