Assessing the Risks Associated with Indoor and Outdoor Air Quality in Relation to the Geographic Placement of Nursing Home

Overview

Journal Heliyon

Specialty Social Sciences

Date 2024 Jul 22

PMID 39035529

Authors

Mojgan Jafari Shahri

Maryam Sarkhosh

Hossein Alidadi

Ali Asghar Najafpoor

Vahid Ghavami

Sima Baridkazemi

Affiliations

Soon will be listed here.

Abstract

Indoor air quality significantly impacts the well-being and health of elderly residents in nursing homes. This study was conducted to explore the connection between indoor and outdoor PM (Particulate Matter) concentrations in nursing homes and their association with the facilities' location and construction characteristics. The findings revealed that indoor PM and PM concentrations ranged from 0.2 to 124 μg/m and 2-188.4 μg/m, respectively, which were approximately 12.67 and 1.25 times higher than their outdoor counterparts. A strong correlation (P < 0.05) was identified between indoor PM levels and various factors, including proximity to parks, passenger terminals, and gas stations, as well as building attributes such as single-glazed windows, ceramic floor coverings, and the use of radiators. The risk assessment indicated that carcinogenic risk factors were well within acceptable limits for all nursing homes. However, it's important to note that certain PM components, particularly polycyclic aromatic hydrocarbons (PAH), may have long-term adverse effects on the health of nursing home residents. Even though indoor PM levels met the standards established by the U.S. Environmental Protection Agency (USEPA) for particulate matter risk assessments, the study emphasized that even low levels of indoor air pollutants can affect the health and well-being of older adults, particularly considering the increased vulnerability associated with aging. Consequently, the study underscores the importance of nursing home location selection and the regular monitoring of particulate matter concentrations. These measures are essential for enhancing air quality within nursing homes, ultimately contributing to the improved well-being and health of their residents.

References

Rodes C, Lawless P, Evans G, Sheldon L, Williams R, Vette A . The relationships between personal PM exposures for elderly populations and indoor and outdoor concentrations for three retirement center scenarios. J Expo Anal Environ Epidemiol. 2001; 11(2):103-15. DOI: 10.1038/sj.jea.7500155. View

Weuve J, Puett R, Schwartz J, Yanosky J, Laden F, Grodstein F . Exposure to particulate air pollution and cognitive decline in older women. Arch Intern Med. 2012; 172(3):219-27. PMC: 3622279. DOI: 10.1001/archinternmed.2011.683. View

Power M, Weisskopf M, Alexeeff S, Coull B, Spiro 3rd A, Schwartz J . Traffic-related air pollution and cognitive function in a cohort of older men. Environ Health Perspect. 2010; 119(5):682-7. PMC: 3094421. DOI: 10.1289/ehp.1002767. View

Whitehead T, Metayer C, Petreas M, Does M, Buffler P, Rappaport S . Polycyclic aromatic hydrocarbons in residential dust: sources of variability. Environ Health Perspect. 2013; 121(5):543-50. PMC: 3672903. DOI: 10.1289/ehp.1205821. View

Han Y, Zhu T, Guan T, Zhu Y, Liu J, Ji Y . Association between size-segregated particles in ambient air and acute respiratory inflammation. Sci Total Environ. 2016; 565:412-419. DOI: 10.1016/j.scitotenv.2016.04.196. View

Majd E, McCormack M, Davis M, Curriero F, Berman J, Connolly F . Indoor air quality in inner-city schools and its associations with building characteristics and environmental factors. Environ Res. 2018; 170:83-91. PMC: 6360122. DOI: 10.1016/j.envres.2018.12.012. View

Loomis D, Huang W, Chen G . The International Agency for Research on Cancer (IARC) evaluation of the carcinogenicity of outdoor air pollution: focus on China. Chin J Cancer. 2014; 33(4):189-96. PMC: 3975184. DOI: 10.5732/cjc.014.10028. View

Baudet A, Baures E, Blanchard O, Le Cann P, Gangneux J, Florentin A . Indoor Carbon Dioxide, Fine Particulate Matter and Total Volatile Organic Compounds in Private Healthcare and Elderly Care Facilities. Toxics. 2022; 10(3). PMC: 8950121. DOI: 10.3390/toxics10030136. View

Zhao X, Li Z, Wang D, Tao Y, Qiao F, Lei L . Characteristics, source apportionment and health risk assessment of heavy metals exposure via household dust from six cities in China. Sci Total Environ. 2020; 762:143126. DOI: 10.1016/j.scitotenv.2020.143126. View

10.

Skrbic B, Marinkovic V . Occurrence, seasonal variety of organochlorine compounds in street dust of Novi Sad, Serbia, and its implication for risk assessment. Sci Total Environ. 2019; 662:895-902. DOI: 10.1016/j.scitotenv.2019.01.133. View

11.

Mehta A, Zanobetti A, Bind M, Kloog I, Koutrakis P, Sparrow D . Long-Term Exposure to Ambient Fine Particulate Matter and Renal Function in Older Men: The Veterans Administration Normative Aging Study. Environ Health Perspect. 2016; 124(9):1353-60. PMC: 5010417. DOI: 10.1289/ehp.1510269. View

12.

Meyer I, Heinrich J, LIPPOLD U . Factors affecting lead and cadmium levels in house dust in industrial areas of eastern Germany. Sci Total Environ. 1999; 234(1-3):25-36. DOI: 10.1016/s0048-9697(99)00164-3. View

13.

Mahdad F, Bakhtiari A, Moeinaddini M, Charlesworth S . Seasonal occurrence, source apportionment, and cancer risk assessment of PAHs in the second largest international holy metropolitan: Mashhad, Iran. Environ Sci Pollut Res Int. 2021; 29(9):13279-13291. DOI: 10.1007/s11356-021-16336-6. View

14.

Reddy M, Heidarinejad M, Stephens B, Rubinstein I . Adequate indoor air quality in nursing homes: An unmet medical need. Sci Total Environ. 2021; 765:144273. DOI: 10.1016/j.scitotenv.2020.144273. View

15.

Holguin F, Tellez-Rojo M, Hernandez M, Cortez M, Chow J, Watson J . Air pollution and heart rate variability among the elderly in Mexico City. Epidemiology. 2003; 14(5):521-7. DOI: 10.1097/01.ede.0000081999.15060.ae. View

16.

Wang Q, Liu M, Yu Y, Li Y . Characterization and source apportionment of PM-bound polycyclic aromatic hydrocarbons from Shanghai city, China. Environ Pollut. 2016; 218:118-128. DOI: 10.1016/j.envpol.2016.08.037. View

17.

Yu K, Lee Y, Chen Y, Gong J, Tsai M . Evaluation of PM, PM, and PM exposure and the resultant health risk of preschool children and their caregivers. J Environ Sci Health A Tox Hazard Subst Environ Eng. 2019; 54(10):961-971. DOI: 10.1080/10934529.2019.1623598. View

18.

Belo J, Carreiro-Martins P, Papoila A, Palmeiro T, Caires I, Alves M . The impact of indoor air quality on respiratory health of older people living in nursing homes: spirometric and exhaled breath condensate assessments. J Environ Sci Health A Tox Hazard Subst Environ Eng. 2019; 54(12):1153-1158. DOI: 10.1080/10934529.2019.1637206. View

19.

Rasmussen P, Subramanian K, Jessiman B . A multi-element profile of housedust in relation to exterior dust and soils in the city of Ottawa, Canada. Sci Total Environ. 2001; 267(1-3):125-40. DOI: 10.1016/s0048-9697(00)00775-0. View

20.

Mahler B, Van Metre P, Wilson J, Musgrove M, Burbank T, Ennis T . Coal-tar-based parking lot sealcoat: an unrecognized source of PAH to settled house dust. Environ Sci Technol. 2010; 44(3):894-900. PMC: 2817918. DOI: 10.1021/es902533r. View