TY - JOUR
T1 - Long-term exposure to air pollution and mortality from dementia, psychiatric disorders, and suicide in a large pooled European cohort
T2 - ELAPSE study
AU - Andersen, Zorana J.
AU - Zhang, Jiawei
AU - Jørgensen, Jeanette T.
AU - Samoli, Evangelia
AU - Liu, Shuo
AU - Chen, Jie
AU - Strak, Maciej
AU - Wolf, Kathrin
AU - Weinmayr, Gudrun
AU - Rodopolou, Sophia
AU - Remfry, Elizabeth
AU - de Hoogh, Kees
AU - Bellander, Tom
AU - Brandt, Jørgen
AU - Concin, Hans
AU - Zitt, Emanuel
AU - Fecht, Daniela
AU - Forastiere, Francesco
AU - Gulliver, John
AU - Hoffmann, Barbara
AU - Hvidtfeldt, Ulla A.
AU - Monique Verschuren, W. M.
AU - Jöckel, Karl Heinz
AU - So, Rina
AU - Cole-Hunter, Tom
AU - Mehta, Amar J.
AU - Mortensen, Laust H.
AU - Ketzel, Matthias
AU - Lager, Anton
AU - Leander, Karin
AU - Ljungman, Petter
AU - Severi, Gianluca
AU - Boutron-Ruault, Marie Christine
AU - Magnusson, Patrik K.E.
AU - Nagel, Gabriele
AU - Pershagen, Göran
AU - Peters, Annette
AU - Rizzuto, Debora
AU - van der Schouw, Yvonne T.
AU - Schramm, Sara
AU - Stafoggia, Massimo
AU - Katsouyanni, Klea
AU - Brunekreef, Bert
AU - Hoek, Gerard
AU - Lim, Youn Hee
N1 - Publisher Copyright:
© 2022
PY - 2022/12/1
Y1 - 2022/12/1
N2 - Ambient air pollution is an established risk factor for premature mortality from chronic cardiovascular, respiratory and metabolic diseases, while evidence on neurodegenerative diseases and psychiatric disorders remains limited. We examined the association between long-term exposure to air pollution and mortality from dementia, psychiatric disorders, and suicide in seven European cohorts. Within the multicenter project ‘Effects of Low-Level Air Pollution: A Study in Europe’ (ELAPSE), we pooled data from seven European cohorts from six countries. Based on the residential addresses, annual mean levels of fine particulate matter (PM2.5), nitrogen dioxide (NO2), black carbon (BC), ozone (O3), and 8 PM2.5 components were estimated using Europe-wide hybrid land-use regression models. We applied stratified Cox proportional hazard models to investigate the associations between air pollution and mortality from dementia, psychiatric disorders, and suicide. Of 271,720 participants, 900 died from dementia, 241 from psychiatric disorders, and 164 from suicide, during a mean follow-up of 19.7 years. In fully adjusted models, we observed positive associations of NO2 (hazard ratio [HR] = 1.38; 95 % confidence interval [CI]: 1.13, 1.70 per 10 µg/m3), PM2.5 (HR = 1.29; 95 % CI: 0.98, 1.71 per 5 µg/m3), and BC (HR = 1.37; 95 % CI: 1.11, 1.69 per 0.5 × 10−5/m) with psychiatric disorders mortality, as well as with suicide (NO2: HR = 1.13 [95 % CI: 0.92, 1.38]; PM2.5: HR = 1.19 [95 % CI: 0.76, 1.87]; BC: HR = 1.08 [95 % CI: 0.87, 1.35]), and no association with dementia mortality. We did not detect any positive associations of O3 and 8 PM2.5 components with any of the three mortality outcomes. Long-term exposure to NO2, PM2.5, and BC may lead to premature mortality from psychiatric disorders and suicide.
AB - Ambient air pollution is an established risk factor for premature mortality from chronic cardiovascular, respiratory and metabolic diseases, while evidence on neurodegenerative diseases and psychiatric disorders remains limited. We examined the association between long-term exposure to air pollution and mortality from dementia, psychiatric disorders, and suicide in seven European cohorts. Within the multicenter project ‘Effects of Low-Level Air Pollution: A Study in Europe’ (ELAPSE), we pooled data from seven European cohorts from six countries. Based on the residential addresses, annual mean levels of fine particulate matter (PM2.5), nitrogen dioxide (NO2), black carbon (BC), ozone (O3), and 8 PM2.5 components were estimated using Europe-wide hybrid land-use regression models. We applied stratified Cox proportional hazard models to investigate the associations between air pollution and mortality from dementia, psychiatric disorders, and suicide. Of 271,720 participants, 900 died from dementia, 241 from psychiatric disorders, and 164 from suicide, during a mean follow-up of 19.7 years. In fully adjusted models, we observed positive associations of NO2 (hazard ratio [HR] = 1.38; 95 % confidence interval [CI]: 1.13, 1.70 per 10 µg/m3), PM2.5 (HR = 1.29; 95 % CI: 0.98, 1.71 per 5 µg/m3), and BC (HR = 1.37; 95 % CI: 1.11, 1.69 per 0.5 × 10−5/m) with psychiatric disorders mortality, as well as with suicide (NO2: HR = 1.13 [95 % CI: 0.92, 1.38]; PM2.5: HR = 1.19 [95 % CI: 0.76, 1.87]; BC: HR = 1.08 [95 % CI: 0.87, 1.35]), and no association with dementia mortality. We did not detect any positive associations of O3 and 8 PM2.5 components with any of the three mortality outcomes. Long-term exposure to NO2, PM2.5, and BC may lead to premature mortality from psychiatric disorders and suicide.
KW - Air pollution
KW - Dementia
KW - Long-term exposure
KW - Mortality
KW - Psychiatric disorders
KW - Suicide
UR - http://www.scopus.com/inward/record.url?scp=85139849287&partnerID=8YFLogxK
U2 - 10.1016/j.envint.2022.107581
DO - 10.1016/j.envint.2022.107581
M3 - Article
C2 - 36244228
AN - SCOPUS:85139849287
SN - 0160-4120
VL - 170
JO - Environment International
JF - Environment International
M1 - 107581
ER -