Associations of fine particulate matter species with mortality in the United States: a multicity time-series analysis

Dai, L; Zanobetti, A; Koutrakis, P; Schwartz, JD

HERO ID

2347427

Reference Type

Journal Article

Year

2014

Language

English

PMID

24800826

HERO ID 2347427
In Press No
Year 2014
Title Associations of fine particulate matter species with mortality in the United States: a multicity time-series analysis
Authors Dai, L; Zanobetti, A; Koutrakis, P; Schwartz, JD
Journal Environmental Health Perspectives
Volume 122
Issue 8
Page Numbers 837-842
Abstract <strong>BACKGROUND: </strong>Epidemiological studies have examined the association between PM2.5 and mortality, but there remains uncertainty about the seasonal variations in PM2.5-related effects and the relative importance of species.<br /><br /><strong>OBJECTIVES: </strong>to estimate the effects of PM2.5 species on mortality and how infiltration rates may modify the association.<br /><br /><strong>METHODS: </strong>Using city-season specific Poisson regression, we estimated PM2.5 effects on approximately 4.5 million deaths for all causes, CVD, MI, stroke, and respiratory diseases in 75 U.S. cities for 2000-2006. We added interaction terms between PM2.5 and monthly average species-to-PM2.5 proportions of individual species to determine the relative toxicity of each species. We combined results across cities using multivariate meta-regression, and controlled for infiltration.<br /><br /><strong>RESULTS: </strong>We estimated a 1.18% [95% confidence interval (CI): 0.93, 1.44%] increase in all-cause mortality, a 1.03% (95% CI: 0.65, 1.41%) increase in CVD, a 1.22% (95% CI: 0.62, 1.82%) increase in MI, a 1.76% (95% CI: 1.01, 2.52%) increase in stroke, and a 1.71% (95% CI: 1.06, 2.35%) increase in respiratory deaths in association with a 10-µg/m(3) increase in 2-day averaged PM2.5 concentration. The associations were largest in the spring. Silicon, calcium, and sulfur were associated with more all-cause mortality, while sulfur was related to more respiratory deaths. County-level smoking and alcohol were associated with larger estimated PM2.5 effects.<br /><br /><strong>CONCLUSIONS: </strong>Our study showed an increased risk of mortality associated with PM2.5, which varied with seasons and species. The results suggest that mass alone might not be sufficient to evaluate the health effects of particles.
Doi 10.1289/ehp.1307568
Pmid 24800826
Wosid WOS:000341713800020
Is Certified Translation No
Dupe Override No
Is Public Yes
Language Text English
Keyword Air Pollution/adverse effects; Environmental Exposure/adverse effects; Mortality; Particulate Matter/adverse effects; United States
Is Peer Review Yes