1
|
Coker ES, Saha Turna N, Schouwenburg M, Jalil A, Bradshaw C, Kuo M, Mastel M, Kazemian H, Roushorne M, Henderson SB. Characterization of the short-term temporal variability of road dust chemical mixtures and meteorological profiles in a near-road urban site in British Columbia. JOURNAL OF THE AIR & WASTE MANAGEMENT ASSOCIATION (1995) 2023; 73:502-516. [PMID: 36880994 DOI: 10.1080/10962247.2023.2186964] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/15/2022] [Revised: 02/22/2023] [Accepted: 02/27/2023] [Indexed: 05/26/2023]
Abstract
Implications: Non-tailpipe emissions driven by springtime road dust in northern latitude communities is increasing in importance for air pollution control and improving our understanding of the health effects of chemical mixtures from particulate matter exposure. High-volume samples from a near-road site indicated that days affected by springtime road dust are substantively different from other days with respect to particulate matter mixture composition and meteorological drivers. The high load of trace elements in PM10 on high road dust days has important implications for the acute toxicity of inhaled air and subsequent health effects. The complex relationships between road dust and weather identified in this study may facilitate further research on the health effects of chemical mixtures related to road dust while also highlighting potential changes in this unique form of air pollution as the climate changes.
Collapse
Affiliation(s)
- Eric S Coker
- Environmental Health Services, British Columbia Centre for Disease Control, Vancouver, Canada
| | - Nikita Saha Turna
- Environmental Health Services, British Columbia Centre for Disease Control, Vancouver, Canada
| | - Mya Schouwenburg
- Northern Analytical Lab Services (Northern BC's Environmental and Climate Solutions Innovation Hub), University of Northern British Columbia, Prince George, Canada
- Natural Resources & Environmental Studies Institute, University of Northern British Columbia, Prince George, Canada
| | - Ahmad Jalil
- Northern Analytical Lab Services (Northern BC's Environmental and Climate Solutions Innovation Hub), University of Northern British Columbia, Prince George, Canada
| | - Charles Bradshaw
- Northern Analytical Lab Services (Northern BC's Environmental and Climate Solutions Innovation Hub), University of Northern British Columbia, Prince George, Canada
| | - Michael Kuo
- Environmental Health Services, British Columbia Centre for Disease Control, Vancouver, Canada
| | - Molly Mastel
- Environmental Health Services, British Columbia Centre for Disease Control, Vancouver, Canada
- Occupational and Environmental Health Division, School of Population and Public Health, University of British Columbia, Vancouver, Canada
| | - Hossein Kazemian
- Northern Analytical Lab Services (Northern BC's Environmental and Climate Solutions Innovation Hub), University of Northern British Columbia, Prince George, Canada
- Natural Resources & Environmental Studies Institute, University of Northern British Columbia, Prince George, Canada
- Chemistry Department, Faculty of Science and Engineering, University of Northern British Columbia, Prince George, Canada
| | | | - Sarah B Henderson
- Environmental Health Services, British Columbia Centre for Disease Control, Vancouver, Canada
- Occupational and Environmental Health Division, School of Population and Public Health, University of British Columbia, Vancouver, Canada
| |
Collapse
|
2
|
Coker ES, Molitor J, Liverani S, Martin J, Maranzano P, Pontarollo N, Vergalli S. Bayesian profile regression to study the ecologic associations of correlated environmental exposures with excess mortality risk during the first year of the Covid-19 epidemic in lombardy, Italy. ENVIRONMENTAL RESEARCH 2023; 216:114484. [PMID: 36220446 PMCID: PMC9547389 DOI: 10.1016/j.envres.2022.114484] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 05/16/2022] [Revised: 09/23/2022] [Accepted: 09/30/2022] [Indexed: 06/16/2023]
Abstract
Many countries, including Italy, have experienced significant social and spatial inequalities in mortality during the Covid-19 pandemic. This study applies a multiple exposures framework to investigate how joint place-based factors influence spatial inequalities of excess mortality during the first year of the Covid -19 pandemic in the Lombardy region of Italy. For the Lombardy region, we integrated municipality-level data on all-cause mortality between 2015 and 2020 with 13 spatial covariates, including 5-year average concentrations of six air pollutants, the average temperature in 2020, and multiple socio-demographic factors, and health facilities per capita. Using the clustering algorithm Bayesian profile regression, we fit spatial covariates jointly to identify clusters of municipalities with similar exposure profiles and estimated associations between clusters and excess mortality in 2020. Cluster analysis resulted in 13 clusters. Controlling for spatial autocorrelation of excess mortality and health-protective agency, two clusters had significantly elevated excess mortality than the rest of Lombardy. Municipalities in these highest-risk clusters are in Bergamo, Brescia, and Cremona provinces. The highest risk cluster (C11) had the highest long-term particulate matter air pollution levels (PM2.5 and PM10) and significantly elevated NO2 and CO air pollutants, temperature, proportion ≤18 years, and male-to-female ratio. This cluster is significantly lower for income and ≥65 years. The other high-risk cluster, Cluster 10 (C10), is elevated significantly for ozone but significantly lower for other air pollutants. Covariates with elevated levels for C10 include proportion 65 years or older and a male-to-female ratio. Cluster 10 is significantly lower for income, temperature, per capita health facilities, ≤18 years, and population density. Our results suggest that joint built, natural, and socio-demographic factors influenced spatial inequalities of excess mortality in Lombardy in 2020. Studies must apply a multiple exposures framework to guide policy decisions addressing the complex and multi-dimensional nature of spatial inequalities of Covid-19-related mortality.
Collapse
Affiliation(s)
- Eric S Coker
- Department of Environmental and Global Health, University of Florida, 1225 Center Dr, Gainesville, FL, 32610, United States.
| | - John Molitor
- College of Public Health and Human Sciences, Oregon State University, Milam Hall 157, 2520 SW Campus Way, Corvallis, OR, 97331, United States.
| | - Silvia Liverani
- School of Mathematical Sciences, Queen Mary University of London, Mile End Road London E1 4NS, United Kingdom.
| | - James Martin
- Department of Environmental and Global Health, University of Florida, 1225 Center Dr, Gainesville, FL, 32610, United States
| | - Paolo Maranzano
- Department of Economics, Management and Statistics of the University of Milano-Bicocca (UniMiB), Piazza Dell'Ateneo Nuovo, 1 - 20126, Milano, Italy.
| | - Nicola Pontarollo
- Department of Economics and Management, Università Degli Studi di Brescia, Brescia, Via S. Faustino 74/B, 25122, Brescia, Italy.
| | - Sergio Vergalli
- Department of Agricultural Economics, Università Cattolica Del Sacro Cuore, Piacenza, Via Emilia Parmense, 29122, Piacenza PC, Italy.
| |
Collapse
|
3
|
Gaynor JW, Burnham NB, Ittenbach RF, Gerdes M, Bernbaum JC, Zackai E, Licht DJ, Russell WW, Zullo EE, Miller T, Hakonarson H, Clarke KA, Jarvik GP, Calafat AM, Bradman A, Bellinger DC, Henretig FM, Coker ES. Childhood exposures to environmental chemicals and neurodevelopmental outcomes in congenital heart disease. PLoS One 2022; 17:e0277611. [PMID: 36395323 PMCID: PMC9671412 DOI: 10.1371/journal.pone.0277611] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/23/2022] [Accepted: 10/31/2022] [Indexed: 11/18/2022] Open
Abstract
BACKGROUND Children with congenital heart defects have an increased risk of neurodevelopmental disability. The impact of environmental chemical exposures during daily life on neurodevelopmental outcomes in toddlers with congenital heart defects is unknown. METHODS This prospective study investigated the impacts of early childhood exposure to mixtures of environmental chemicals on neurodevelopmental outcomes after cardiac surgery. Outcomes were assessed at 18 months of age using The Bayley Scales of Infant and Toddler Development-III. Urinary concentrations of exposure biomarkers of pesticides, phenols, parabens, and phthalates, and blood levels of lead, mercury, and nicotine were measured at the same time point. Bayesian profile regression and weighted quantile sum regression were utilized to assess associations between mixtures of biomarkers and neurodevelopmental scores. RESULTS One-hundred and forty infants were enrolled, and 110 (79%) returned at 18 months of age. Six biomarker exposure clusters were identified from the Bayesian profile regression analysis; and the pattern was driven by 15 of the 30 biomarkers, most notably 13 phthalate biomarkers. Children in the highest exposure cluster had significantly lower adjusted language scores by -9.41 points (95%CI: -17.2, -1.7) and adjusted motor scores by -4.9 points (-9.5, -0.4) compared to the lowest exposure. Weighted quantile sum regression modeling for the overall exposure-response relationship showed a significantly lower adjusted motor score (β = -2.8 points [2.5th and 97.5th percentile: -6.0, -0.6]). The weighted quantile sum regression index weights for several phthalates, one paraben, and one phenol suggest their relevance for poorer neurodevelopmental outcomes. CONCLUSIONS Like other children, infants with congenital heart defects are exposed to complex mixtures of environmental chemicals in daily life. Higher exposure biomarker concentrations were associated with significantly worse performance for language and motor skills in this population.
Collapse
Affiliation(s)
- J. William Gaynor
- Division of Cardiothoracic Surgery, Department of Surgery, Children’s Hospital of Philadelphia, and the Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, United States of America
- * E-mail:
| | - Nancy B. Burnham
- Division of Cardiothoracic Surgery, Department of Surgery, Children’s Hospital of Philadelphia, and the Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, United States of America
| | - Richard F. Ittenbach
- Division of Biostatistics and Epidemiology, Cincinnati Children’s Hospital Medical Center, Cincinnati, OH, United States of America
| | - Marsha Gerdes
- Department of Psychology, Children’s Hospital of Philadelphia, and the Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, United States of America
| | - Judy C. Bernbaum
- Department of Pediatrics, Children’s Hospital of Philadelphia, and the Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, United States of America
| | - Elaine Zackai
- Division of Genetics, Department of Pediatrics, Children’s Hospital of Philadelphia, and the Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, United States of America
| | - Daniel J. Licht
- Division of Neurology, Department of Pediatrics, Children’s Hospital of Philadelphia, and the Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, United States of America
| | - William W. Russell
- Division of Cardiothoracic Surgery, Department of Surgery, Children’s Hospital of Philadelphia, and the Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, United States of America
| | - Erin E. Zullo
- Division of Cardiothoracic Surgery, Department of Surgery, Children’s Hospital of Philadelphia, and the Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, United States of America
| | - Thomas Miller
- Division of Pediatric Cardiology, Maine Medical Center, Portland, ME, United States of America
| | - Hakon Hakonarson
- The Center for Applied Genomics, The Children’s Hospital of Philadelphia and the Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, United States of America
| | - Kayan A. Clarke
- Department of Environmental and Global Health, University of Florida, Gainesville, FL, United States of America
| | - Gail P. Jarvik
- Departments of Medicine (Division of Medical Genetics) and Genome Sciences, University of Washington Medical Center, Seattle, WA, United States of America
| | - Antonia M. Calafat
- Division of Laboratory Sciences, National Center for Environmental Health, Atlanta, GA, United States of America
| | - Asa Bradman
- Department of Public Health, University of California, Merced, Merced, CA, United States of America
| | - David C. Bellinger
- Department of Neurology, Boston Children’s Hospital and Harvard Medical School, Boston, MA and Department of Environmental Health, Harvard T.H. Chan School of Public Health, Boston, MA, United States of America
| | - Frederick M. Henretig
- Emergency Medicine, Children’s Hospital of Philadelphia and the Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, United States of America
| | - Eric S. Coker
- Department of Environmental and Global Health, University of Florida, Gainesville, FL, United States of America
| |
Collapse
|
4
|
Ji W, Zhao K, Liu C, Li X. Spatial characteristics of fine particulate matter in subway stations: Source apportionment and health risks. ENVIRONMENTAL POLLUTION (BARKING, ESSEX : 1987) 2022; 305:119279. [PMID: 35405218 DOI: 10.1016/j.envpol.2022.119279] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/23/2021] [Revised: 04/04/2022] [Accepted: 04/05/2022] [Indexed: 06/14/2023]
Abstract
Air in subway stations is typically more polluted than ambient air, and particulate matter concentrations and compositions can vary greatly by location, even within a subway station. However, it is not known how the sources of particulate matter vary between different areas within subway stations, and source-specific health risks in subway stations are unclear. We analyzed the spatial characteristics of particulate matter by source and calculated source-specific health risks on subway platforms and concourses and in station offices by integrating source apportionment with health risk assessments. A total of 182 samples were collected in three areas in six subway stations in Nanjing, China. Enrichment factors and the positive matrix factorization receptor model were used to identify major sources. The carcinogenic and non-carcinogenic health risks to subway workers and passengers were evaluated to determine control priorities. Seven sources of particulate matter were identified in each area, with a total of four subway sources and six outdoor sources over all the areas. The source contributions to total element mass differed significantly from the source contributions to human health risks. Overall, subway sources contributed 48% of total element mass in the station office and 75% and 60% on the concourse and platform, respectively. Subway-derived sources accounted for 54%, 81%, and 71% of non-carcinogenic health risks on station platforms, concourses, and office areas, respectively. The corresponding values for carcinogenic risks were 51%, 86%, and 86%. Among the elements, cobalt had the largest contributions to carcinogenic and non-carcinogenic risks, followed by manganese for non-carcinogenic risks and hexavalent chromium for carcinogenic risks. Reducing emissions from subway sources could effectively protect the health of subway workers and passengers.
Collapse
Affiliation(s)
- Wenjing Ji
- School of Civil and Resource Engineering, University of Science and Technology Beijing, Beijing 100083, China
| | - Kaijia Zhao
- School of Civil and Resource Engineering, University of Science and Technology Beijing, Beijing 100083, China
| | - Chenghao Liu
- School of Civil and Resource Engineering, University of Science and Technology Beijing, Beijing 100083, China
| | - Xiaofeng Li
- Department of Building Science, School of Architecture, Tsinghua University, Beijing 100084, China; Beijing Key Laboratory of Indoor Air Quality Evaluation and Control, Tsinghua University, Beijing 100084, China.
| |
Collapse
|
5
|
Xie W, Ling M, Xiao T, Fan Z, Chen D, Tang M, Bian Q. Tanshinone IIA-regulation of IL-6 antagonizes PM 2 .5 -induced proliferation of human bronchial epithelial cells via a STAT3/miR-21 reciprocal loop. ENVIRONMENTAL TOXICOLOGY 2022; 37:1686-1696. [PMID: 35304817 DOI: 10.1002/tox.23517] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/21/2021] [Revised: 02/21/2022] [Accepted: 03/06/2022] [Indexed: 06/14/2023]
Abstract
Particulate matter 2.5 (PM2.5 ), a component of atmospheric particulate matter, leads to changes in gene expression and cellular functions. Epidemiological evidence confirms that PM2.5 has a positive correlation with lung injury. However, the molecular mechanisms involved remain poorly understood, and preventive methods are needed. In the present study, with human bronchial epithelial (HBE) cells in culture, we showed that low concentrations of PM2.5 resulted in acceleration of the G1/S transition and cell proliferation. Consistent with these effects, expression of the pro-inflammatory factor interleukin-6 (IL-6) was elevated in HBE cells exposed to PM2.5 . Accordingly, signal transducer and activator of transcription 3 (STAT3) was activated, which down-regulated expression of cyclin D1. In addition, PM2.5 exposure led to higher levels of miR-21, and there was a reciprocal loop between miR-21 and STAT3. For HBE cells, tanshinone IIA (Tan IIA) reversed the PM2.5 -induced cell cycle alteration and cell proliferation, and reduced the expression of cytokines (IL-6, STAT3, and miR-21). These results show that, for HBE cells, Tan IIA attenuates the PM2.5 -induced G1/S alteration and cell proliferation, and indicate that it has potential clinical application for PM2.5 -induced respiratory injuries.
Collapse
Affiliation(s)
- Wenjing Xie
- Key Laboratory of Environmental Medicine Engineering of Ministry of Education, School of Public Health, Southeast University, Nanjing, Jiangsu, China
- Public Health Administration Center, Huzhou Central Hospital, Huzhou, Zhejiang, China
| | - Min Ling
- Institute of Toxicology and Risk Assessment, Jiangsu Provincial Center for Disease Control and Prevention, Nanjing, Jiangsu, China
| | - Tian Xiao
- Institute of Toxicology and Risk Assessment, Jiangsu Provincial Center for Disease Control and Prevention, Nanjing, Jiangsu, China
| | - Zi Fan
- School of Public Health, Nanjing Medical University, Nanjing, Jiangsu, China
| | - Dongya Chen
- Institute of Toxicology and Risk Assessment, Jiangsu Provincial Center for Disease Control and Prevention, Nanjing, Jiangsu, China
| | - Meng Tang
- Key Laboratory of Environmental Medicine Engineering of Ministry of Education, School of Public Health, Southeast University, Nanjing, Jiangsu, China
| | - Qian Bian
- Institute of Toxicology and Risk Assessment, Jiangsu Provincial Center for Disease Control and Prevention, Nanjing, Jiangsu, China
| |
Collapse
|
6
|
Shoari N, Beevers S, Brauer M, Blangiardo M. Towards healthy school neighbourhoods: A baseline analysis in Greater London. ENVIRONMENT INTERNATIONAL 2022; 165:107286. [PMID: 35660953 DOI: 10.1016/j.envint.2022.107286] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/17/2022] [Revised: 04/06/2022] [Accepted: 05/05/2022] [Indexed: 06/15/2023]
Abstract
Creating healthy environments around schools is important to promote healthy childhood development and is a critical component of public health. In this paper we present a tool to characterize exposure to multiple urban environment features within 400 m (5-10 min walking distance) of schools in Greater London. We modelled joint exposure to air pollution (NO2 and PM2.5), access to public greenspace, food environment, and road safety for 2,929 schools, employing a Bayesian non-parametric approach based on the Dirichlet Process Mixture modelling. We identified 12 latent clusters of schools with similar exposure profiles and observed some spatial clustering patterns. Socioeconomic and ethnicity disparities were manifested with respect to exposure profiles. Specifically, three clusters (containing 645 schools) showed the highest joint exposure to air pollution, poor food environment, and unsafe roads and were characterized with high deprivation. The neighbourhood of the most deprived cluster of schools had a median of 2.5 ha greenspace, 29.0 µg/m3 of NO2, 19.3 µg/m3 of PM2.5, 20 fast food retailers, and five child pedestrian crashes over a three-year period. The neighbourhood of the least deprived cluster of schools had a median of 21.8 ha greenspace, 15.6 µg/m3 of NO2, 15.1 µg/m3 of PM2.5, 2 fast food retailers, and one child pedestrian crash over a three-year period. To have a school-level understanding of exposure levels, we then benchmarked schools based on the probability of exceeding the median exposure to various features of interest. Our study accounts for multiple exposures, enabling us to highlight spatial distribution of exposure profile clusters, and to identify predominant exposure to urban environment features for each cluster of schools. Our findings can help relevant stakeholders, such as schools and public health authorities, to compare schools based on their exposure levels, prioritize interventions, and design local policies that target the schools most in need.
Collapse
Affiliation(s)
- Niloofar Shoari
- MRC Centre for Environment & Health, Department of Epidemiology and Biostatistics, Imperial College London, London, UK.
| | - Sean Beevers
- MRC Centre for Environment & Health, Department of Epidemiology and Biostatistics, Imperial College London, London, UK
| | - Michael Brauer
- School of Population and Public Health, The University of British Columbia, Vancouver, Canada
| | - Marta Blangiardo
- MRC Centre for Environment & Health, Department of Epidemiology and Biostatistics, Imperial College London, London, UK
| |
Collapse
|
7
|
Misiukiewicz-Stepien P, Paplinska-Goryca M. Biological effect of PM 10 on airway epithelium-focus on obstructive lung diseases. Clin Immunol 2021; 227:108754. [PMID: 33964432 DOI: 10.1016/j.clim.2021.108754] [Citation(s) in RCA: 17] [Impact Index Per Article: 5.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/24/2020] [Revised: 04/16/2021] [Accepted: 05/03/2021] [Indexed: 12/11/2022]
Abstract
Recently, a continuous increase in environmental pollution has been observed. Despite wide-scale efforts to reduce air pollutant emissions, the problem is still relevant. Exposure to elevated levels of airborne particles increased the incidence of respiratory diseases. PM10 constitute the largest fraction of air pollutants, containing particles with a diameter of less than 10 μm, metals, pollens, mineral dust and remnant material from anthropogenic activity. The natural airway defensive mechanisms against inhaled material, such as mucus layer, ciliary clearance and macrophage phagocytic activity, may be insufficient for proper respiratory function. The epithelium layer can be disrupted by ongoing oxidative stress and inflammatory processes induced by exposure to large amounts of inhaled particles as well as promote the development and exacerbation of obstructive lung diseases. This review draws attention to the current state of knowledge about the physical features of PM10 and its impact on airway epithelial cells, and obstructive pulmonary diseases.
Collapse
Affiliation(s)
- Paulina Misiukiewicz-Stepien
- Postgraduate School of Molecular Medicine, Medical University of Warsaw, Warsaw, Poland; Department of Internal Medicine, Pulmonary Diseases and Allergy, Medical University of Warsaw, Poland.
| | | |
Collapse
|
8
|
Kim J, Yoon K. Municipal Residence Level of Long-Term PM 10 Exposure Associated with Obesity among Young Adults in Seoul, Korea. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2020; 17:E6981. [PMID: 32987676 PMCID: PMC7579278 DOI: 10.3390/ijerph17196981] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 08/27/2020] [Revised: 09/20/2020] [Accepted: 09/21/2020] [Indexed: 11/16/2022]
Abstract
BACKGROUND long-term effects of ambient pollutants used to be defined in cohort studies using biomarkers. Health effects on young adults from long-term exposure to particulate matters (PM) in residential ambiance have received less attention. METHODS using the data of population-representative aged 19-29 in Seoul, the relationship between obesity and PM10 levels of the living district was examined. We defined obesity as Body Mass Index (BMI) 25 kg/m2 and more. Survey logistic regression was conducted according to individual residence periods in the current municipality. Individual characteristics were adjusted overall and were age-specific; aged 19-24 and 25-29. RESULTS study population was 3655 (1680 (46%) men and 1933 aged 19-24 (52.9%)) individuals. Relationship between length of residence in municipalities with a greater level of PM10 from 2001-2005 and obesity was increased over the residing period; 10 years ≤ (odds ratio (OR) 1.071, 95% confidence interval (CI) 0.969-1.185), 15 years ≤ (1.120, 1.006-1.247), and 20 years ≤ (1.158, 1.034-1.297) in aged 19-29. Age-specific effects showed slight differences. CONCLUSIONS Although PM10 levels are currently decreasing, higher levels of PM10 exposure in the residential area during the earlier lifetime may contribute to obesity increase among young adults.
Collapse
Affiliation(s)
- Jayeun Kim
- Institute of Health and Environment, Seoul National University, Seoul 08826, Korea;
- Graduate School of Education, Kyung Hee University, Seoul 02447, Korea
| | - Kyuhyun Yoon
- Institute of Health and Environment, Seoul National University, Seoul 08826, Korea;
| |
Collapse
|