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Associations between Unconventional Natural Gas Development and Nasal and Sinus, Migraine Headache, and Fatigue Symptoms in Pennsylvania

 

Credit: Sasha Wolff/WikipediaStudy: Associations between Unconventional Natural Gas Development and Nasal and Sinus, Migraine Headache, and Fatigue Symptoms in Pennsylvania

 

Authors:
Aaron W. Tustin,1 Annemarie G. Hirsch,2 Sara G. Rasmussen,1 Joan A. Casey,3 Karen Bandeen-Roche,4 and Brian S. Schwartz1,2,5

 

Author Affiliations:
1Department of Environmental Health Sciences, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA; 2Center for Health Research, Geisinger Health System, Danville, Pennsylvania, USA; 3Robert Wood Johnson Health and Society Scholars Program, University of California at San Francisco and Berkeley, USA; 4Department of Biostatistics, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA; 5Department of Medicine, Johns Hopkins School of Medicine, Baltimore, Maryland, USA

 

  • Background: Unconventional natural gas development (UNGD) produces environmental contaminants and psychosocial stressors. Despite these concerns, few studies have evaluated the health effects of UNGD.

  • Objectives: We investigated associations between UNGD activity and symptoms in a cross-sectional study in Pennsylvania.

  • Methods: We mailed a self-administered questionnaire to 23,700 adult patients of the Geisinger Clinic. Using standardized and validated questionnaire items, we identified respondents with chronic rhinosinusitis (CRS), migraine headache, and fatigue symptoms. We created a summary UNGD activity metric that incorporated well phase, location, total depth, daily gas production and inverse distance-squared to patient residences. We used logistic regression, weighted for sampling and response rates, to assess associations between quartiles of UNGD activity and outcomes, both alone and in combination.

  • Results: The response rate was 33%. Of 7,785 study participants, 1,850 (24%) had current CRS symptoms, 1,765 (23%) had migraine headache, and 1,930 (25%) had higher levels of fatigue. Among individuals who met criteria for two or more outcomes, adjusted odds ratios for the highest quartile of UNGD activity compared to the lowest were [OR (95% CI)] 1.49 (0.78, 2.85) for CRS plus migraine, 1.88 (1.08, 3.25) for CRS plus fatigue, 1.95 (1.18, 3.21) for migraine plus fatigue, and 1.84 (1.08, 3.14) for all three outcomes together. Significant associations were also present in some models of single outcomes.

  • Conclusions: This study provides evidence that UNGD is associated with nasal and sinus, migraine headache, and fatigue symptoms in a general population representative sample.

Read more on
Environmental Health Perspectives; DOI:10.1289/EHP281
and
Johns Hopkins Bloomberg School of Public Health

 

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