Dataset Information

Short-term exposure to PM_2.5 and 1.5 million deaths: a time-stratified case-crossover analysis in the Mexico City Metropolitan Area.

ABSTRACT:

Background

Satellite-based PM_2.5 predictions are being used to advance exposure science and air-pollution epidemiology in developed countries; including emerging evidence about the impacts of PM_2.5 on acute health outcomes beyond the cardiovascular and respiratory systems, and the potential modifying effects from individual-level factors in these associations. Research on these topics is lacking in low and middle income countries. We aimed to explore the association between short-term exposure to PM_2.5 with broad-category and cause-specific mortality outcomes in the Mexico City Metropolitan Area (MCMA), and potential effect modification by age, sex, and SES characteristics in such associations.

Methods

We used a time-stratified case-crossover study design with 1,479,950 non-accidental deaths from the MCMA for the period of 2004-2019. Daily 1 × 1 km PM_2.5 (median = 23.4 μg/m³; IQR = 13.6 μg/m³) estimates from our satellite-based regional model were employed for exposure assessment at the sub-municipality level. Associations between PM_2.5 with broad-category (organ-system) and cause-specific mortality outcomes were estimated with distributed lag conditional logistic models. We also fit models stratifying by potential individual-level effect modifiers including; age, sex, and individual SES-related characteristics namely: education, health insurance coverage, and job categories. Odds ratios were converted into percent increase for ease of interpretation.

Results

PM_2.5 exposure was associated with broad-category mortality outcomes, including all non-accidental, cardiovascular, cerebrovascular, respiratory, and digestive mortality. A 10-μg/m³ PM_2.5 higher cumulative exposure over one week (lag₀₆) was associated with higher cause-specific mortality outcomes including hypertensive disease [2.28% (95%CI: 0.26%-4.33%)], acute ischemic heart disease [1.61% (95%CI: 0.59%-2.64%)], other forms of heart disease [2.39% (95%CI: -0.35%-5.20%)], hemorrhagic stroke [3.63% (95%CI: 0.79%-6.55%)], influenza and pneumonia [4.91% (95%CI: 2.84%-7.02%)], chronic respiratory disease [2.49% (95%CI: 0.71%-4.31%)], diseases of the liver [1.85% (95%CI: 0.31%-3.41%)], and renal failure [3.48% (95%CI: 0.79%-6.24%)]. No differences in effect size of associations were observed between age, sex and SES strata.

Conclusions

Exposure to PM_2.5 was associated with non-accidental, broad-category and cause-specific mortality outcomes beyond the cardiovascular and respiratory systems, including specific death-causes from the digestive and genitourinary systems, with no indication of effect modification by individual-level characteristics.

SUBMITTER: Gutierrez-Avila I

PROVIDER: S-EPMC10580614 | biostudies-literature | 2023 Oct

REPOSITORIES: biostudies-literature

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Publications

Short-term exposure to PM<sub>2.5</sub> and 1.5 million deaths: a time-stratified case-crossover analysis in the Mexico City Metropolitan Area.

Gutiérrez-Avila Iván I Riojas-Rodríguez Horacio H Colicino Elena E Rush Johnathan J Tamayo-Ortiz Marcela M Borja-Aburto Víctor Hugo VH Just Allan C AC

Environmental health : a global access science source 20231017 1

<h4>Background</h4>Satellite-based PM<sub>2.5</sub> predictions are being used to advance exposure science and air-pollution epidemiology in developed countries; including emerging evidence about the impacts of PM<sub>2.5</sub> on acute health outcomes beyond the cardiovascular and respiratory systems, and the potential modifying effects from individual-level factors in these associations. Research on these topics is lacking in low and middle income countries. We aimed to explore the association ...[more]

PMID: 37848890

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Project description:BackgroundSatellite-based PM2.5 predictions are being used to advance exposure science and air-pollution epidemiology in developed countries; including emerging evidence about the impacts of PM2.5 on acute health outcomes beyond the cardiovascular and respiratory systems, and the potential modifying effects from individual-level factors in these associations. Research on these topics is lacking in Latin America.MethodsWe used a time-stratified case-crossover study design with 1,479,950 non-accidental deaths from Mexico City Metropolitan Area for the period of 2004-2019. Daily 1×1 km PM2.5 (median=23.4 μg/m3; IQR=13.6 μg/m3) estimates from our satellite-based regional model were employed for exposure assessment at the sub-municipality level. Associations between PM2.5 with broad-category (organ-system) and cause-specific mortality outcomes were estimated with distributed lag conditional logistic models. We also fit models stratifying by potential individual-level effect modifiers including; age, sex, and individual SES-related characteristics namely: education, health insurance coverage, and job categories.ResultsPM2.5 exposure was associated with higher total non-accidental, cardiovascular, cerebrovascular, respiratory, and digestive mortality. A 10-μg/m3 PM2.5 higher cumulative exposure over one week (lag06) was associated with higher cause-specific mortality outcomes including hypertensive disease [2.28% (95%CI: 0.26%-4.33%)], acute ischemic heart disease [1.61% (95%CI: 0.59%-2.64%)], other forms of heart disease [2.39% (95%CI: -0.35%-5.20%)], hemorrhagic stroke [3.63% (95%CI: 0.79%-6.55%)], influenza and pneumonia [4.91% (95%CI: 2.84%-7.02%)], chronic respiratory disease [2.49% (95%CI: 0.71%-4.31%)], diseases of the liver [1.85% (95%CI: 0.31%-3.41%)], and renal failure [3.48% (95%CI: 0.79%-6.24%)]. No differences in effect size of associations were observed between SES strata.ConclusionsExposure to PM2.5 was associated with mortality outcomes beyond the cardiovascular and respiratory systems, including specific death-causes from the digestive and genitourinary systems, with no indications of effect modification by individual SES-related characteristics.

Project description:We quantify the contributions of long-range and regionally transported aerosols to ambient primary PM2.5 and PM10 in a representative United States industrialized/urban atmosphere via detailed elemental analysis and chemical mass balance (CMB) modeling after identifying their presence using a variety of publicly available satellite data/information, software products, and synoptic-scale aerosol models. A year-long study in Houston, Texas identified North African dust as the principal long-range global source of primary particulate matter (PM). CMB estimated transatlantic dust from the Sahara-Sahel region to be dominant in the summer months contributing an average of 3.5 μg m-3 to PM2.5 and 7.9 μg m-3 to PM10 during May-August, i.e., the active Saharan dust season. Biomass burning was the chief source of regionally transported PM impacting air quality on different occasions throughout the year depending on the fire location. Four major biomass combustion events affecting air quality in Texas were calculated to contribute an average of 1.3 μg m-3 to PM2.5 and 1.4 μg m-3 to PM10 in corresponding samples whose origins were tracked to Canada, southeastern states of USA, and Central America using fire maps, HYSPLIT back trajectories, and the Navy Aerosol Analysis and Prediction System global aerosol model. Elemental concentrations and signature ratios revealed significant mixing of potassium, rare earth metals, and vanadium from proximal and distal crustal (natural) sources with anthropogenically emitted PM. This demonstrates the need to isolate the non-mineral components of these metals to employ them as tracers for primary PM emitted by biomass burning, petroleum refineries, and oil combustion. Transboundary contributions to primary PM2.5 were 1.5 μg m-3 and 3.1 μg m-3 to PM10 adding 16% to annual average mass concentration of both size fractions demonstrating that local sources were primarily responsible for ambient air quality with non-trivial contributions from international and interstate sources. Rigorously identifying and quantifying aerosol sources assists in improving air quality management policies designed to protect public health and comply with ever-decreasing federal PM standards that allow state agencies to exclude contributions that are not reasonably controllable or preventable from regulatory decisions and actions.

Project description:BackgroundChildhood exposure to air pollution has been linked with maladaptive cognitive development; however, less is known about the association between prenatal fine particulate matter (PM2.5) exposure and childhood behavior.ObjectivesOur aim was to assess the association between prenatal PM2.5 exposure and behavioral development in 4-6 year old children residing in Mexico City.MethodsWe used data from 539 mother-child pairs enrolled in a prospective birth cohort in Mexico City. We estimated daily PM2.5 exposure using a 1 km2 satellite-based exposure model and averaged over each trimester of pregnancy. We assessed childhood behavior at 4-6 years of age using the parent-completed Behavioral Assessment Scale for Children (BASC-2) composite scores and subscales. We used linear regression models to estimate change in BASC-2 T-scores with trimester specific 5-μg/m3 increases in PM2.5. All models were mutually adjusted for PM2.5 exposures during the other trimesters, maternal factors including age, education, socioeconomic status, depression, and IQ, child's age at study visit, and season. We additionally assessed sex-specific effects by including an interaction term between PM2.5 and sex.ResultsHigher first trimester PM2.5 exposure was associated with reduced Adaptive Skills scores (β: -1.45, 95% CI: -2.60, -0.30). Lower scores on the Adaptive Skills composite score and subscales indicate poorer functioning. For PM2.5 exposure during the first trimester, decrements were consistent across adaptive subscale scores including Adaptability (β: -1.51, 95% CI: -2.72, -0.30), Social Skills (β: -1.63, 95% CI: -2.90, -0.36), and Functional Communication (β: -1.21, 95% CI: -2.21, -0.21). The association between 1st trimester PM2.5 and depression was stronger in males than females (β for males: 1.52, 95% CI: -0.41, 3.45; β for females: -0.13, 95% CI: -1.99, 1.72; p-int: 0.07).ConclusionsExposure to PM2.5 during early pregnancy may be associated with impaired behavioral development in children, particularly for measures of adaptive skills. These results suggest that air pollution impacts behavioral domains as well as cognition, and that the timing of exposure may be critical.

Project description:IntroductionDespite the London Underground (LU) handling on average 2.8 million passenger journeys per day, the characteristics and potential health effects of the elevated concentrations of metal-rich PM2.5 found in this subway system are not well understood.MethodsSpatial monitoring campaigns were carried out to characterise the health-relevant chemical and physical properties of PM2.5 across the LU network, including diurnal and day-to-day variability and spatial distribution (above ground, depth below ground and subway line). Population-weighted station PM2.5 rankings were produced to understand the relative importance of concentrations at different stations and on different lines.ResultsThe PM2.5 mass in the LU (mean 88 μg m-3, median 28 μg m-3) was greater than at ambient background locations (mean 19 μg m-3, median 14 μg m-3) and roadside environments in central London (mean 22 μg m-3, median 14 μg m-3). Concentrations varied between lines and locations, with the deepest and shallowest submerged lines being the District (median 4 μg m-3) and Victoria (median 361 μg m-3 but up to 885 μg m-3). Broadly in agreement with other subway systems around the world, sampled LU PM2.5 comprised 47% iron oxide, 7% elemental carbon, 11% organic carbon, and 14% metallic and mineral oxides. Although a relationship between line depth and air quality inside the tube trains was evident, there were clear influences relating to the distance from cleaner outside air and the exchange with cabin air when the doors open. The passenger population-weighted exposure analysis demonstrated a method to identify stations that should be prioritised for remediation to improve air quality.ConclusionPM2.5 concentrations in the LU are many times higher than in other London transport Environments. Failure to include this environment in epidemiological studies of the relationship between PM2.5 and health in London is therefore likely to lead to a large exposure misclassification error. Given the significant contribution of underground PM2.5 to daily exposure, and the differences in composition compared to urban PM2.5, there is a clear need for well-designed studies to better understand the health effects of underground exposure.

Dataset Information

Short-term exposure to PM_2.5 and 1.5 million deaths: a time-stratified case-crossover analysis in the Mexico City Metropolitan Area.

Background

Methods

Results

Conclusions

Publications

Short-term exposure to PM<sub>2.5</sub> and 1.5 million deaths: a time-stratified case-crossover analysis in the Mexico City Metropolitan Area.

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Dataset Information

Short-term exposure to PM2.5 and 1.5 million deaths: a time-stratified case-crossover analysis in the Mexico City Metropolitan Area.

Background

Methods

Results

Conclusions

Publications

Short-term exposure to PM<sub>2.5</sub> and 1.5 million deaths: a time-stratified case-crossover analysis in the Mexico City Metropolitan Area.

Similar Datasets

OmicsDI is part of the ELIXIR infrastructure

Tweets

Short-term exposure to PM_2.5 and 1.5 million deaths: a time-stratified case-crossover analysis in the Mexico City Metropolitan Area.