Abstract

BackgroundAllergic rhinitis (AR) is an increasing and common condition affecting many people globally, especially children. The aim of the study was to investigate the association between the frequency of truck traffic and allergic rhinitis symptoms, rhinoconjunctivitis and hayfever among 13 to 14 year old school children in Ekurhuleni Metropolitan Municipality, Gauteng Province, South Africa.MethodsIn a cross-sectional study design, 3764 children from 16 randomly selected high schools were eligible to participate, 3468 completed the International Study of Asthma and Allergies in Childhood (ISAAC) Phase I questionnaire of which 3424 were suitable for analysis; the overall response rate was 92 %. Data were analysed using multilevel logistic regression analysis.ResultsThe prevalence of self-reported rhinitis ever, current rhinitis rhinoconjunctivitis and hayfever was 52, 40, 21 and 37 % respectively. Rhinitis ever, current rhinitis and current rhinoconjunctivitis were significantly associated with the frequency of trucks passing near residences almost all day on weekdays, (OR 1.46 95 % CI: 1.16 − 1.84), (OR 1.60 95 % CI: 1.24–2.02) and (OR 1.42 95 % CI: 1.09–1.84) respectively. No association was observed between truck traffic and hay fever in the multiple analyses.ConclusionThe study shows a high prevalence of allergic rhinitis symptoms amongst children. The results support the hypothesis that traffic related pollution plays a role in the prevalence of allergic rhinitis symptoms in children residing in the area.

Highlights

  • Allergic rhinitis (AR) is an increasing and common condition affecting many people globally, especially children

  • The main aim of this study was to investigate the association between traffic related-air pollution and allergic rhinitis, current rhinoconjunctivitis and hayfever symptoms amongst children attending schools in Tembisa and Kempton Park areas of Ekurhuleni Metropolitan Municipality (EMM), Gauteng Province, South Africa

  • The study focused on children who were present at school during at the time of fieldwork and so 296 learners did not participate

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Summary

Introduction

Allergic rhinitis (AR) is an increasing and common condition affecting many people globally, especially children. The aim of the study was to investigate the association between the frequency of truck traffic and allergic rhinitis symptoms, rhinoconjunctivitis and hayfever among 13 to 14 year old school children in Ekurhuleni Metropolitan Municipality, Gauteng Province, South Africa. Allergic rhinitis (AR) is a global health problem, affecting many people from childhood to adulthood [1]. Few air pollution studies have addressed allergic rhinitis as an endpoint with some suggesting that exposure to air pollutants may increase its risk [13]. Studies have reported that living in closed proximity to a major road with high volumes of motor vehicles or truck traffic is associated symptoms of allergic diseases, due to high levels of air pollutants from traffic [14]. Data from South Africa is limited, with infrequent updates on circulating aeroallergens and the possible impact of climate change [15]

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