Factors Related to Club Cell Protein 16 (CC16) and Quality of Life in Northern Thailand
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Creator 1. Sawitree Nangola
2. Sakesun Thongtip
3. Somphot Saoin
4. Chiraphat Kloypan
5. Sittichai Pimonsree
6. Kraichat Tantrakarnapa
Title Factors Related to Club Cell Protein 16 (CC16) and Quality of Life in Northern Thailand
Publisher Thai Society of Higher Education Institutes on Environment
Publication Year 2566
Journal Title EnvironmentAsia
Journal Vol. 16
Journal No. 1
Page no. 169-183
Keyword Club cell protein16 (CC16), Air pollution, PM10, PM2.5, Quality of life (QoL)
URL Website http://www.tshe.org/ea/index.html
Website title EnvironmentAsia
ISSN 1906-1722
Abstract Exposure to poor air quality can cause adverse health effects, especially club cell protein16 (CC16) as potential marker for a lung injury, and a reduced quality of life (QoL). Thisstudy aimed to evaluate factors related to CC16 and QoL among people living near the airquality monitoring stations in Northern Thailand. A cross-sectional study was conducted.A total of 240 individuals were recruited. Data was collected using structured 36-itemshort-form survey (SF-36) questionnaires. Air quality was measured using air qualitymonitoring stations by the Pollution Control Department (PCD), Thailand. Diseases andrelated health problems were defined using the International Classification of DiseasesICD-10) by the Information and Communication Technology Center, Thailand. Venousblood was collected and analyzed for serum CC16 by medical laboratory technicians.The daily PM10 and PM2.5 concentrations were significantly positively associated withI00-I99 and J00-J99.8. The mean ? SD of serum CC16 levels in participants under60 years old was 5.33 ? 4.24 ng/ml, which was significantly lower than 10.01 ? 6.91 ng/mlin participants 60 years and older (p value < 0.001). The serum CC16 level wassignificantly associated with physical health (PH), mental health (MH), and overallQoL. Multiple linear regression analysis showed that an increase in serum CC16level was associated with a decrease in overall QoL after adjusting for confoundingvariables. Concerned agencies should provide policymakers and health promotioninterventions for reducing pollution exposure and self-protective behaviors toprevent airway inflammatory responses, chronic respiratory diseases, and poor QoL.
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