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Background: Concerns regarding the health impact of urban air pollution on asthmatic children are pronounced along the U.S.–Mexico border because of rapid population growth near busy border highways and roads.Objectives: We conducted the first binational study of the impacts of air pollution on asthmatic children in Ciudad Juarez, Mexico, and El Paso, Texas, USA, and compared different exposure metrics to assess acute respiratory response.Methods: We recruited 58 asthmatic children from two schools in Ciudad Juarez and two schools in El Paso. A marker of airway inflammation [exhaled nitric oxide (eNO)], respiratory symptom surveys, and pollutant measurements (indoor and outdoor 48-hr size-fractionated particulate matter, 48-hr black carbon, and 96-hr nitrogen dioxide) were collected at each school for 16 weeks. We examined associations between the pollutants and respiratory response using generalized linear mixed models.Results: We observed small but consistent associations between eNO and numerous pollutant metrics, with estimated increases in eNO ranging from 1% to 3% per interquartile range increase in pollutant concentrations. Effect estimates from models using school-based concentrations were generally stronger than corresponding estimates based on concentrations from ambient air monitors. Both traffic-related and non–traffic-related particles were typically more robust predictors of eNO than was nitrogen dioxide, for which associations were highly sensitive to model specification. Associations differed significantly across the four school-based cohorts, consistent with heterogeneity in pollutant concentrations and cohort characteristics. Models examining respiratory symptoms were consistent with the null.Conclusions: The results indicate adverse effects of air pollution on the subclinical respiratory health of asthmatic children in this region and provide preliminary support for the use of air pollution monitors close to schools to track exposure and potential health risk in this population.

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The use of land-use regression (LUR) techniques for modeling small-scale variations of intraurban air pollution has been increasing in the last decade. The most appealing feature of LUR techniques is the economical monitoring requirements. In this study, principal component analysis (PCA) was employed to optimize an LUR model for PM2.5. The PM2.5 monitoring network consisted of 13 sites, which constrained the regression model to a maximum of one independent variable. An optimized surrogate of vehicle emissions was produced by PCA and employed as the predictor variable in the model. The vehicle emissions surrogate consisted of a linear combination of several traffic variables (e.g., vehicle miles traveled, speed, traffic demand, road length, and time) obtained from a road network used for traffic modeling. The vehicle-emissions surrogate produced by the PCA had a predictive capacity greater (R2 = .458) than the traffic variable, Traffic Demand summarized for a 1 km buffer, with best predictive capacity (R2 = .341). The PCA-based method employed in this study was effective at increasing the fit of an ordinary LUR model by optimizing the utilization of a PM2.5 dataset from small-n monitoring network. In general, the method used can contribute to LUR techniques in two major ways: 1) by improving the predictive power of the input variable, by substituting a principal component for a single variable and 2) by creating an orthogonal set of predictor variables, and thus fulfilling the no colinearity assumption of the linear regression methods. The proposed PCA method, should be universally applicable to LUR methods and will expand their economical attractiveness.

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