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. 2002 Oct;110(10):1025–1029. doi: 10.1289/ehp.021101025

The concentration-response relation between PM(2.5) and daily deaths.

Joel Schwartz 1, Francine Laden 1, Antonella Zanobetti 1
PMCID: PMC1241029  PMID: 12361928

Abstract

Particulate air pollution at commonly occurring concentrations is associated with daily deaths. Recent attention has focused on the shape of the concentration-response curve, particularly at low doses. Several recent articles have reported that particulate matter with aerodynamic diameter < or = 10 microm (PM(10)) was associated with daily deaths with no evidence of a threshold. These reports have used smoothing or spline methods in individual cities and pooled the results across multiple cities to obtain estimates that are more robust. To date, fine particulate matter (aerodynamic diameter Less than or equal to 2.5 microm; PM(2.5)), a component of PM(10), has not been examined in this regard. We examined this association in a hierarchical model in six U.S. cities. In the first stage, we fit log-linear models including smooth functions of PM(2.5) in each city, controlling for season, weather, and day of the week. These smooth functions allowed for nonlinearities in the city-specific associations. We combined the estimated curves across cities using a hierarchical model that allows for heterogeneity. We found an essentially linear relationship down to 2 microg/m(3). The same approach was applied to examine the concentration response to traffic particles, controlling for particles from other sources. Once again, the association showed no sign of a threshold. The magnitude of the association suggests that controlling fine particle pollution would result in thousands of fewer early deaths per year.

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Selected References

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  1. Berkey C. S., Hoaglin D. C., Mosteller F., Colditz G. A. A random-effects regression model for meta-analysis. Stat Med. 1995 Feb 28;14(4):395–411. doi: 10.1002/sim.4780140406. [DOI] [PubMed] [Google Scholar]
  2. Browne M. W. On oblique Procrustes rotation. Psychometrika. 1967 Jun;32(2):125–132. doi: 10.1007/BF02289420. [DOI] [PubMed] [Google Scholar]
  3. Daniels M. J., Dominici F., Samet J. M., Zeger S. L. Estimating particulate matter-mortality dose-response curves and threshold levels: an analysis of daily time-series for the 20 largest US cities. Am J Epidemiol. 2000 Sep 1;152(5):397–406. doi: 10.1093/aje/152.5.397. [DOI] [PubMed] [Google Scholar]
  4. Ferris B. G., Jr, Speizer F. E., Spengler J. D., Dockery D., Bishop Y. M., Wolfson M., Humble C. Effects of sulfur oxides and respirable particles on human health. Methodology and demography of populations in study. Am Rev Respir Dis. 1979 Oct;120(4):767–779. doi: 10.1164/arrd.1979.120.4.767. [DOI] [PubMed] [Google Scholar]
  5. Hoek G., Schwartz J. D., Groot B., Eilers P. Effects of ambient particulate matter and ozone on daily mortality in Rotterdam, The Netherlands. Arch Environ Health. 1997 Nov-Dec;52(6):455–463. doi: 10.1080/00039899709602224. [DOI] [PubMed] [Google Scholar]
  6. Katsouyanni K., Touloumi G., Spix C., Schwartz J., Balducci F., Medina S., Rossi G., Wojtyniak B., Sunyer J., Bacharova L. Short-term effects of ambient sulphur dioxide and particulate matter on mortality in 12 European cities: results from time series data from the APHEA project. Air Pollution and Health: a European Approach. BMJ. 1997 Jun 7;314(7095):1658–1663. doi: 10.1136/bmj.314.7095.1658. [DOI] [PMC free article] [PubMed] [Google Scholar]
  7. Laden F., Neas L. M., Dockery D. W., Schwartz J. Association of fine particulate matter from different sources with daily mortality in six U.S. cities. Environ Health Perspect. 2000 Oct;108(10):941–947. doi: 10.1289/ehp.00108941. [DOI] [PMC free article] [PubMed] [Google Scholar]
  8. Michelozzi P., Forastiere F., Fusco D., Perucci C. A., Ostro B., Ancona C., Pallotti G. Air pollution and daily mortality in Rome, Italy. Occup Environ Med. 1998 Sep;55(9):605–610. doi: 10.1136/oem.55.9.605. [DOI] [PMC free article] [PubMed] [Google Scholar]
  9. Peterson E. W., Howland J. Predicting radon testing among university employees. J Air Waste Manag Assoc. 1996 Jan;46(1):2–11. doi: 10.1080/10473289.1996.10467435. [DOI] [PubMed] [Google Scholar]
  10. Schwartz J. Air pollution and daily mortality: a review and meta analysis. Environ Res. 1994 Jan;64(1):36–52. doi: 10.1006/enrs.1994.1005. [DOI] [PubMed] [Google Scholar]
  11. Schwartz J. Assessing confounding, effect modification, and thresholds in the association between ambient particles and daily deaths. Environ Health Perspect. 2000 Jun;108(6):563–568. doi: 10.1289/ehp.00108563. [DOI] [PMC free article] [PubMed] [Google Scholar]
  12. Schwartz J., Ballester F., Saez M., Pérez-Hoyos S., Bellido J., Cambra K., Arribas F., Cañada A., Pérez-Boillos M. J., Sunyer J. The concentration-response relation between air pollution and daily deaths. Environ Health Perspect. 2001 Oct;109(10):1001–1006. doi: 10.1289/ehp.011091001. [DOI] [PMC free article] [PubMed] [Google Scholar]
  13. Schwartz J., Dockery D. W. Increased mortality in Philadelphia associated with daily air pollution concentrations. Am Rev Respir Dis. 1992 Mar;145(3):600–604. doi: 10.1164/ajrccm/145.3.600. [DOI] [PubMed] [Google Scholar]
  14. Schwartz J. Is there harvesting in the association of airborne particles with daily deaths and hospital admissions? Epidemiology. 2001 Jan;12(1):55–61. doi: 10.1097/00001648-200101000-00010. [DOI] [PubMed] [Google Scholar]
  15. Schwartz J., Zanobetti A. Using meta-smoothing to estimate dose-response trends across multiple studies, with application to air pollution and daily death. Epidemiology. 2000 Nov;11(6):666–672. doi: 10.1097/00001648-200011000-00009. [DOI] [PubMed] [Google Scholar]
  16. Touloumi G., Pocock S. J., Katsouyanni K., Trichopoulos D. Short-term effects of air pollution on daily mortality in Athens: a time-series analysis. Int J Epidemiol. 1994 Oct;23(5):957–967. doi: 10.1093/ije/23.5.957. [DOI] [PubMed] [Google Scholar]
  17. Zanobetti A., Wand M. P., Schwartz J., Ryan L. M. Generalized additive distributed lag models: quantifying mortality displacement. Biostatistics. 2000 Sep;1(3):279–292. doi: 10.1093/biostatistics/1.3.279. [DOI] [PubMed] [Google Scholar]
  18. Zanobetti Antonella, Schwartz Joel, Samoli Evi, Gryparis Alexandros, Touloumi Giota, Atkinson Richard, Le Tertre Alain, Bobros Janos, Celko Martin, Goren Ayana. The temporal pattern of mortality responses to air pollution: a multicity assessment of mortality displacement. Epidemiology. 2002 Jan;13(1):87–93. doi: 10.1097/00001648-200201000-00014. [DOI] [PubMed] [Google Scholar]
  19. Zeger S. L., Dominici F., Samet J. Harvesting-resistant estimates of air pollution effects on mortality. Epidemiology. 1999 Mar;10(2):171–175. [PubMed] [Google Scholar]

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