Short term associations of ambient nitrogen dioxide with daily total, cardiovascular, and respiratory mortality: multilocation analysis in 398 cities

dc.bibliographicCitation.firstPagen534eng
dc.bibliographicCitation.volume372eng
dc.contributor.authorMeng, Xia
dc.contributor.authorLiu, Cong
dc.contributor.authorChen, Renjie
dc.contributor.authorSera, Francesco
dc.contributor.authorVicedo-Cabrera, Ana Maria
dc.contributor.authorMilojevic, Ai
dc.contributor.authorGuo, Yuming
dc.contributor.authorTong, Shilu
dc.contributor.authorCoelho, Micheline de Sousa Zanotti Stagliorio
dc.contributor.authorSaldiva, Paulo Hilario Nascimento
dc.contributor.authorLavigne, Eric
dc.contributor.authorCorrea, Patricia Matus
dc.contributor.authorOrtega, Nicolas Valdes
dc.contributor.authorOsorio, Samuel
dc.contributor.authorGarcia, null
dc.contributor.authorKyselý, Jan
dc.contributor.authorUrban, Aleš
dc.contributor.authorOrru, Hans
dc.contributor.authorMaasikmets, Marek
dc.contributor.authorJaakkola, Jouni J. K.
dc.contributor.authorRyti, Niilo
dc.contributor.authorHuber, Veronika
dc.contributor.authorSchneider, Alexandra
dc.contributor.authorKatsouyanni, Klea
dc.contributor.authorAnalitis, Antonis
dc.contributor.authorHashizume, Masahiro
dc.contributor.authorHonda, Yasushi
dc.contributor.authorNg, Chris Fook Sheng
dc.contributor.authorNunes, Baltazar
dc.contributor.authorTeixeira, João Paulo
dc.contributor.authorHolobaca, Iulian Horia
dc.contributor.authorFratianni, Simona
dc.contributor.authorKim, Ho
dc.contributor.authorTobias, Aurelio
dc.contributor.authorÍñiguez, Carmen
dc.contributor.authorForsberg, Bertil
dc.contributor.authorÅström, Christofer
dc.contributor.authorRagettli, Martina S.
dc.contributor.authorGuo, Yue-Liang Leon
dc.contributor.authorPan, Shih-Chun
dc.contributor.authorLi, Shanshan
dc.contributor.authorBell, Michelle L.
dc.contributor.authorZanobetti, Antonella
dc.contributor.authorSchwartz, Joel
dc.contributor.authorWu, Tangchun
dc.contributor.authorGasparrini, Antonio
dc.contributor.authorKan, Haidong
dc.date.accessioned2022-04-21T07:20:30Z
dc.date.available2022-04-21T07:20:30Z
dc.date.issued2021
dc.description.abstractObjective To evaluate the short term associations between nitrogen dioxide (NO2) and total, cardiovascular, and respiratory mortality across multiple countries/regions worldwide, using a uniform analytical protocol. Design Two stage, time series approach, with overdispersed generalised linear models and multilevel meta-analysis. Setting 398 cities in 22 low to high income countries/regions. Main outcome measures Daily deaths from total (62.8 million), cardiovascular (19.7 million), and respiratory (5.5 million) causes between 1973 and 2018. Results On average, a 10 μg/m3 increase in NO2 concentration on lag 1 day (previous day) was associated with 0.46% (95% confidence interval 0.36% to 0.57%), 0.37% (0.22% to 0.51%), and 0.47% (0.21% to 0.72%) increases in total, cardiovascular, and respiratory mortality, respectively. These associations remained robust after adjusting for co-pollutants (particulate matter with aerodynamic diameter ≤10 μm or ≤2.5 μm (PM10 and PM2.5, respectively), ozone, sulfur dioxide, and carbon monoxide). The pooled concentration-response curves for all three causes were almost linear without discernible thresholds. The proportion of deaths attributable to NO2 concentration above the counterfactual zero level was 1.23% (95% confidence interval 0.96% to 1.51%) across the 398 cities. Conclusions This multilocation study provides key evidence on the independent and linear associations between short term exposure to NO2 and increased risk of total, cardiovascular, and respiratory mortality, suggesting that health benefits would be achieved by tightening the guidelines and regulatory limits of NO2.eng
dc.description.versionpublishedVersioneng
dc.identifier.urihttps://oa.tib.eu/renate/handle/123456789/8760
dc.identifier.urihttps://doi.org/10.34657/7798
dc.language.isoengeng
dc.publisherLondon : BMJ Publ. Groupeng
dc.relation.doihttps://doi.org/10.1136/bmj.n534
dc.relation.essn1756-1833
dc.relation.ispartofseriesThe BMJ 372 (2021)eng
dc.rights.licenseCC BY-NC 4.0 Unportedeng
dc.rights.urihttps://creativecommons.org/licenses/by-nc/4.0/eng
dc.subjectcarbon monoxideeng
dc.subjectnitrogen dioxideeng
dc.subjectozoneeng
dc.subjectsulfur dioxideeng
dc.subjectnitrogen dioxideeng
dc.subjectair pollutanteng
dc.subjectair qualityeng
dc.subjectambient aireng
dc.subjectArticleeng
dc.subjectcardiovascular mortalityeng
dc.subjectconcentration (parameter)eng
dc.subjectcontrolled studyeng
dc.subjectenvironmental exposureeng
dc.subjecthigh income countryeng
dc.subjecthumaneng
dc.subjectlow income countryeng
dc.subjectmajor clinical studyeng
dc.subjectmortality rateeng
dc.subjectparticulate mattereng
dc.subjectpractice guidelineeng
dc.subjectpriority journaleng
dc.subjectrespiratory tract diseaseeng
dc.subjectrisk factoreng
dc.subjecttime series analysiseng
dc.subjectadverse eventeng
dc.subjectair pollutioneng
dc.subjectcardiovascular diseaseeng
dc.subjectcityeng
dc.subjectdeveloping countryeng
dc.subjectglobal healtheng
dc.subjectmortalityeng
dc.subjectrespiratory tract diseaseeng
dc.subjectstatistical modeleng
dc.subjecttoxicityeng
dc.subjecturban healtheng
dc.subjectAir Pollutantseng
dc.subjectAir Pollutioneng
dc.subjectCardiovascular Diseaseseng
dc.subjectCitieseng
dc.subjectDeveloped Countrieseng
dc.subjectDeveloping Countrieseng
dc.subjectEnvironmental Exposureeng
dc.subjectGlobal Healtheng
dc.subjectHumanseng
dc.subjectLinear Modelseng
dc.subjectNitrogen Dioxideeng
dc.subjectRespiratory Tract Diseaseseng
dc.subjectUrban Healtheng
dc.subject.ddc610eng
dc.titleShort term associations of ambient nitrogen dioxide with daily total, cardiovascular, and respiratory mortality: multilocation analysis in 398 citieseng
dc.typearticleeng
dc.typeTexteng
dcterms.bibliographicCitation.journalTitleThe BMJeng
tib.accessRightsopenAccesseng
wgl.contributorIAPeng
wgl.contributorPIKeng
wgl.subjectMedizin, Gesundheiteng
wgl.typeZeitschriftenartikeleng
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