Urban air pollution and health: an ecological study of chronic rhinosinusitis in Cologne, Germany

Health Place. 2002 Jun;8(2):129-39. doi: 10.1016/s1353-8292(01)00040-5.


The study investigates the association between outdoor air pollution and chronic rhinosinusitis (CRS) in Cologne, Germany. First, using their addresses, all patients treated for CRS at the ENT Department of the University Hospital between 1990 and 1999 were assigned to one of the 85 city districts. Second, indicators of air pollution (SO(2), NO(x), TSP) were linked to these areas. Third, to control for socioeconomic confounding, data reflecting the socioeconomic and demographic composition of these districts were collected. Regression analyses reveal weak but consistent statistical effects of pollution on the prevalence of CRS in those parts of the city with air pollution levels above average.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Air Pollution / adverse effects*
  • Chronic Disease
  • Germany / epidemiology
  • Humans
  • Prevalence
  • Rhinitis / epidemiology
  • Rhinitis / etiology*
  • Sinusitis / epidemiology
  • Sinusitis / etiology*
  • Urban Health*