Ambient Air Quality and the Risk for Chronic Obstructive Pulmonary Disease Among Metro Manila Development Authority Traffic Enforcers in Metro Manila: An Exploratory Study

Background Air pollution and poor ambient air quality are significantly related to multiple health risks. One associated disease is chronic obstructive pulmonary disease (COPD), a preventable disease with several contributing factors and one of the leading causes of morbidity/mortality locally and g...

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Main Authors: Seposo, Xerxes, Arcilla, Audrey Lynn A, De Guzman, Jose Guillermo N, III, Dizon, Enrico Miguel S, Figuracion, Andrea Nova R, Morales, Christina Micaela M, Tugonon, Pauleenaa Katriona A, Apostol, Geminn Louis C
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Published: Archīum Ateneo 2021
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Online Access:https://archium.ateneo.edu/asmph-pubs/49
https://archium.ateneo.edu/cgi/viewcontent.cgi?article=1048&context=asmph-pubs
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spelling ph-ateneo-arc.asmph-pubs-10482022-06-22T10:28:33Z Ambient Air Quality and the Risk for Chronic Obstructive Pulmonary Disease Among Metro Manila Development Authority Traffic Enforcers in Metro Manila: An Exploratory Study Seposo, Xerxes Arcilla, Audrey Lynn A De Guzman, Jose Guillermo N, III Dizon, Enrico Miguel S Figuracion, Andrea Nova R Morales, Christina Micaela M Tugonon, Pauleenaa Katriona A Apostol, Geminn Louis C Background Air pollution and poor ambient air quality are significantly related to multiple health risks. One associated disease is chronic obstructive pulmonary disease (COPD), a preventable disease with several contributing factors and one of the leading causes of morbidity/mortality locally and globally. A potentially high-risk population are traffic enforcers who are constantly exposed to air pollution. In the Philippines, the MMDA has the widest coverage in traffic management. The study determined the risk of COPD among Metro Manila Development Authority (MMDA) traffic enforcers in relation to ambient air quality level, as well as identified other factors that increase the risk of developing COPD. Methods Fifty-two MMDA traffic enforcers deployed in PM2.5 air quality sensor areas in Metro Manila from 2016 to 2018 were recruited through stratified sampling. The International Primary Airways Guidelines (IPAG) questionnaire was utilized to measure risk of COPD. Respiratory health and working history were obtained through questionnaires. Department of environment and natural resources provided PM2.5 ambient air quality data which aided in the construction of the Exposure-Month Index. Ordinal logistic regression was used to examine the association of PM2.5 together with the relevant factors and the risk of COPD. Results We found statistically significant associations between PM2.5 and COPD among high risk category [odds risk (OR): 1.24, 95% confidence interval (CI): 1.07–1.44]. Age (Moderate, OR: 1.16, 95% CI: 0.98–1.38 and High, OR: 10.06, 95% CI: 4.02–25.17) and chest pain (Moderate, OR: 68.65, 95% CI: 1.71–2.75 × 103) were potential risk factors, whereas body mass index (BMI) (OR: 0.05, 95% CI: 0.01–0.53) exhibited protective effect. Conclusions Exposure to PM2.5 was associated with an increased risk of COPD among high-risk category MMDA traffic enforcers. Age and chest pain were potential risk factors to risk of COPD, whereas BMI exhibited a potential protective effect. Results of this study can be used for clinical management of high-risk populations, such that of MMDA traffic enforcers. 2021-02-23T08:00:00Z text application/pdf https://archium.ateneo.edu/asmph-pubs/49 https://archium.ateneo.edu/cgi/viewcontent.cgi?article=1048&context=asmph-pubs Ateneo School of Medicine and Public Health Faculty Publications Archīum Ateneo chronic obstructive pulmonary disease traffic enforcers air pollution occupational risk Philippines Environmental Health Occupational Health and Industrial Hygiene Public Health Respiratory Tract Diseases
institution Ateneo De Manila University
building Ateneo De Manila University Library
continent Asia
country Philippines
Philippines
content_provider Ateneo De Manila University Library
collection archium.Ateneo Institutional Repository
topic chronic obstructive pulmonary disease
traffic enforcers
air pollution
occupational risk
Philippines
Environmental Health
Occupational Health and Industrial Hygiene
Public Health
Respiratory Tract Diseases
spellingShingle chronic obstructive pulmonary disease
traffic enforcers
air pollution
occupational risk
Philippines
Environmental Health
Occupational Health and Industrial Hygiene
Public Health
Respiratory Tract Diseases
Seposo, Xerxes
Arcilla, Audrey Lynn A
De Guzman, Jose Guillermo N, III
Dizon, Enrico Miguel S
Figuracion, Andrea Nova R
Morales, Christina Micaela M
Tugonon, Pauleenaa Katriona A
Apostol, Geminn Louis C
Ambient Air Quality and the Risk for Chronic Obstructive Pulmonary Disease Among Metro Manila Development Authority Traffic Enforcers in Metro Manila: An Exploratory Study
description Background Air pollution and poor ambient air quality are significantly related to multiple health risks. One associated disease is chronic obstructive pulmonary disease (COPD), a preventable disease with several contributing factors and one of the leading causes of morbidity/mortality locally and globally. A potentially high-risk population are traffic enforcers who are constantly exposed to air pollution. In the Philippines, the MMDA has the widest coverage in traffic management. The study determined the risk of COPD among Metro Manila Development Authority (MMDA) traffic enforcers in relation to ambient air quality level, as well as identified other factors that increase the risk of developing COPD. Methods Fifty-two MMDA traffic enforcers deployed in PM2.5 air quality sensor areas in Metro Manila from 2016 to 2018 were recruited through stratified sampling. The International Primary Airways Guidelines (IPAG) questionnaire was utilized to measure risk of COPD. Respiratory health and working history were obtained through questionnaires. Department of environment and natural resources provided PM2.5 ambient air quality data which aided in the construction of the Exposure-Month Index. Ordinal logistic regression was used to examine the association of PM2.5 together with the relevant factors and the risk of COPD. Results We found statistically significant associations between PM2.5 and COPD among high risk category [odds risk (OR): 1.24, 95% confidence interval (CI): 1.07–1.44]. Age (Moderate, OR: 1.16, 95% CI: 0.98–1.38 and High, OR: 10.06, 95% CI: 4.02–25.17) and chest pain (Moderate, OR: 68.65, 95% CI: 1.71–2.75 × 103) were potential risk factors, whereas body mass index (BMI) (OR: 0.05, 95% CI: 0.01–0.53) exhibited protective effect. Conclusions Exposure to PM2.5 was associated with an increased risk of COPD among high-risk category MMDA traffic enforcers. Age and chest pain were potential risk factors to risk of COPD, whereas BMI exhibited a potential protective effect. Results of this study can be used for clinical management of high-risk populations, such that of MMDA traffic enforcers.
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author Seposo, Xerxes
Arcilla, Audrey Lynn A
De Guzman, Jose Guillermo N, III
Dizon, Enrico Miguel S
Figuracion, Andrea Nova R
Morales, Christina Micaela M
Tugonon, Pauleenaa Katriona A
Apostol, Geminn Louis C
author_facet Seposo, Xerxes
Arcilla, Audrey Lynn A
De Guzman, Jose Guillermo N, III
Dizon, Enrico Miguel S
Figuracion, Andrea Nova R
Morales, Christina Micaela M
Tugonon, Pauleenaa Katriona A
Apostol, Geminn Louis C
author_sort Seposo, Xerxes
title Ambient Air Quality and the Risk for Chronic Obstructive Pulmonary Disease Among Metro Manila Development Authority Traffic Enforcers in Metro Manila: An Exploratory Study
title_short Ambient Air Quality and the Risk for Chronic Obstructive Pulmonary Disease Among Metro Manila Development Authority Traffic Enforcers in Metro Manila: An Exploratory Study
title_full Ambient Air Quality and the Risk for Chronic Obstructive Pulmonary Disease Among Metro Manila Development Authority Traffic Enforcers in Metro Manila: An Exploratory Study
title_fullStr Ambient Air Quality and the Risk for Chronic Obstructive Pulmonary Disease Among Metro Manila Development Authority Traffic Enforcers in Metro Manila: An Exploratory Study
title_full_unstemmed Ambient Air Quality and the Risk for Chronic Obstructive Pulmonary Disease Among Metro Manila Development Authority Traffic Enforcers in Metro Manila: An Exploratory Study
title_sort ambient air quality and the risk for chronic obstructive pulmonary disease among metro manila development authority traffic enforcers in metro manila: an exploratory study
publisher Archīum Ateneo
publishDate 2021
url https://archium.ateneo.edu/asmph-pubs/49
https://archium.ateneo.edu/cgi/viewcontent.cgi?article=1048&context=asmph-pubs
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