A predictive model for the home outdoor exposure to nitrogen dioxide

The aim of this study is to find and test a predictivemodel that could be suitable to estimate the outdoor NO2 concentrations at individual level, by integrating ecologicalmeasurements recorded by localmonitoring stations with individual information collected by a questionnaire. For this purpose, the data from the Italian centres of the European Community Respiratory Health Survey II (ECRHS II) has been used. Outdoor NO2 concentrations were measured using NO2 passive sampling tubes (PS-NO2), exposed outdoor for 14 days, between January 2001 and January 2003. Simultaneously, average NO2 concentrations were collected from all the monitoring stations of the three centres (MS-NO2). Individual measurements carried out with passive samplers were compared with the corresponding NO2 2-week concentrations obtained as the average of all local (background and traffic) monitoring stations (MS-NO2). A multiple linear regression model was fitted to the data using the 2-week PS-NO2 concentrations as the response variable and questionnaire information and MS-NO2 concentrations as predictors. The model minimizing the root mean square error (RMSE), obtained from a ten-fold cross validation, was selected. Themodel with the best predictive ability included centre, season of the survey, MS-NO2 concentrations, type and age of building, residential area and reported intensity of heavy-duty traffic and explained the 68.9% of the variance. The non-parametric correlation between PS-NO2 and the concentrations estimated by the model is 0.81 (95% CI: 0.77–0.85). This study shows that over short periods (2 weeks) a good prediction of home outdoor exposure to NO2 can be achieved by simply combining routinely collected ecological data with dwelling characteristics and self-reported intensity of heavy traffic. Further studies are needed to extend this prediction to long-termexposure.