%0 Journal Article
%T Impact of a waste disposal site on adult respiratory health Impacto de un sitio de disposici車n final de residuos s車lidos en la salud respiratoria de los adultos mayores
%A Paola Andrea Filigrana
%A Olga Luc赤a G車mez
%A Fabi芍n M谷ndez
%J Biom谷dica
%D 2011
%I Instituto Nacional de Salud
%X Introduction. This study evaluated the impact of the presence of a dump on respiratory health in adults older than 50 years of age, living in its area of influence. Materials and methods. A cohort study was conducted with 313 adults older than 50 years of age living near the Navarro Dump (Cali, Colombia) and compared with 359 adults in an unexposed area. Each was examined monthly during a 6 month period to compare the incidence of respiratory symptoms and alterations in peak expiratory flow. Results. Exposure to the Navarro Dump was associated with occurrence of respiratory symptoms (odds ratio=1.25, 95% C.I. 1.01-1.56), in particular with mild respiratory symptoms (odds ratio=1.28, 95% C.I. 0.98-1.66). This result was obtained after adjusting for age, sex, education level, humidity, health insurance, comorbidity, smoking and previous occupational exposure. A higher recurrence of symptoms was found in adults in the area of exposure (correlation coefficient=0.29, 95% C.I. 0.23-0.33, p<0.001) and a significant reduction in the lung function defined by peak expiratory flow; the average decrease was15.2 L/min (95% C.I. -30.2 to +0.22). Conclusion. Independent of potential confounding factors, the respiratory health of adults exposed to the Navarro Dump was affected and exhibited an increased occurrence and recurrence of mild respiratory symptoms as well as decreased lung function. Introducci車n. El objetivo de este estudio fue evaluar el impacto de un sitio de disposici車n final de residuos s車lidos sobre la salud respiratoria de adultos mayores de 50 a os, residentes en su 芍rea de influencia. Materiales y m谷todos. Se llev車 a cabo un estudio de cohortes que incluy車 un grupo de 313 adultos mayores de 50 a os expuestos al Botadero de Navarro y otro de 359 no expuestos, seguidos durante seis meses, para comparar la incidencia mensual de s赤ntomas respiratorios y alteraciones en el flujo espiratorio pico. Resultados. Despu谷s de ajustar por edad, sexo, escolaridad, humedad, afiliaci車n a salud, enfermedades concomitantes, tabaquismo y exposici車n ocupacional previa, la exposici車n al Botadero de Navarro se asoci車 con la presencia de uno o m芍s s赤ntomas respiratorios (OR=1,25; IC95%: 1,01-1,56), s赤ntomas respiratorios moderados (OR=1,28; IC95%: 0,98-1,66), pero no se encontr車 asociaci車n con s赤ntomas respiratorios graves (OR= 1,16; IC95%: 0,89-1,50). Se evidenci車 una mayor recurrencia de s赤ntomas en los adultos de la zona expuesta (coeficiente de correlaci車n=0,29, IC95%: 0,23-0,33, p=0,000). En los adultos expuestos al Botadero de Navarro, se encontr車 en la funci車n pulmon
%K eliminaci車n de residuos s車lidos
%K contaminaci車n ambiental
%K botaderos a cielo abierto
%K sistema respiratorio
%K anciano
%U http://www.revistabiomedica.org/index.php/biomedica/article/view/346