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. 2023 Dec 1;131(12):127003. doi: 10.1289/EHP12141

Table 1.

Characteristics of the study populations 65+ years of age in Medicare, CanCHEC, and ELAPSE cohorts.

Medicare Stacked CanCHEC ELAPSE
Belgian Danish Dutch Norwegian Roman Swiss
Year of enrollment 2000–2016 1991, 1996, 2001 2001 2000 2008 2001 2001 2001
Follow-up
 Start-end 2000–2016 1991–2016 2001–2011 2000–2015 2008–2012 2001–2016 2001–2015 2001–2014
Persons at risk
n 74,493,754 942,600a 1,291,067 697,359 2,314,101 551,962 359,715 945,846
Person-years at risk
n 636,817,430 9,106,200a 10,299,384 6,835,701 10,351,266 5,674,821 3,571,859 9,499,911
All-cause mortality
Rate×1,000 person-years 40.5 51.9 54.5 72.3 46.4 68.0 53.3 54.5
Natural mortalityb
Rate×1,000 person-years 50.3 52.1 70.0 45.1 65.0 51.0 52.4
Sex (%)
 Males 44.6 42.9 45.8 41.9 43.4 41.2 41.6 42.0
 Females 55.4 57.1 54.2 58.1 56.6 58.8 58.4 58.0
Baseline age (years)
Mean±SD 69.2±6.7 70.6±4.6 74.5±6.7 75.2±7.1 74.5±7.1 75.9±7.0 74.6±6.9 74.8±6.9
PM2.5 exposure during follow-up (μg/m3)
Mean±SD 9.8±3.2 8.2±2.6 15.4±1.5 9.9±1.4 15.7±1.4 7.0±1.6 17.8±1.1 16.1±3.1
 5th−95th percentile 5.0–14.5 3.7–12.0 12.3–19.3 6.5–13.1 12.3–18.1 4.2–10.3 14.8–22.4 10.3–21.7
Individual-level SES and ethnicity
Country of origin/ immigration status
 Local/nonimmigrant 74.0 99.2 96.7 87.9
 Foreign/immigrant 26.0 0.8 3.3 12.1
Nationality (%)
 Swiss 93.1
 Non-Swiss 6.9
Mother tongue (%)
 German and Rhaeto-Romansch 69.9
 French 20.8
 Italian 7.3
 Other 2.1
Race (%)
 White 84.1
 Black 8.9
 Asian 1.8
 Hispanic 2.0
 North American Native 0.3
Visible minority status (%)
 Yes 4.9
 No 95.1
Indigenous identity (%)
 Yes 1.1
 No 98.9
Medicaid eligibility (%)
 Eligible 11.6
 Ineligible 88.4
(Household) income in local currency
 Levels Quintiles Deciles Deciles Quartiles
Educational level (%)
 Primary or below 55.2 50.7 48.9 51.0 41.5
 Secondary 37.2 38.8 40.4 37.9c 45.5
 Tertiary 7.5 10.5 10.7 11.1 13.0
Marital status (%)
 Single 5.2 6.1 5.4 7.4 7.0 7.3
 Married 66.7 57.9 58.5 52.3 57.4 58.7
 Divorced/separated 6.0 4.6 7.3 6.3 3.4 6.0
 Widowed 21.7 31.4 28.7 34.0 32.2 28.0
Employment status (%)
 Employed 11.1 0.6 4.5 6.1 3.7 5.4
 Unemployed 0.5 0 0.1 0.1 0.1 0.1
 Homemaker 2.0 30.1 0
 Retired 88.3d 97.4 95.4e 93.8 58.2 94.5

Note: —, no data; CanCHEC, Canadian Census Health and Environment Cohorts; ELAPSE, Effects of Low-Level Air Pollution: A Study in Europe; PM2.5, particulate matter with aerodynamic diameter 2.5μm; SD, standard deviation.

a

Rounded to nearest 100 for confidentiality.

b

Natural mortality was defined by the International Classification of Diseases, 9th revision (ICD-9) or 10th revision (ICD-10) codes: ICD-9: 1–779; ICD-10: A00–R99.

c

Grouped junior high school and high school.

d

Employment status has three classes in CanCHEC: employed, unemployed, and not in the labor force (i.e., persons who left on disability, had retired, or had never worked).

e

Employment status has three classes in the Danish cohort: employed, unemployed, and pensioner (i.e., retired, sick, cash support, student, pension, or others).