TY - JOUR
T1 - Coarse Particulate Air Pollution and Daily Mortality A Global Study in 205 Cities
AU - Liu, Cong
AU - Cai, Jing
AU - Chen, Renjie
AU - Sera, Francesco
AU - Guo, Yuming
AU - Tong, Shilu
AU - Li, Shanshan
AU - Lavigne, Eric
AU - Correa, Patricia Matus
AU - Ortega, Nicolas Valdes
AU - Orru, Hans
AU - Maasikmets, Marek
AU - Jaakkola, Jouni J.K.
AU - Ryti, Niilo
AU - Breitner, Susanne
AU - Schneider, Alexandra
AU - Katsouyanni, Klea
AU - Samoli, Evangelia
AU - Hashizume, Masahiro
AU - Honda, Yasushi
AU - Ng, Chris Fook Sheng
AU - Diaz, Magali Hurtado
AU - De la Cruz Valencia, César
AU - Rao, Shilpa
AU - Palomares, Alfonso Diz Lois
AU - da Silva, Susana Pereira
AU - Madureira, Joana
AU - Holobâc, Iulian Horia
AU - Fratianni, Simona
AU - Scovronick, Noah
AU - Garland, Rebecca M.
AU - Tobias, Aurelio
AU - Iñiguez, Carmén
AU - Forsberg, Bertil
AU - Åstrom, Christofer
AU - Vicedo-Cabrera, Ana Maria
AU - Ragettli, Martina S.
AU - Guo, Yue Liang Leon
AU - Pan, Shih Chun
AU - Milojevic, Ai
AU - Bell, Michelle L.
AU - Zanobetti, Antonella
AU - Schwartz, Joel
AU - Gasparrini, Antonio
AU - Kan, Haidong
N1 - Publisher Copyright:
Copyright © 2022 by the American Thoracic Society.
PY - 2022/10/1
Y1 - 2022/10/1
N2 - Rationale: The associations between ambient coarse particulate matter (PM2.5–10) and daily mortality are not fully understood on a global scale. Objectives: To evaluate the short-term associations between PM2.5–10 and total, cardiovascular, and respiratory mortality across multiple countries/regions worldwide. Methods: We collected daily mortality (total, cardiovascular, and respiratory) and air pollution data from 205 cities in 20 countries/regions. Concentrations of PM2.5–10 were computed as the difference between inhalable and fine PM. A two-stage time-series analytic approach was applied, with overdispersed generalized linear models and multilevel meta-analysis. We fitted two-pollutant models to test the independent effect of PM2.5–10 from copollutants (fine PM, nitrogen dioxide, sulfur dioxide, ozone, and carbon monoxide). Exposure–response relationship curves were pooled, and regional analyses were conducted. Measurements and Main Results: A 10 μg/m3 increase in PM2.5–10 concentration on lag 0–1 day was associated with increments of 0.51% (95% confidence interval [CI], 0.18%–0.84%), 0.43% (95% CI, 0.15%–0.71%), and 0.41% (95% CI, 0.06%–0.77%) in total, cardiovascular, and respiratory mortality, respectively. The associations varied by country and region. These associations were robust to adjustment by all copollutants in two-pollutant models, especially for PM2.5. The exposure–response curves for total, cardiovascular, and respiratory mortality were positive, with steeper slopes at lower exposure ranges and without discernible thresholds. Conclusions: This study provides novel global evidence on the robust and independent associations between short-term exposure to ambient PM2.5–10 and total, cardiovascular, and respiratory mortality, suggesting the need to establish a unique guideline or regulatory limit for daily concentrations of PM2.5–10
AB - Rationale: The associations between ambient coarse particulate matter (PM2.5–10) and daily mortality are not fully understood on a global scale. Objectives: To evaluate the short-term associations between PM2.5–10 and total, cardiovascular, and respiratory mortality across multiple countries/regions worldwide. Methods: We collected daily mortality (total, cardiovascular, and respiratory) and air pollution data from 205 cities in 20 countries/regions. Concentrations of PM2.5–10 were computed as the difference between inhalable and fine PM. A two-stage time-series analytic approach was applied, with overdispersed generalized linear models and multilevel meta-analysis. We fitted two-pollutant models to test the independent effect of PM2.5–10 from copollutants (fine PM, nitrogen dioxide, sulfur dioxide, ozone, and carbon monoxide). Exposure–response relationship curves were pooled, and regional analyses were conducted. Measurements and Main Results: A 10 μg/m3 increase in PM2.5–10 concentration on lag 0–1 day was associated with increments of 0.51% (95% confidence interval [CI], 0.18%–0.84%), 0.43% (95% CI, 0.15%–0.71%), and 0.41% (95% CI, 0.06%–0.77%) in total, cardiovascular, and respiratory mortality, respectively. The associations varied by country and region. These associations were robust to adjustment by all copollutants in two-pollutant models, especially for PM2.5. The exposure–response curves for total, cardiovascular, and respiratory mortality were positive, with steeper slopes at lower exposure ranges and without discernible thresholds. Conclusions: This study provides novel global evidence on the robust and independent associations between short-term exposure to ambient PM2.5–10 and total, cardiovascular, and respiratory mortality, suggesting the need to establish a unique guideline or regulatory limit for daily concentrations of PM2.5–10
KW - air pollution
KW - mortality
KW - multicenter study
KW - PM
KW - time-series study
UR - http://www.scopus.com/inward/record.url?scp=85140144957&partnerID=8YFLogxK
U2 - 10.1164/rccm.202111-2657OC
DO - 10.1164/rccm.202111-2657OC
M3 - Article
C2 - 35671471
AN - SCOPUS:85140144957
SN - 1073-449X
VL - 206
SP - 999
EP - 1007
JO - American Journal of Respiratory and Critical Care Medicine
JF - American Journal of Respiratory and Critical Care Medicine
IS - 8
ER -