Association of short-term exposure to air pollution with mortality in a middle eastern tourist city

This study investigated the association of short-term exposure to PM 10 , PM 2.5 , NO 2 , O 3 , and CO with daily all-cause, cardiovascular, ischemic heart disease (IHD), cerebrovascular, and respiratory deaths in Mashhad, a tourist megacity in Iran (2014–2018). A distributed-lag-day, nonlinear mode...

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Veröffentlicht in:Air quality, atmosphere and health atmosphere and health, 2020-10, Vol.13 (10), p.1223-1234
Hauptverfasser: Khosravi, Tayebeh, Hadei, Mostafa, Hopke, Philip K., Namvar, Zahra, Shahsavani, Abbas, Nazari, Seyed Saeed Hashemi, Querol, Xavier, Rahmatinia, Masoumeh, Alipour, Mohammad Reza, Yarahmadi, Maryam, Kermani, Majid
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container_end_page 1234
container_issue 10
container_start_page 1223
container_title Air quality, atmosphere and health
container_volume 13
creator Khosravi, Tayebeh
Hadei, Mostafa
Hopke, Philip K.
Namvar, Zahra
Shahsavani, Abbas
Nazari, Seyed Saeed Hashemi
Querol, Xavier
Rahmatinia, Masoumeh
Alipour, Mohammad Reza
Yarahmadi, Maryam
Kermani, Majid
description This study investigated the association of short-term exposure to PM 10 , PM 2.5 , NO 2 , O 3 , and CO with daily all-cause, cardiovascular, ischemic heart disease (IHD), cerebrovascular, and respiratory deaths in Mashhad, a tourist megacity in Iran (2014–2018). A distributed-lag-day, nonlinear model (DLNM) and generalized additive model (GAM) based on the quasi-Poisson distribution were used to explore the exposure-lag-day-response associations. The average (± standard deviation) concentrations of PM 10 , PM 2.5 , NO 2 , O 3 , and CO were 67.1 (± 35.5), 29.6 (± 14.2), 57.3 (± 24.1), 55.9 (± 16.9), and 1907.6 (± 1362.7) μg/m 3 , respectively. NO 2 was associated with IHD mortality in lag-days 0 to 0–7, and lag-day 1. The relative risks (RRs) for a 10 μg/m 3 increase in NO 2 ranged from 1.01 (95% CI 0.93, 1.11) at lag-day 0 to 1.04 (95% CI 0.94, 1.16) and 1.03 (95% CI 0.93, 1.14) for lag-day 0–1 (cumulative) and lag-day 1 (non-cumulative), respectively. For all-cause mortality, cumulative exposure to PM 2.5 for lag-day 0–7 (1.07, 95% CI 1.00, 1.15) and non-cumulative exposure to NO 2 at lag-day 6 (1.02, 95% CI 1.00, 1.03) were significant. Exposure to PM 10 (per 10 μg/m 3 ) was significantly associated with respiratory mortality at several lag-days. Adjusting for Ramadan did not significantly affect the results. PM 10 had significant associations with respiratory mortality of people > 65 years old, and men for several lag-days. For IHD, NO 2 affected older people, and men and women over different lag-days. Results of multi-pollutant models were similar to the single-pollutant model outcomes. In conclusion, NO 2 and PM 10 had more significant relationships with adverse health outcomes than the other pollutants.
doi_str_mv 10.1007/s11869-020-00875-x
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A distributed-lag-day, nonlinear model (DLNM) and generalized additive model (GAM) based on the quasi-Poisson distribution were used to explore the exposure-lag-day-response associations. The average (± standard deviation) concentrations of PM 10 , PM 2.5 , NO 2 , O 3 , and CO were 67.1 (± 35.5), 29.6 (± 14.2), 57.3 (± 24.1), 55.9 (± 16.9), and 1907.6 (± 1362.7) μg/m 3 , respectively. NO 2 was associated with IHD mortality in lag-days 0 to 0–7, and lag-day 1. The relative risks (RRs) for a 10 μg/m 3 increase in NO 2 ranged from 1.01 (95% CI 0.93, 1.11) at lag-day 0 to 1.04 (95% CI 0.94, 1.16) and 1.03 (95% CI 0.93, 1.14) for lag-day 0–1 (cumulative) and lag-day 1 (non-cumulative), respectively. For all-cause mortality, cumulative exposure to PM 2.5 for lag-day 0–7 (1.07, 95% CI 1.00, 1.15) and non-cumulative exposure to NO 2 at lag-day 6 (1.02, 95% CI 1.00, 1.03) were significant. Exposure to PM 10 (per 10 μg/m 3 ) was significantly associated with respiratory mortality at several lag-days. Adjusting for Ramadan did not significantly affect the results. PM 10 had significant associations with respiratory mortality of people &gt; 65 years old, and men for several lag-days. For IHD, NO 2 affected older people, and men and women over different lag-days. Results of multi-pollutant models were similar to the single-pollutant model outcomes. 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A distributed-lag-day, nonlinear model (DLNM) and generalized additive model (GAM) based on the quasi-Poisson distribution were used to explore the exposure-lag-day-response associations. The average (± standard deviation) concentrations of PM 10 , PM 2.5 , NO 2 , O 3 , and CO were 67.1 (± 35.5), 29.6 (± 14.2), 57.3 (± 24.1), 55.9 (± 16.9), and 1907.6 (± 1362.7) μg/m 3 , respectively. NO 2 was associated with IHD mortality in lag-days 0 to 0–7, and lag-day 1. The relative risks (RRs) for a 10 μg/m 3 increase in NO 2 ranged from 1.01 (95% CI 0.93, 1.11) at lag-day 0 to 1.04 (95% CI 0.94, 1.16) and 1.03 (95% CI 0.93, 1.14) for lag-day 0–1 (cumulative) and lag-day 1 (non-cumulative), respectively. For all-cause mortality, cumulative exposure to PM 2.5 for lag-day 0–7 (1.07, 95% CI 1.00, 1.15) and non-cumulative exposure to NO 2 at lag-day 6 (1.02, 95% CI 1.00, 1.03) were significant. Exposure to PM 10 (per 10 μg/m 3 ) was significantly associated with respiratory mortality at several lag-days. Adjusting for Ramadan did not significantly affect the results. PM 10 had significant associations with respiratory mortality of people &gt; 65 years old, and men for several lag-days. For IHD, NO 2 affected older people, and men and women over different lag-days. Results of multi-pollutant models were similar to the single-pollutant model outcomes. 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A distributed-lag-day, nonlinear model (DLNM) and generalized additive model (GAM) based on the quasi-Poisson distribution were used to explore the exposure-lag-day-response associations. The average (± standard deviation) concentrations of PM 10 , PM 2.5 , NO 2 , O 3 , and CO were 67.1 (± 35.5), 29.6 (± 14.2), 57.3 (± 24.1), 55.9 (± 16.9), and 1907.6 (± 1362.7) μg/m 3 , respectively. NO 2 was associated with IHD mortality in lag-days 0 to 0–7, and lag-day 1. The relative risks (RRs) for a 10 μg/m 3 increase in NO 2 ranged from 1.01 (95% CI 0.93, 1.11) at lag-day 0 to 1.04 (95% CI 0.94, 1.16) and 1.03 (95% CI 0.93, 1.14) for lag-day 0–1 (cumulative) and lag-day 1 (non-cumulative), respectively. For all-cause mortality, cumulative exposure to PM 2.5 for lag-day 0–7 (1.07, 95% CI 1.00, 1.15) and non-cumulative exposure to NO 2 at lag-day 6 (1.02, 95% CI 1.00, 1.03) were significant. Exposure to PM 10 (per 10 μg/m 3 ) was significantly associated with respiratory mortality at several lag-days. Adjusting for Ramadan did not significantly affect the results. PM 10 had significant associations with respiratory mortality of people &gt; 65 years old, and men for several lag-days. For IHD, NO 2 affected older people, and men and women over different lag-days. Results of multi-pollutant models were similar to the single-pollutant model outcomes. In conclusion, NO 2 and PM 10 had more significant relationships with adverse health outcomes than the other pollutants.</abstract><cop>Dordrecht</cop><pub>Springer Netherlands</pub><doi>10.1007/s11869-020-00875-x</doi><tpages>12</tpages><oa>free_for_read</oa></addata></record>
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subjects Air pollution
Atmospheric Protection/Air Quality Control/Air Pollution
Carbon monoxide
Cardiovascular diseases
Coronary artery disease
Earth and Environmental Science
Environment
Environmental Health
Exposure
Health Promotion and Disease Prevention
Heart diseases
Ischemia
Megacities
Mortality
Nitrogen dioxide
Older people
Particulate matter
Poisson distribution
Pollutants
Risk assessment
Tourists
title Association of short-term exposure to air pollution with mortality in a middle eastern tourist city
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