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Am. J. Respir. Crit. Care Med., Vol 151, No. 3, 03 1995, 669-674.

Particulate air pollution as a predictor of mortality in a prospective study of U.S. adults

CA Pope 3rd, MJ Thun, MM Namboodiri, DW Dockery, JS Evans, FE Speizer and CW Heath Jr
Department of Environmental Health, Harvard School of Public Health, Boston, Massachusetts.

Time-series, cross-sectional, and prospective cohort studies have observed associations between mortality and particulate air pollution but have been limited by ecologic design or small number of subjects or study areas. The present study evaluates effects of particulate air pollution on mortality using data from a large cohort drawn from many study areas. We linked ambient air pollution data from 151 U.S. metropolitan areas in 1980 with individual risk factor on 552,138 adults who resided in these areas when enrolled in a prospective study in 1982. Deaths were ascertained through December, 1989. Exposure to sulfate and fine particulate air pollution, which is primarily from fossil fuel combustion, was estimated from national data bases. The relationships of air pollution to all-cause, lung cancer, and cardiopulmonary mortality was examined using multivariate analysis which controlled for smoking, education, and other risk factors. Although small compared with cigarette smoking, an association between mortality and particulate air pollution was observed. Adjusted relative risk ratios (and 95% confidence intervals) of all-cause mortality for the most polluted areas compared with the least polluted equaled 1.15 (1.09 to 1.22) and 1.17 (1.09 to 1.26) when using sulfate and fine particulate measures respectively. Particulate air pollution was associated with cardiopulmonary and lung cancer mortality but not with mortality due to other causes. Increased mortality is associated with sulfate and fine particulate air pollution at levels commonly found in U.S. cities. The increase in risk is not attributable to tobacco smoking, although other unmeasured correlates of pollution cannot be excluded with certainty.


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Am. J. Respir. Crit. Care Med.Home page
P. H. N. Saldiva, R. W. Clarke, B. A. Coull, R. C. Stearns, J. Lawrence, G. G. K. Murthy, E. Diaz, P. Koutrakis, H. Suh, A. Tsuda, et al.
Lung Inflammation Induced by Concentrated Ambient Air Particles Is Related to Particle Composition
Am. J. Respir. Crit. Care Med., June 15, 2002; 165(12): 1610 - 1617.
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Eur Respir JHome page
F. Horak Jr, M. Studnicka, C. Gartner, J.D. Spengler, E. Tauber, R. Urbanek, A. Veiter, and T. Frischer
Particulate matter and lung function growth in children: a 3-yr follow-up study in Austrian schoolchildren
Eur. Respir. J., May 1, 2002; 19(5): 838 - 845.
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CMAJHome page
A. Abelsohn, D. Stieb, M. D. Sanborn, and E. Weir
Identifying and managing adverse environmental health effects: 2. Outdoor air pollution
Can. Med. Assoc. J., April 1, 2002; 166(9): 1161 - 1167.
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J Am Coll CardiolHome page
S. A. Glantz
Air pollution as a cause of heart disease: Time for action
J. Am. Coll. Cardiol., March 20, 2002; 39(6): 943 - 945.
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JAMAHome page
C. A. Pope III, R. T. Burnett, M. J. Thun, E. E. Calle, D. Krewski, K. Ito, and G. D. Thurston
Lung Cancer, Cardiopulmonary Mortality, and Long-term Exposure to Fine Particulate Air Pollution
JAMA, March 6, 2002; 287(9): 1132 - 1141.
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Occup. Environ. Med.Home page
J G Ayres
Chronic effects of air pollution
Occup. Environ. Med., March 1, 2002; 59(3): 147 - 148.
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Occup. Environ. Med.Home page
F W Lipfert and S C Morris
Temporal and spatial relations between age specific mortality and ambient air quality in the United States: regression results for counties, 1960-97
Occup. Environ. Med., March 1, 2002; 59(3): 156 - 174.
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J. Immunol.Home page
M. J. Whitekus, N. Li, M. Zhang, M. Wang, M. A. Horwitz, S. K. Nelson, L. D. Horwitz, N. Brechun, D. Diaz-Sanchez, and A. E. Nel
Thiol Antioxidants Inhibit the Adjuvant Effects of Aerosolized Diesel Exhaust Particles in a Murine Model for Ovalbumin Sensitization
J. Immunol., March 1, 2002; 168(5): 2560 - 2567.
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Research on AgingHome page
R. Andel and P. S. Liebig
The City of Laguna Woods: A Case of Senior Power in Local Politics
Research on Aging, January 1, 2002; 24(1): 87 - 105.
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Am. J. Respir. Crit. Care Med.Home page
A. NEMMAR, H. VANBILLOEN, M. F. HOYLAERTS, P. H. M. HOET, A. VERBRUGGEN, and B. NEMERY
Passage of Intratracheally Instilled Ultrafine Particles from the Lung into the Systemic Circulation in Hamster
Am. J. Respir. Crit. Care Med., November 1, 2001; 164(9): 1665 - 1668.
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Am. J. Respir. Cell Mol. Bio.Home page
T. Fujii, S. Hayashi, J. C. Hogg, R. Vincent, and S. F. Van Eeden
Particulate Matter Induces Cytokine Expression in Human Bronchial Epithelial Cells
Am. J. Respir. Cell Mol. Biol., September 1, 2001; 25(3): 265 - 271.
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Am. J. Physiol. Regul. Integr. Comp. Physiol.Home page
Y. Kumagai, T. Hayashi, T. Miyauchi, A. Endo, A. Iguchi, M. Kiriya-Sakai, S. Sakai, K. Yuki, M. Kikushima, and N. Shimojo
Phenanthraquinone inhibits eNOS activity and suppresses vasorelaxation
Am J Physiol Regulatory Integrative Comp Physiol, July 1, 2001; 281(1): R25 - R30.
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Toxicol Ind HealthHome page
C. Timchalk, H. E Trease, L. L Trease, K. R Minard, and R. A Corley
Potential technology for studying dosimetry and response to airborne chemical and biological pollutants
Toxicology and Industrial Health, June 1, 2001; 17(5-10): 270 - 276.
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Am J EpidemiolHome page
N. Kunzli, S. Medina, R. Kaiser, P. Quenel, F. Horak Jr., and M. Studnicka
Assessment of Deaths Attributable to Air Pollution: Should We Use Risk Estimates based on Time Series or on Cohort Studies?
Am. J. Epidemiol., June 1, 2001; 153(11): 1050 - 1055.
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Eur Respir JHome page
J.M. Anto, P. Vermeire, J. Vestbo, and J. Sunyer
Epidemiology of chronic obstructive pulmonary disease
Eur. Respir. J., May 1, 2001; 17(5): 982 - 994.
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Eur Respir JHome page
J. Sunyer
Urban air pollution and chronic obstructive pulmonary disease: a review
Eur. Respir. J., May 1, 2001; 17(5): 1024 - 1033.
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MutagenesisHome page
N. Sera, K. Fukuhara, N. Miyata, and H. Tokiwa
Micronucleus induction and chromosomal aberration of 1- and 3-nitroazabenzo[a]pyrene and their N-oxides
Mutagenesis, May 1, 2001; 16(3): 183 - 187.
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Am. J. Respir. Cell Mol. Bio.Home page
S. Kawasaki, H. Takizawa, K. Takami, M. Desaki, H. Okazaki, T. Kasama, K. Kobayashi, K. Yamamoto, K. Nakahara, M. Tanaka, et al.
Benzene-Extracted Components Are Important for the Major Activity of Diesel Exhaust Particles . Effect on Interleukin-8 Gene Expression in Human Bronchial Epithelial Cells
Am. J. Respir. Cell Mol. Biol., April 1, 2001; 24(4): 419 - 426.
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ThoraxHome page
P Aylin, A Bottle, J Wakefield, L Jarup, and P Elliott
Proximity to coke works and hospital admissions for respiratory and cardiovascular disease in England and Wales
Thorax, March 1, 2001; 56(3): 228 - 233.
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Am. J. Respir. Cell Mol. Bio.Home page
R. C. Stearns, J. D. Paulauskis, and J. J. Godleski
Endocytosis of Ultrafine Particles by A549 Cells
Am. J. Respir. Cell Mol. Biol., February 1, 2001; 24(2): 108 - 115.
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