Background:Short-term exposure to ambient fine particulate matter (PM2.5) concentrations has been associated with increased mortality and morbidity. Determining which sources of PM2.5 are most toxic can help guide targeted reduction of PM2.5. However, conducting multicity epidemiologic studies of sources is difficult because source-specific PM2.5 is not directly measured, and source chemical compositions can vary between cities.Objectives:We determined how the chemical composition of primary ambient PM2.5 sources varies across cities. We estimated associations between source-specific PM2.5 and respiratory disease emergency department (ED) visits and examined between-city heterogeneity in estimated associations.Methods:We used source apportionment to estimate daily concentrations of primary source-specific PM2.5 for four U.S. cities. For sources with similar chemical compositions between cities, we applied Poisson time-series regression models to estimate associations between source-specific PM2.5 and respiratory disease ED visits.Results:We found that PM2.5 from biomass burning, diesel vehicle, gasoline vehicle, and dust sources was similar in chemical composition between cities, but PM2.5 from coal combustion and metal sources varied across cities. We found some evidence of positive associations of respiratory disease ED visits with biomass burning PM2.5; associations with diesel and gasoline PM2.5 were frequently imprecise or consistent with the null. We found little evidence of associations with dust PM2.5.Conclusions:We introduced an approach for comparing the chemical compositions of PM2.5 sources across cities and conducted one of the first multicity studies of source-specific PM2.5 and ED visits. Across four U.S. cities, among the primary PM2.5 sources assessed, biomass burning PM2.5 was most strongly associated with respiratory health.Citation:Krall JR, Mulholland JA, Russell AG, Balachandran S, Winquist A, Tolbert PE, Waller LA, Sarnat SE. 2017. Associations between source-specific fine particulate matter and emergency department visits for respiratory disease in four U.S. cities. Environ Health Perspect 125:97–103; http://dx.doi.org/10.1289/EHP271

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An ensemble-trained chemical mass balance (CMB) approach is developed for particulate matter (PM) source apportionment (SA), particularly for use in health studies. The approach uses results from a short-term emission-based chemical transport model (CTM) and multiple receptor-based approaches. Ensemble results have less day-to-day variation in source impacts and fewer biases between observed and estimated PM2.5 mass compared to the original receptor model results. Ensemble results show increases in road dust, biomass burning, and coal impacts, but secondary organic carbon (SOC) impacts decrease. These results, along with observations, are then used to obtain new source profiles. Two sets of new source profiles based on ensemble results in summer (July 2001 and winter (January 2002) were developed, and used in separate CMB applications for a 12-month data set of daily PM2.5 measurements at the Atlanta, GA, Jefferson Street site. Results show that ensemble-trained CMB approaches, using both summer profiles and winter profiles, effectively reduce day-to-day variability of source impact estimates by reducing fewer days of zero impact from sources known to be present as compared to traditional receptor modeling, suggesting improved results.