scholarly journals Factors influencing health behaviours in response to the air quality health index: a cross-sectional study in Hamilton, Canada

2016 ◽  
Vol 59 (1) ◽  
pp. 17-29 ◽  
Author(s):  
Sally Radisic ◽  
K. Bruce Newbold ◽  
John Eyles ◽  
Allison Williams

Research associating adverse health effects with air pollution exposure is robust. Public health authorities recognize the need to implement population health strategies that protect public health from air pollution exposure. The Air Quality Health Index (AQHI) is a public health initiative that is intended to protect the public's health from exposure to air pollution. The aim of this research was to identify and explain factors influencing AQHI adoption at the individual level and to establish intervention strategies. A cross-sectional survey with both quantitative and qualitative questions was administered in Hamilton, Ontario, Canada, during the months of June to October 2012. Logistic regression and the Health Belief Model are used to explore the data. Demographics (gender, age, education, and area of residence), knowledge/understanding, and individual risk perceptions (neighbourhood air effects on health) were found to be significant predictors of AQHI adoption. The perceived benefits of AQHI adoption included protection of health for self and those cared for via familial and (or) occupational duties, whereas the perceived barriers of AQHI adoption included lack of knowledge about where to check and lack of time required to check and follow AQHI health messages. Also, self-efficacy was uncovered as a factor influencing AQHI adoption. Accordingly, increases in AQHI adoption could be achieved via increasing AQHI knowledge among low socioeconomic status females, communicating the benefits of AQHI adoption to “at-risk” populations and implementing supports for males to follow AQHI health messages.

2020 ◽  
Vol 130 (1) ◽  
pp. 52-56
Author(s):  
Mieczysław Szyszkowicz

Abstract Introduction. The purpose of this study was to investigate the associations of ambient air quality with emergency department (ED) visits for injury. Aim. To explore correlations between ED visits for injury and ambient air pollution. Materials and methods. Considered health outcomes are ED visits for injury (ICD-9 codes: 800-999) in Edmonton, Canada, for the period from April 1998 to March 2002 (1,444 days). Air pollution concentration in the ambient air is represented as a daily maximum of the Air Quality Health Index (AQHI). The AQHI value encapsulates levels of three urban ambient air pollutants (ozone, nitrogen dioxide and fine particulate matter), weighted by constant risk coefficients. A time-stratified casecrossover design, using conditional logistic regression and conditional Poisson regression, was realized to assess the associations. The risk, reported as odds ratio and relative risk, was estimated using log-linear models and parametric non-linear concentrationresponse functions. Results. The strongest effects were observed for young male patients in the cold season (October-March). Lagged exposures were found to have positive statistically significant associations. Discussion. The study results indicate that air quality was associated with increased risk of daily ED visits for injury. This study determined concentration-response functions which allow one to assess the effects for various levels of the AQHI.


Author(s):  
David Rojas-Rueda

Background: Bicycling has been associated with health benefits. Local and national authorities have been promoting bicycling as a tool to improve public health and the environment. Mexico is one of the largest Latin American countries, with high levels of sedentarism and non-communicable diseases. No previous studies have estimated the health impacts of Mexico’s national bicycling scenarios. Aim: Quantify the health impacts of Mexico urban bicycling scenarios. Methodology: Quantitative Health Impact Assessment, estimating health risks and benefits of bicycling scenarios in 51,718,756 adult urban inhabitants in Mexico (between 20 and 64 years old). Five bike scenarios were created based on current bike trends in Mexico. The number of premature deaths (increased or reduced) was estimated in relation to physical activity, road traffic fatalities, and air pollution. Input data were collected from national publicly available data sources from transport, environment, health and population reports, and surveys, in addition to scientific literature. Results: We estimated that nine premature deaths are prevented each year among urban populations in Mexico on the current car-bike substitution and trip levels (1% of bike trips), with an annual health economic benefit of US $1,897,920. If Mexico achieves similar trip levels to those reported in The Netherlands (27% of bike trips), 217 premature deaths could be saved annually, with an economic impact of US $45,760,960. In all bicycling scenarios assessed in Mexico, physical activity’s health benefits outweighed the health risks related to traffic fatalities and air pollution exposure. Conclusion: The study found that bicycling promotion in Mexico would provide important health benefits. The benefits of physical activity outweigh the risk from traffic fatalities and air pollution exposure in bicyclists. At the national level, Mexico could consider using sustainable transport policies as a tool to promote public health. Specifically, the support of active transportation through bicycling and urban design improvements could encourage physical activity and its health co-benefits.


2013 ◽  
Vol 121 (1) ◽  
pp. 46-52 ◽  
Author(s):  
Teresa To ◽  
Shixin Shen ◽  
Eshetu G. Atenafu ◽  
Jun Guan ◽  
Susan McLimont ◽  
...  

Sign in / Sign up

Export Citation Format

Share Document