1. Ambient air pollution and the risk of acute myocardial infarction and stroke: A national cohort study.
- Author
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Olaniyan T, Pinault L, Li C, van Donkelaar A, Meng J, Martin RV, Hystad P, Robichaud A, Ménard R, Tjepkema M, Bai L, Kwong JC, Lavigne E, Burnett RT, and Chen H
- Subjects
- Canada epidemiology, Cohort Studies, Environmental Exposure adverse effects, Environmental Exposure analysis, Humans, Nitrogen Dioxide analysis, Nitrogen Dioxide toxicity, Particulate Matter analysis, Particulate Matter toxicity, Air Pollutants analysis, Air Pollutants toxicity, Air Pollution adverse effects, Air Pollution analysis, Myocardial Infarction chemically induced, Myocardial Infarction epidemiology, Ozone analysis, Ozone toxicity, Stroke chemically induced, Stroke epidemiology
- Abstract
We used a large national cohort in Canada to assess the incidence of acute myocardial infarction (AMI) and stroke hospitalizations in association with long-term exposure to fine particulate matter (PM
2.5 ), nitrogen dioxide (NO2 ), and ozone (O3 ). The study population comprised 2.7 million respondents from the 2006 Canadian Census Health and Environment Cohort (CanCHEC), followed for incident hospitalizations of AMI or stroke between 2006 and 2016. We estimated 10-year moving average estimates of PM2.5 , NO2 , and O3 , annually. We used Cox proportional hazards models to examine the associations adjusting for various covariates. For AMI, each interquartile range (IQR) increase in exposure was found to be associated with a hazard ratio of 1.026 (95% CI: 1.007-1.046) for PM2.5 , 1.025 (95% CI: 1.001-1.050) for NO2 , and 1.062 (95% CI: 1.041-1.084) for O3 , respectively. Similarly, for stroke, an IQR increase in exposure was associated with a hazard ratio of 1.078 (95% CI: 1.052-1.105) for PM2.5 , 0.995 (95% CI: 0.965-1.030) for NO2 , and 1.055 (95% CI: 1.028-1.082) for O3 , respectively. We found consistent evidence of positive associations between long-term exposures to PM2.5 , and O3 , and to a lesser degree NO2 , with incident AMI and stroke hospitalizations., (Copyright © 2021 Elsevier Inc. All rights reserved.)- Published
- 2022
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