Table 4.
Association between Ambient Air Pollution and Global Cognitive Decline Across Strata of Risk Factors for Cognitive Decline
NO2 | PM2.5 | PM10 | |||||||
---|---|---|---|---|---|---|---|---|---|
Change in Cognitive Scores1 | 95% CI | p-value2 | Change in Cognitive Scores1 | 95% CI | p-value2 | Change in Cognitive Scores1 | 95% CI | p-value2 | |
Age | |||||||||
< 75 yrs old | −0.080 | −0.11, −0.05 | 0.42 | −0.115 | −0.15, −0.08 | 0.62 | −0.038 | −0.06, −0.02 | 0.22 |
≥ 75 yrs old | −0.083 | −0.11, −0.06 | −0.117 | −0.15, −0.09 | −0.043 | −0.06, −0.02 | |||
Smoking Status | |||||||||
Never Smoker | −0.076 | −0.10, −0.05 | 0.32 | −0.094 | −0.12, −0.07 | 0.61 | −0.048 | −0.07, −0.03 | 0.13 |
Former/Current Smoker | −0.072 | −0.10, −0.05 | −0.092 | −0.12, −0.06 | −0.042 | −0.06, −0.03 | |||
Race-ethnicity | |||||||||
White non-Hispanic | −0.144 | −0.19, −0.09 | --- | −0.171 | −0.23, −0.11 | --- | −0.087 | −0.13, −0.05 | --- |
Black non-Hispanic | −0.110 | −0.16, −0.06 | 0.14 | −0.136 | −0.20, −0.08 | 0.33 | −0.058 | −0.09, −0.02 | 0.26 |
Hispanic | −0.045 | −0.08, −0.01 | 0.02 | −0.050 | −0.09, −0.01 | 0.08 | −0.029 | −0.05, −0.01 | 0.04 |
Sex | |||||||||
Male | −0.08 | −0.10, −0.05 | 0.27 | −0.091 | −0.12, −0.07 | 0.39 | −0.047 | −0.06, −0.03 | 0.22 |
Female | −0.07 | −0.10, −0.05 | −0.094 | −0.12, −0.06 | −0.042 | −0.06. −0.02 |
All models adjusted for individual (age, education, sex, race/ethnicity), neighborhood sociodemographic variables (Census based SES z-score), and a cohort indicator to adjust for secular trends. All models weighted by the product of the IPW and IPCW weights.
Expressed as a standard deviation change in the rate of decline in cognitive score associated with an IQR change in pollutant
p-values for cross-product terms for interaction in the association of air pollutants and cognition