2013
DOI: 10.1289/ehp.1205862
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Long-Term Exposure to Urban Air Pollution and Mortality in a Cohort of More than a Million Adults in Rome

Abstract: Background: Few European studies have investigated the effects of long-term exposure to both fine particulate matter (≤ 2.5 µm; PM2.5) and nitrogen dioxide (NO2) on mortality.Objectives: We studied the association of exposure to NO2, PM2.5, and traffic indicators on cause-specific mortality to evaluate the form of the concentration–response relationship.Methods: We analyzed a population-based cohort enrolled at the 2001 Italian census with 9 years of follow-up. We selected all 1,265,058 subjects ≥ 30 years of … Show more

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Cited by 435 publications
(342 citation statements)
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“…Thus, the data available for this meta-analysis do not provide the opportunity to further evaluate this assumption. However, alternatives to a linear exposure-response model have been considered in analyses of data from the ACS-CPS II (Pope et al 2002;Turner et al 2011), Harvard Six Cities (Lepeule et al 2012), Canadian National Enhanced Cancer Surveillance System (Hystad et al 2013), Rome Longitudinal (Cesaroni et al 2013), NHS (Puett et al 2014), and ESCAPE (Raaschou-Nielsen et al 2013) studies, which included categorical modeling and application of smoothing functions. All of these analyses concluded that there is no evidence of marked deviation from linearity.…”
Section: Discussionmentioning
confidence: 99%
See 1 more Smart Citation
“…Thus, the data available for this meta-analysis do not provide the opportunity to further evaluate this assumption. However, alternatives to a linear exposure-response model have been considered in analyses of data from the ACS-CPS II (Pope et al 2002;Turner et al 2011), Harvard Six Cities (Lepeule et al 2012), Canadian National Enhanced Cancer Surveillance System (Hystad et al 2013), Rome Longitudinal (Cesaroni et al 2013), NHS (Puett et al 2014), and ESCAPE (Raaschou-Nielsen et al 2013) studies, which included categorical modeling and application of smoothing functions. All of these analyses concluded that there is no evidence of marked deviation from linearity.…”
Section: Discussionmentioning
confidence: 99%
“…We identified 17 cohort studies Beeson et al 1998;Cao et al 2011;Carey et al 2013;Cesaroni et al 2013;Hales et al 2012;Hart et al 2011;Heinrich et al 2013;Jerrett et al 2013;Katanoda et al 2011;Krewski et al 2009;Lepeule et al 2012;Lipsett et al 2011;McDonnell et al 2000;Naess et al 2007;Pope et al 2002;Raaschou-Nielsen et al 2013) and one case-control study (Hystad et al 2013) of lung cancer that provided estimates of the quantitative relationships between the risk of lung cancer and exposure to PM 2.5 or PM 10 that could be expressed per 10-μg/m 3 change in PM. Estimates from one cohort study (Naess et al 2007) could not be converted to units of 10-μg/m 3 , and thus, this study did not contribute to the meta-estimates.…”
Section: Studies Includedmentioning
confidence: 99%
“…Numerous epidemiologic studies have indicated that high concentrations of fine particle matter with an aerodynamic diameter less than 2.5 µm (PM 2.5 ) are strongly associated with adverse health effects [1,2]. A number of studies show that PM 2.5 , originating from direct emission and secondary conversion, is a complex compound containing secondary sulfate (SO 4 2− ), ammonium (NH 4 + ), nitrate (NO 3 − ), organic carbon (OC), elemental carbon (EC) and other components.…”
Section: Introductionmentioning
confidence: 99%
“…are determined to be associated with different health outcomes. Epidemiological studies have been conducted in various countries to investigate this relationship precisely (4)(5)(6)(7)(8). Particulate matter of 2.5 micrometers or smaller (PM 2.5 ) is a part of particulate matter, but is able to enter the alveolar lung region, a place to exchange the blood.…”
Section: Introductionmentioning
confidence: 99%