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Cluster Analysis of Residential Personal Exposure to ELF Magnetic Field in Children: Effect of Environmental Variables. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2019; 16:ijerph16224363. [PMID: 31717366 PMCID: PMC6888053 DOI: 10.3390/ijerph16224363] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 09/10/2019] [Revised: 11/04/2019] [Accepted: 11/06/2019] [Indexed: 11/17/2022]
Abstract
Personal exposure to Extremely Low Frequency Magnetic Fields (ELF MF) in children is a very timely topic. We applied cluster analysis to 24 h indoor personal exposures of 884 children in France to identify possible common patterns of exposures. We investigated how electric networks near child home and other variables potentially affecting residential exposure, such as indoor sources of ELF MF, the age and type of the residence and family size, characterized the magnetic field exposure patterns. We identified three indoor personal exposure patterns: children living near overhead lines of high (63–150 kV), extra-high (225 kV) and ultra-high voltage (400 kV) were characterized by the highest exposures; children living near underground networks of low (400 V) and mid voltage (20 kV) and substations (20 kV/400 V) were characterized by mid exposures; children living far from electric networks had the lowest level of exposure. The harmonic component was not relevant in discriminating the exposure patterns, unlike the 50 Hz or broadband (40–800 Hz) component. Children using electric heating appliances, or living in big buildings or in larger families had generally a higher level of personal indoor exposure. Instead, the age of the residence was not relevant in differentiating the exposure patterns.
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Tognola G, Bonato M, Chiaramello E, Fiocchi S, Magne I, Souques M, Parazzini M, Ravazzani P. Use of Machine Learning in the Analysis of Indoor ELF MF Exposure in Children. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2019; 16:ijerph16071230. [PMID: 30959870 PMCID: PMC6479449 DOI: 10.3390/ijerph16071230] [Citation(s) in RCA: 15] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 02/20/2019] [Revised: 03/29/2019] [Accepted: 04/04/2019] [Indexed: 11/26/2022]
Abstract
Characterization of children exposure to extremely low frequency (ELF) magnetic fields is an important issue because of the possible correlation of leukemia onset with ELF exposure. Cluster analysis—a Machine Learning approach—was applied on personal exposure measurements from 977 children in France to characterize real-life ELF exposure scenarios. Electric networks near the child’s home or school were considered as environmental factors characterizing the exposure scenarios. The following clusters were identified: children with the highest exposure living 120–200 m from 225 kV/400 kV overhead lines; children with mid-to-high exposure living 70–100 m from 63 kV/150 kV overhead lines; children with mid-to-low exposure living 40 m from 400 V/20 kV substations and underground networks; children with the lowest exposure and the lowest number of electric networks in the vicinity. 63–225 kV underground networks within 20 m and 400 V/20 kV overhead lines within 40 m played a marginal role in differentiating exposure clusters. Cluster analysis is a viable approach to discovering variables best characterizing the exposure scenarios and thus it might be potentially useful to better tailor epidemiological studies. The present study did not assess the impact of indoor sources of exposure, which should be addressed in a further study.
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Affiliation(s)
- Gabriella Tognola
- CNR IEIIT-Consiglio Nazionale delle Ricerche, Istituto di Elettronica e di Ingegneria dell'Informazione e delle Telecomunicazioni, 20133 Milan, Italy.
| | - Marta Bonato
- CNR IEIIT-Consiglio Nazionale delle Ricerche, Istituto di Elettronica e di Ingegneria dell'Informazione e delle Telecomunicazioni, 20133 Milan, Italy.
- Dipartimento di Elettronica, Informazione e Bioingegneria DEIB, Politecnico di Milano, 20133 Milan, Italy.
| | - Emma Chiaramello
- CNR IEIIT-Consiglio Nazionale delle Ricerche, Istituto di Elettronica e di Ingegneria dell'Informazione e delle Telecomunicazioni, 20133 Milan, Italy.
| | - Serena Fiocchi
- CNR IEIIT-Consiglio Nazionale delle Ricerche, Istituto di Elettronica e di Ingegneria dell'Informazione e delle Telecomunicazioni, 20133 Milan, Italy.
| | - Isabelle Magne
- EDF Electricite de France, 92300 Levallois-Perret, France.
| | | | - Marta Parazzini
- CNR IEIIT-Consiglio Nazionale delle Ricerche, Istituto di Elettronica e di Ingegneria dell'Informazione e delle Telecomunicazioni, 20133 Milan, Italy.
| | - Paolo Ravazzani
- CNR IEIIT-Consiglio Nazionale delle Ricerche, Istituto di Elettronica e di Ingegneria dell'Informazione e delle Telecomunicazioni, 20133 Milan, Italy.
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Bonato M, Parazzini M, Chiaramello E, Fiocchi S, Le Brusquet L, Magne I, Souques M, Röösli M, Ravazzani P. Characterization of Children's Exposure to Extremely Low Frequency Magnetic Fields by Stochastic Modeling. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2018; 15:ijerph15091963. [PMID: 30205571 PMCID: PMC6163697 DOI: 10.3390/ijerph15091963] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 07/31/2018] [Revised: 08/29/2018] [Accepted: 09/06/2018] [Indexed: 11/16/2022]
Abstract
In this study, children’s exposure to extremely low frequency magnetic fields (ELF-MF, 40–800 Hz) is investigated. The interest in this thematic has grown due to a possible correlation between the increased risk of childhood leukemia and a daily average exposure above 0.4 µT, although the causal relationship is still uncertain. The aim of this paper was to present a new method of characterizing the children’s exposure to ELF-MF starting from personal measurements using a stochastic approach based on segmentation (and to apply it to the personal measurements themselves) of two previous projects: the ARIMMORA project and the EXPERS project. The stochastic model consisted in (i) splitting the 24 h recordings into stationary events and (ii) characterizing each event with four parameters that are easily interpretable: the duration of the event, the mean value, the dispersion of the magnetic field over the event, and a final parameter characterizing the variation speed. Afterward, the data from the two databases were divided in subgroups based on a characteristic (i.e., children’s age, number of inhabitants in the area, etc.). For every subgroup, the kernel density estimation (KDE) of each parameter was calculated and the p-value histogram of the parameters together was obtained, in order to compare the subgroups and to extract information about the children’s exposure. In conclusion, this new stochastic approach allows for the identification of the parameters that most affect the level of children’s exposure.
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Affiliation(s)
- Marta Bonato
- Istituto di Elettronica e di Ingegneria dell'Informazione e delle Telecomunicazioni IEIIT CNR, 20133 Milano, Italy.
- Dipartimento di Elettronica, Informazione e Bioingegneria DEIB, Politecnico di Milano, 20133 Milano, Italy.
| | - Marta Parazzini
- Istituto di Elettronica e di Ingegneria dell'Informazione e delle Telecomunicazioni IEIIT CNR, 20133 Milano, Italy.
| | - Emma Chiaramello
- Istituto di Elettronica e di Ingegneria dell'Informazione e delle Telecomunicazioni IEIIT CNR, 20133 Milano, Italy.
| | - Serena Fiocchi
- Istituto di Elettronica e di Ingegneria dell'Informazione e delle Telecomunicazioni IEIIT CNR, 20133 Milano, Italy.
| | - Laurent Le Brusquet
- Laboratoire des Signaux et Systèmes (L2S), CentraleSupélec, CNRS, Univ. Paris-Sud, Université Paris-Saclay, 91192 Gif-sur-Yvette, France.
| | - Isabelle Magne
- Medical Studies Department of EDF (Electricite de France), 92300 Paris, France.
| | - Martine Souques
- Medical Studies Department of EDF (Electricite de France), 92300 Paris, France.
| | - Martin Röösli
- Department of Epidemiology and Public Health, Swiss Tropical and Public Health Institute, 4051 Basel, Switzerland.
- University of Basel, 4001 Basel, Switzerland.
| | - Paolo Ravazzani
- Istituto di Elettronica e di Ingegneria dell'Informazione e delle Telecomunicazioni IEIIT CNR, 20133 Milano, Italy.
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Gallastegi M, Jiménez-Zabala A, Santa-Marina L, Aurrekoetxea JJ, Ayerdi M, Ibarluzea J, Kromhout H, González J, Huss A. Exposure to extremely low and intermediate-frequency magnetic and electric fields among children from the INMA-Gipuzkoa cohort. ENVIRONMENTAL RESEARCH 2017; 157:190-197. [PMID: 28575784 DOI: 10.1016/j.envres.2017.05.027] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/02/2017] [Revised: 05/03/2017] [Accepted: 05/23/2017] [Indexed: 06/07/2023]
Abstract
Detailed assessment of exposure to extremely low frequency (ELF) and intermediate frequency (IF) fields is essential in order to conduct informative epidemiological studies of the health effects from exposure to these fields. There is limited information available regarding ELF electric fields and on both magnetic and electric field exposures of children in the IF range. The aim of this study was to characterize ELF and IF exposure of children in the Spanish INMA cohort. A combination of spot and fixed measurements was carried out in 104 homes, 26 schools and their playgrounds and 105 parks. Low levels of ELF magnetic fields (ELF-MF) were observed (with the highest 24-h time-weighted average (TWA) exposure being 0.15μT in one home). The interquartile range (IQR) of ELF electric fields (ELF-EF) ranged from 1 to 15V/m indoors and from 0.3 to 1.1V/m outdoors and a maximum value observed was 55.5V/m in one school playground. IQR ranges for IF magnetic and electric fields were between 0.02 and 0.23μT and 0.2 and 0.5V/m respectively and maximum values were 0.03μT and 1.51V/m in homes. Correlations between magnetic and electric fields were weak for ELF (Spearman 0.04-0.36 in different settings) and moderate for IF (between 0.28 and 0.75). Children of INMA-Gipuzkoa cohort were exposed to very low levels of ELF-MF in all settings and to similar levels of ELF-EF compared to the range of previously reported levels, although somewhat higher exposures occurred at home. Children enrolled to our study were similarly exposed to IF in all settings.
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Affiliation(s)
- Mara Gallastegi
- BIODONOSTIA Health Research Institute, Dr. Begiristain Pasealekua, San Sebastian 20014, Spain; University of the Basque Country (UPV/EHU), Preventative Medicine and Public Health Department, Faculty of Medicine, Leioa 48940, Spain.
| | - Ana Jiménez-Zabala
- BIODONOSTIA Health Research Institute, Dr. Begiristain Pasealekua, San Sebastian 20014, Spain; Public Health Division of Gipuzkoa, Basque Government, 4 Av. de Navarra, San Sebastian 20013, Spain
| | - Loreto Santa-Marina
- BIODONOSTIA Health Research Institute, Dr. Begiristain Pasealekua, San Sebastian 20014, Spain; Public Health Division of Gipuzkoa, Basque Government, 4 Av. de Navarra, San Sebastian 20013, Spain; Spanish Consortium for Research on Epidemiology and Public Health (CIBERESP), Instituto de Salud Carlos III, C/Monforte de Lemos 3-5, 28029 Madrid, Spain
| | - Juan J Aurrekoetxea
- BIODONOSTIA Health Research Institute, Dr. Begiristain Pasealekua, San Sebastian 20014, Spain; University of the Basque Country (UPV/EHU), Preventative Medicine and Public Health Department, Faculty of Medicine, Leioa 48940, Spain; Public Health Division of Gipuzkoa, Basque Government, 4 Av. de Navarra, San Sebastian 20013, Spain
| | - Mikel Ayerdi
- Public Health Division of Gipuzkoa, Basque Government, 4 Av. de Navarra, San Sebastian 20013, Spain
| | - Jesús Ibarluzea
- BIODONOSTIA Health Research Institute, Dr. Begiristain Pasealekua, San Sebastian 20014, Spain; Public Health Division of Gipuzkoa, Basque Government, 4 Av. de Navarra, San Sebastian 20013, Spain; Spanish Consortium for Research on Epidemiology and Public Health (CIBERESP), Instituto de Salud Carlos III, C/Monforte de Lemos 3-5, 28029 Madrid, Spain
| | - Hans Kromhout
- Institute for Risk Assessment Sciences (IRAS), Division Environmental Epidemiology, Utrecht University, Yalelaan 2, 3584 CM, Utrecht, The Netherlands
| | - Julián González
- University of the Basque Country (UPV/EHU), Materials Physics Department, Faculty of Chemistry, Paseo Manuel de Lardizabal 3, San Sebastian 20018, Spain
| | - Anke Huss
- Institute for Risk Assessment Sciences (IRAS), Division Environmental Epidemiology, Utrecht University, Yalelaan 2, 3584 CM, Utrecht, The Netherlands
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Struchen B, Liorni I, Parazzini M, Gängler S, Ravazzani P, Röösli M. Analysis of personal and bedroom exposure to ELF-MFs in children in Italy and Switzerland. JOURNAL OF EXPOSURE SCIENCE & ENVIRONMENTAL EPIDEMIOLOGY 2016; 26:586-596. [PMID: 26669849 DOI: 10.1038/jes.2015.80] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/09/2015] [Revised: 11/05/2015] [Accepted: 11/07/2015] [Indexed: 06/05/2023]
Abstract
Little is known about the real everyday exposure of children in Europe to extremely low-frequency magnetic fields (ELF-MFs). The aims of this study are to (i) assess personal ELF-MF exposure in children; (ii) to identify factors determining personal and bedroom ELF-MF exposure measurements in children; (iii) to evaluate the reproducibility of exposure summary measures; and (iv) to compare personal with bedroom measurements. In Switzerland and Italy, 172 children aged between 5 and 13 years were equipped with ELF-MF measurement devices (EMDEX II, measuring 40-800 Hz) during 24-72 h twice, in the warm and the cold season. In addition, 24-h measurements were taken in the bedroom of children. In our study, sample geometric mean ELF-MF exposure was 0.04 μT for personal and 0.05 μT for bedroom measurements. Living within 100 m of a highest voltage power line increased geometric mean personal exposure by a factor of 3.3, and bedroom measurements by a factor 6.8 compared to a control group. Repeated measurements within the same subject showed high reproducibility for the geometric mean (Spearman's correlation 0.78 for personal and 0.86 for bedroom measurements) but less for the 95th and 99th percentile of the personal measurements (≤0.42). Spearman's correlation between bedroom and personal exposure was 0.86 for the geometric mean but considerably lower for the 95th and 99th percentiles (≤0.60). Most previous studies on ELF-MF childhood leukaemia used mean bedroom exposure. Our study demonstrates that geometric mean bedroom measurements is well correlated with personal geometric mean exposure, and has high temporal reproducibility.
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Affiliation(s)
- Benjamin Struchen
- Department of Epidemiology and Public Health, Swiss Tropical and Public Health Institute, Socinstrasse 57, Basel, Switzerland
- University of Basel, Petersplatz 1, Basel, Switzerland
| | - Ilaria Liorni
- Istituto di Elettronica e di Ingegneria dell'Informazione e delle Telecomunicazioni (IEIIT), Consiglio Nazionale delle Ricerche (CNR), Milano, Italy
- Dipartimento di Elettronica, Informazione e Bioingegneria (DEIB), Politecnico di Milano, Milano, Italy
| | - Marta Parazzini
- Istituto di Elettronica e di Ingegneria dell'Informazione e delle Telecomunicazioni (IEIIT), Consiglio Nazionale delle Ricerche (CNR), Milano, Italy
| | - Stephanie Gängler
- Department of Epidemiology and Public Health, Swiss Tropical and Public Health Institute, Socinstrasse 57, Basel, Switzerland
- Cyprus International Institute for Environmental and Public Health in association with Harvard TH Chan School of Public Health, Cyprus University of Technology, Irenes 95, Limassol, Cyprus
| | - Paolo Ravazzani
- Istituto di Elettronica e di Ingegneria dell'Informazione e delle Telecomunicazioni (IEIIT), Consiglio Nazionale delle Ricerche (CNR), Milano, Italy
| | - Martin Röösli
- Department of Epidemiology and Public Health, Swiss Tropical and Public Health Institute, Socinstrasse 57, Basel, Switzerland
- University of Basel, Petersplatz 1, Basel, Switzerland
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Liorni I, Parazzini M, Struchen B, Fiocchi S, Röösli M, Ravazzani P. Children's Personal Exposure Measurements to Extremely Low Frequency Magnetic Fields in Italy. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2016; 13:ijerph13060549. [PMID: 27258295 PMCID: PMC4924006 DOI: 10.3390/ijerph13060549] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 03/03/2016] [Revised: 05/07/2016] [Accepted: 05/26/2016] [Indexed: 12/17/2022]
Abstract
Extremely low frequency magnetic fields (ELF-MFs) exposure is still a topic of concern due to their possible impact on children's health. Although epidemiological studies claimed an evidence of a possible association between ELF-MF above 0.4 μT and childhood leukemia, biological mechanisms able to support a causal relationship between ELF-MF and this disease were not found yet. To provide further knowledge about children's ELF-MF exposure correlated to children's daily activities, a measurement study was conducted in Milan (Italy). Eighty-six children were recruited, 52 of whom were specifically chosen with respect to the distance to power lines and built-in transformers to oversample potentially highly exposed children. Personal and bedroom measurements were performed for each child in two different seasons. The major outcomes of this study are: (1) median values over 24-h personal and bedroom measurements were <3 μT established by the Italian law as the quality target; (2) geometric mean values over 24-h bedroom measurements were mostly <0.4 μT; (3) seasonal variations did not significantly influence personal and bedroom measurements; (4) the highest average MF levels were mostly found at home during the day and outdoors; (5) no significant differences were found in the median and geometric mean values between personal and bedroom measurements, but were found in the arithmetic mean.
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Affiliation(s)
- Ilaria Liorni
- CNR Consiglio Nazionale delle Ricerche, Istituto di Elettronica e di Ingegneria dell'Informazione e delle Telecomunicazioni IEIIT, Piazza Leonardo da Vinci, Milano 20133, Italy.
| | - Marta Parazzini
- CNR Consiglio Nazionale delle Ricerche, Istituto di Elettronica e di Ingegneria dell'Informazione e delle Telecomunicazioni IEIIT, Piazza Leonardo da Vinci, Milano 20133, Italy.
| | - Benjamin Struchen
- Department of Epidemiology and Public Health, Swiss Tropical and Public Health Institute, Basel 4002, Switzerland.
- University of Basel, Basel 4003, Switzerland.
| | - Serena Fiocchi
- CNR Consiglio Nazionale delle Ricerche, Istituto di Elettronica e di Ingegneria dell'Informazione e delle Telecomunicazioni IEIIT, Piazza Leonardo da Vinci, Milano 20133, Italy.
| | - Martin Röösli
- Department of Epidemiology and Public Health, Swiss Tropical and Public Health Institute, Basel 4002, Switzerland.
- University of Basel, Basel 4003, Switzerland.
| | - Paolo Ravazzani
- CNR Consiglio Nazionale delle Ricerche, Istituto di Elettronica e di Ingegneria dell'Informazione e delle Telecomunicazioni IEIIT, Piazza Leonardo da Vinci, Milano 20133, Italy.
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Pennanen M, Vartiainen E, Haukkala A. The role of family factors and school achievement in the progression of adolescents to regular smoking. HEALTH EDUCATION RESEARCH 2012; 27:57-68. [PMID: 22052215 DOI: 10.1093/her/cyr097] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/31/2023]
Abstract
This study examines whether parental smoking and single parenting were related to adolescents' school achievement and anti-smoking parental practices as well as how these factors predicted later smoking. The sample comprised 1163 Finnish students in Grades 7 through 9. Results show that at the beginning of the seventh grade, parental smoking and single parenting were related to adolescents' lower levels of school achievement. Moreover, parental smoking had moderate association with lack of house smoking rules. At the beginning of the ninth grade, these associations were strengthened and lack of house smoking rules as well as loosened perceived parental punishment for smoking was related to both parental smoking and single parenting. The likelihood of ninth grade regular smoking was greater among adolescents whose parents smoked, who had no smoking rules in their homes and had substandard school achievement. These results suggest that smoking parents and single parents had similar anti-smoking regulations for their children at the baseline but once children became older smoking parents were not able to maintain these rules as successfully as non-smoking parents and families with two parents. Motivating parents to uphold these anti-smoking regulations offers a prospective intervention opportunity.
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Affiliation(s)
- M Pennanen
- Department of Public Health, University of Helsinki, PO Box 41, FI-00014 Helsinki, Finland.
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Pennanen M, Haukkala A, De Vries H, Vartiainen E. Academic achievement and smoking: Is self-efficacy an important factor in understanding social inequalities in Finnish adolescents? Scand J Public Health 2011; 39:714-22. [DOI: 10.1177/1403494811420484] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
Aims: Poor academic achievement is strongly related to smoking but studies that examine the mechanism between academic achievement and smoking are lacking. The aim of this study, therefore, was to examine the smoking-related cognitions (i.e. attitude, social influence, self-efficacy and intention to smoke) in relation to academic achievement and determine whether these cognitions explain different patterns of smoking. Methods: The study uses the data of a longitudinal study that was carried out in Finland, and the sample comprised 1,096 students in grades seven to nine. Results: During the seventh-grade students with poor academic achievement reported more positive attitudes to smoking and a greater social influence of their peers regarding smoking, weaker self-efficacy to refuse smoking and more intentions to smoke in the future compared to students with high academic achievement. Moreover, the follow-up analyses after a 24-month interval revealed that self-efficacy to refuse smoking of students with poor grades had become weaker compared to students with high grades. Furthermore, the influence of seventh-grade academic achievement predicting ninth-grade weekly smoking was partially mediated through the self-efficacy beliefs and the intention to smoke. Conclusions: Differences in academic achievement may have an impact on adolescents’ self-efficacy beliefs and the intention to smoke in the future. To reduce health inequalities a strong input on continuing research to improve smoking prevention methods, especially for students with low academic achievement, is needed.
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Affiliation(s)
- Marjaana Pennanen
- National Institute for Health and Welfare, Finland, Department of Public Health, University of Helsinki, Finland,
| | - Ari Haukkala
- Department of Social Psychology, University of Helsinki, Finland
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Indoor environment and children's health: recent developments in chemical, biological, physical and social aspects. Int J Hyg Environ Health 2011; 215:1-18. [PMID: 21889403 DOI: 10.1016/j.ijheh.2011.07.008] [Citation(s) in RCA: 57] [Impact Index Per Article: 4.4] [Reference Citation Analysis] [Abstract] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/22/2011] [Revised: 07/22/2011] [Accepted: 07/25/2011] [Indexed: 12/11/2022]
Abstract
Much research is being carried out into indoor exposure to harmful agents. This review focused on the impact on children's health, taking a broad approach to the indoor environment and including chemical, microbial, physical and social aspects. Papers published from 2006 onwards were reviewed, with regards to scientific context. Most of publications dealt with chemical exposure. Apart from the ongoing issue of combustion by-products, most of these papers concerned semi volatile organic compounds (such as phthalates). These may be associated with neurotoxic, reprotoxic or respiratory effects and may, therefore, be of particular interest so far as children are concerned. In a lesser extent, volatile organic compounds (such as aldehydes) that have mainly respiratory effects are still studied. Assessing exposure to metals is still of concern, with increasing interest in bioaccessibility. Most of the papers on microbial exposure focused on respiratory tract infections, especially asthma linked to allergens and bio-aerosols. Physical exposure includes noise and electromagnetic fields, and articles dealt with the auditory and non auditory effects of noise. Articles on radiofrequency electromagnetic fields mainly concerned questions about non-thermal effects and papers on extremely low-frequency magnetic fields focused on the characterization of exposure. The impact of the indoor environment on children's health cannot be assessed merely by considering the effect of these different types of exposure: this review highlights new findings and also discusses the interactions between agents in indoor environments and also with social aspects.
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