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Long-term exposure to particulate matter and all-cause and cause-specific mortality in an analysis of multiple Asian cohorts

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Titel: Long-term exposure to particulate matter and all-cause and cause-specific mortality in an analysis of multiple Asian cohorts
Autoren: G.S. Downward, P. Hystad, S. Tasmin, S.K. Abe, E Saito, M.S. Rahman, M.R. Islam, P.C. Gupta, N. Sawada, R. Malekzadeh, S.L. You, H. Ahsan, S.K. Park, M.S. Pednekar, S. Tsugane, A. Etemadi, C.J. Chen, A. Shin, Y. Chen, P. Boffetta, K.S. Chia, K. Matsuo, Y.L. Qiao, N. Rothman, W. Zheng, M. Inoue, D. Kang, Q. Lan, R.C.H Vermeulen
Weitere Verfasser: Planetary Health & Exposoom, Cancer, Circulatory Health
Quelle: Environment International, Vol 189, Iss, Pp 108803-(2024)
Verlagsinformationen: Elsevier BV, 2024.
Publikationsjahr: 2024
Schlagwörter: Air Pollutants/analysis, Male, Adult, Lung Diseases, Asia, Lung Neoplasms, Lung Diseases/mortality, Particulate Matter/analysis, Cohort Studies, 03 medical and health sciences, 0302 clinical medicine, Environmental Exposure/statistics & numerical data, SDG 3 - Good Health and Well-being, Air Pollution, Neoplasms, Cause of Death, 11. Sustainability, Humans, GE1-350, Cardiovascular Diseases/mortality, General Environmental Science, Aged, Proportional Hazards Models, Air Pollutants, Environmental Exposure, Middle Aged, Lung Neoplasms/mortality, 16. Peace & justice, SDG 11 - Sustainable Cities and Communities, 3. Good health, Air Pollution/statistics & numerical data, Environmental sciences, Cardiovascular Diseases, 13. Climate action, Particulate Matter, Female, Neoplasms/mortality, ambient air pollution
Beschreibung: Exposure to ambient air pollution is associated with a significant number of deaths. Much of the evidence associating air pollution with adverse effects is from North American and Europe, partially due to incomplete data in other regions limiting location specific examinations. The aim of the current paper is to leverage satellite derived air quality data to examine the relationship between ambient particulate matter and all-cause and cause-specific mortality in Asia.Six cohorts from the Asia Cohort Consortium provided residential information for participants, recruited between 1991 and 2008, across six countries (Bangladesh, India, Iran, Japan, South Korea, and Taiwan). Ambient particulate material (PM2·5) levels for the year of enrolment (or 1998 if enrolled earlier) were assigned utilizing satellite and sensor-based maps. Cox proportional models were used to examine the association between ambient air pollution and all-cause and cause-specific mortality (all cancer, lung cancer, cardiovascular and lung disease). Models were additionally adjusted for urbanicity (representing urban and built characteristics) and stratified by smoking status in secondary analyses. Country-specific findings were pooled via random-effects meta-analysis.More than 300,000 participants across six cohorts were included, representing more than 4-million-person years. A positive relationship was observed between a 5 µg/m (Dockery et al., 1993) increase in PM2·5 and cardiovascular mortality (HR: 1·06, 95 % CI: 0.99, 1·13). The additional adjustment for urbanicity resulted in increased associations between PM2.5 and mortality outcomes, including all-cause mortality (1·04, 95 % CI: 0·97, 1·11). Results were generally similar regardless of whether one was a current, never, or ex-smoker.Using satellite and remote sensing technology we showed that associations between PM2.5 and all-cause and cause-specific Hazard Ratios estimated are similar to those reported for U.S. and European cohorts.This project was supported by the Health Effects Institute. Grant number #4963-RFA/18-5. Specific funding support for individual cohorts is described in the Acknowledgements.
Publikationsart: Article
Dateibeschreibung: application/pdf; application/vnd.openxmlformats-officedocument.wordprocessingml.document
Sprache: English
ISSN: 0160-4120
DOI: 10.1016/j.envint.2024.108803
Zugangs-URL: https://pubmed.ncbi.nlm.nih.gov/38870578
https://doaj.org/article/b05a7ba2c4a844219b9ef0b075ca161e
https://dspace.library.uu.nl/handle/1874/454018
Rights: CC BY
Dokumentencode: edsair.doi.dedup.....9fcb6f9746501d9de872bc5ca64d5a8a
Datenbank: OpenAIRE
Beschreibung
Abstract:Exposure to ambient air pollution is associated with a significant number of deaths. Much of the evidence associating air pollution with adverse effects is from North American and Europe, partially due to incomplete data in other regions limiting location specific examinations. The aim of the current paper is to leverage satellite derived air quality data to examine the relationship between ambient particulate matter and all-cause and cause-specific mortality in Asia.Six cohorts from the Asia Cohort Consortium provided residential information for participants, recruited between 1991 and 2008, across six countries (Bangladesh, India, Iran, Japan, South Korea, and Taiwan). Ambient particulate material (PM2·5) levels for the year of enrolment (or 1998 if enrolled earlier) were assigned utilizing satellite and sensor-based maps. Cox proportional models were used to examine the association between ambient air pollution and all-cause and cause-specific mortality (all cancer, lung cancer, cardiovascular and lung disease). Models were additionally adjusted for urbanicity (representing urban and built characteristics) and stratified by smoking status in secondary analyses. Country-specific findings were pooled via random-effects meta-analysis.More than 300,000 participants across six cohorts were included, representing more than 4-million-person years. A positive relationship was observed between a 5 µg/m (Dockery et al., 1993) increase in PM2·5 and cardiovascular mortality (HR: 1·06, 95 % CI: 0.99, 1·13). The additional adjustment for urbanicity resulted in increased associations between PM2.5 and mortality outcomes, including all-cause mortality (1·04, 95 % CI: 0·97, 1·11). Results were generally similar regardless of whether one was a current, never, or ex-smoker.Using satellite and remote sensing technology we showed that associations between PM2.5 and all-cause and cause-specific Hazard Ratios estimated are similar to those reported for U.S. and European cohorts.This project was supported by the Health Effects Institute. Grant number #4963-RFA/18-5. Specific funding support for individual cohorts is described in the Acknowledgements.
ISSN:01604120
DOI:10.1016/j.envint.2024.108803