Evidence map›Paper›PMID 30518403›Full record

ArticleEnvironmental health : a global access science source2018

Associations of greenness, greyness and air pollution exposure with children's health: a cross-sectional study in Southern Italy.

Giovanna Cilluffo, Giuliana Ferrante, Salvatore Fasola, Laura Montalbano, Velia Malizia, Alessandro Piscini, Vito Romaniello, Malvina Silvestri, Salvatore Stramondo, Massimo Stafoggia and 3 more

Abstract read
In one paragraph

Article in Environmental health : a global access science source, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Effect of greenness on asthma in children: A systematic review.Public health nursing (Boston, Mass.) · 2020
    Pooled it
  3. Association between residential greenness and allergic diseases among adolescents in South Korea: A nationwide representative study.Pediatric allergy and immunology : official publication of the European Society of Pediatric Allergy and Immunology · 2025
    Article
  4. Article
  5. Article
  6. Article
  7. Article
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  9. Review
  10. Urban Air Pollution and Greenness in Relation to Public Health.Journal of environmental and public health · 2023
    Article
  11. Article
  12. Article
  13. Children's Greenness Exposure and IQ-Associated DNA Methylation: A Prospective Cohort Study.International journal of environmental research and public health · 2021
    Article
  14. Review
  15. Effects of Particulate Matter on the Incidence of Respiratory Diseases in the Pisan Longitudinal Study.International journal of environmental research and public health · 2020
    Article
  16. Article
  17. Article
  18. Article
  19. Helsinki by nature: The Nature Step to Respiratory Health.Clinical and translational allergy · 2019
    Review
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors.

Giovanna CilluffoNational Research Council, Institute of Biomedicine and Molecular Immunology, via Ugo La Malfa 153, 90146, Palermo, Italy. giovanna.cilluffo@ibim.cnr.it.ORCID 0000-0003-4305-3981
Giuliana FerranteDepartment of Science for Health Promotion and Mother and Child Care, University of Palermo, via del Vespro 129, 90127, Palermo, Italy.
Salvatore FasolaNational Research Council, Institute of Biomedicine and Molecular Immunology, via Ugo La Malfa 153, 90146, Palermo, Italy.
Laura MontalbanoNational Research Council, Institute of Biomedicine and Molecular Immunology, via Ugo La Malfa 153, 90146, Palermo, Italy.
Velia MaliziaNational Research Council, Institute of Biomedicine and Molecular Immunology, via Ugo La Malfa 153, 90146, Palermo, Italy.
Alessandro PisciniNational Institute of Geophysics and Volcanology, via di Vigna Murata 605, 00143, Rome, Italy.
Vito RomanielloNational Institute of Geophysics and Volcanology, via di Vigna Murata 605, 00143, Rome, Italy.
Malvina SilvestriNational Institute of Geophysics and Volcanology, via di Vigna Murata 605, 00143, Rome, Italy.
Salvatore StramondoNational Institute of Geophysics and Volcanology, via di Vigna Murata 605, 00143, Rome, Italy.
Massimo StafoggiaDepartment of Epidemiology, Latium Region Health Service, via Cristoforo Colombo, 112, 00147, Rome, Italy.
Andrea RanziEnvironmental Health Reference Centre, Regional Agency for Environmental Prevention of Emilia-Romagna, via Braghiroli 63, 41125, Modena, Italy.
Giovanni ViegiNational Research Council, Institute of Biomedicine and Molecular Immunology, via Ugo La Malfa 153, 90146, Palermo, Italy.
Stefania La GruttaNational Research Council, Institute of Biomedicine and Molecular Immunology, via Ugo La Malfa 153, 90146, Palermo, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDue to the complex interplay among different urban-related exposures, a comprehensive approach is advisable to estimate the health effects. We simultaneously assessed the effect of "green", "grey" and air pollution exposure on respiratory/allergic conditions and general symptoms in schoolchildren.

methodsThis study involved 219 schoolchildren (8-10 years) of the Municipality of Palermo, Italy. Data were collected through questionnaires self-administered by parents and children. Exposures to greenness and greyness at the home addresses were measured using the normalized difference vegetation index (NDVI), residential surrounding greyness (RSG) and the CORINE land-cover classes (CLC). RSG was defined as the percentage of buffer covered by either industrial, commercial and transport units, or dump and construction sites, or urban fabric related features. Two specific categories of CLC, namely "discontinuous urban fabric - DUF" - and "continuous urban fabric - CUF" - areas were found. Exposure to traffic-related nitrogen dioxide (NO

resultsA very low exposure to NDVI ≤0.15 (1st quartile) had a higher odds of nasal symptoms (OR = 1.47, 95% CI [1.07-2.03]). Children living in CUF areas had higher odds of ocular symptoms (OR = 1.49, 95% CI [1.10-2.03]) and general symptoms (OR = 1.18, 95% CI [1.00-1.48]) than children living in DUF areas. Children living in proximity (≤200 m) to High Traffic Roads (HTRs) had increased odds of ocular (OR = 1.68, 95% CI [1.31-2.17]) and nasal symptoms (OR = 1.49, 95% CI [1.12-1.98]). A very high exposure to NO

conclusionsMultiple exposures related to greenness, greyness (measured by CORINE) and air pollution within the urban environment are associated with respiratory/allergic and general symptoms in schoolchildren. No associations were found when considering the individual exposure to greyness measured using the RSG indicator.

Indexed as

Air PollutantsAir PollutionChildChild HealthCross-Sectional StudiesEczemaEnvironmental MonitoringFemaleHumansItalyMaleNitrogen DioxideOdds RatioRespiratory Tract DiseasesSymptom AssessmentAir PollutantsNitrogen DioxideAir pollutionAllergicAsthmaGreennessGreyness

Identifiers

PMID30518403
PMCPMC6282291

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.