Global S&T Development Trend Analysis Platform of Resources and Environment
DOI | 10.1289/EHP266 |
Feasibility of Deploying Inhaler Sensors to Identify the Impacts of Environmental Triggers and Built Environment Factors on Asthma Short-Acting Bronchodilator Use | |
Su, Jason G.1; Barrett, Meredith A.2; Henderson, Kelly2; Humblet, Olivier2; Smith, Ted3; Sublett, James W.4; Nesbitt, LaQuandra5; Hogg, Chris2; Van Sickle, David2,6; Sublett, James L.4 | |
2017-02-01 | |
发表期刊 | ENVIRONMENTAL HEALTH PERSPECTIVES |
ISSN | 0091-6765 |
EISSN | 1552-9924 |
出版年 | 2017 |
卷号 | 125期号:2 |
文章类型 | Article |
语种 | 英语 |
国家 | USA |
英文摘要 | BACKGROUND: Epidemiological asthma research has relied upon self-reported symptoms or healthcare utilization data, and used the residential address as the primary location for exposure. These data sources can be temporally limited, spatially aggregated, subjective, and burdensome for the patient to collect. OBJECTIVES: First, we aimed to test the feasibility of collecting rescue inhaler use data in space-time using electronic sensors. Second, we aimed to evaluate whether these data have the potential to identify environmental triggers and built environment factors associated with rescue inhaler use and to determine whether these findings would be consistent with the existing literature. METHODS: We utilized zero-truncated negative binomial models to identify triggers associated with inhaler use, and implemented three sensitivity analyses to validate our findings. RESULTS: Electronic sensors fitted on metered dose inhalers tracked 5,660 rescue inhaler use events in space and time for 140 participants from 13 June 2012 to 28 February 2014. We found that the inhaler sensors were feasible in passively collecting objective rescue inhaler use data. We identified several environmental triggers with a positive and significant association with inhaler use, including: AQI, PM10, weed pollen, and mold. Conversely, the spatial distribution of tree cover demonstrated a negative and significant association with inhaler use. CONCLUSIONS: Utilizing a sensor to capture the signal of rescue inhaler use in space-time offered a passive and objective signal of asthma activity. This approach enabled detailed analyses to identify environmental triggers and built environment factors that are associated with asthma symptoms beyond the residential address. The application of these new technologies has the potential to improve our surveillance and understanding of asthma. |
领域 | 资源环境 |
收录类别 | SCI-E |
WOS记录号 | WOS:000394004000020 |
WOS关键词 | HEALTH-CARE UTILIZATION ; AIR-POLLUTION ; CHILDHOOD ASTHMA ; NEAR-ROADWAY ; TREE POLLEN ; CHILDREN ; EXACERBATION ; PREVALENCE ; RECALL ; BIAS |
WOS类目 | Environmental Sciences ; Public, Environmental & Occupational Health ; Toxicology |
WOS研究方向 | Environmental Sciences & Ecology ; Public, Environmental & Occupational Health ; Toxicology |
引用统计 | |
文献类型 | 期刊论文 |
条目标识符 | http://119.78.100.173/C666/handle/2XK7JSWQ/22728 |
专题 | 资源环境科学 |
作者单位 | 1.Univ Calif Berkeley, Sch Publ Hlth, Div Environm Hlth Sci, 50 Univ Hall, Berkeley, CA 94720 USA; 2.Propeller Hlth, San Francisco, CA USA; 3.Louisville Metro Govt, Off Civ Innovat, Louisville, KY USA; 4.Family Allergy & Asthma, Louisville, KY USA; 5.Dist Columbia Dept Hlth, Washington, DC USA; 6.Univ Wisconsin, Sch Med & Publ Hlth, Madison, WI USA |
推荐引用方式 GB/T 7714 | Su, Jason G.,Barrett, Meredith A.,Henderson, Kelly,et al. Feasibility of Deploying Inhaler Sensors to Identify the Impacts of Environmental Triggers and Built Environment Factors on Asthma Short-Acting Bronchodilator Use[J]. ENVIRONMENTAL HEALTH PERSPECTIVES,2017,125(2). |
APA | Su, Jason G..,Barrett, Meredith A..,Henderson, Kelly.,Humblet, Olivier.,Smith, Ted.,...&Sublett, James L..(2017).Feasibility of Deploying Inhaler Sensors to Identify the Impacts of Environmental Triggers and Built Environment Factors on Asthma Short-Acting Bronchodilator Use.ENVIRONMENTAL HEALTH PERSPECTIVES,125(2). |
MLA | Su, Jason G.,et al."Feasibility of Deploying Inhaler Sensors to Identify the Impacts of Environmental Triggers and Built Environment Factors on Asthma Short-Acting Bronchodilator Use".ENVIRONMENTAL HEALTH PERSPECTIVES 125.2(2017). |
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