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Long-term PM2.5 Exposure and Neurological Hospital Admissions in the Northeastern United States
Journal article   Open access   Peer reviewed

Long-term PM2.5 Exposure and Neurological Hospital Admissions in the Northeastern United States

Marianthi-Anna Kioumourtzoglou, Joel D. Schwartz, Marc G. Weisskopf, Steven J. Melly, Yun Wang, Francesca Dominici and Antonella Zanobetti
Environmental health perspectives, v 124(1), pp 23-29
01 Jan 2016
DOI: https://doi.org/10.1289/ehp.1408973
PMID: 25978701
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Published, Version of Record (VoR)access removed by US government, 1 Dec 2025 Restricted

Abstract

Environmental Sciences Environmental Sciences & Ecology Life Sciences & Biomedicine Public, Environmental & Occupational Health Science & Technology ESI Highly Cited Paper (Incites) Toxicology
BACKGROUND: Long-term exposure to fine particles (particulate matter <= 2.5 mu m; PM2.5) has been consistently linked to heart and lung disease. Recently, there has been increased interest in examining the effects of air pollution on the nervous system, with evidence showing potentially harmful effects on neurodegeneration. OBJECTIVE: Our objective was to assess the potential impact of long-term PM2.5 exposure on event time, defined as time to first admission for dementia, Alzheimer's (AD), or Parkinson's (PD) diseases in an elderly population across the northeastern United States. METHODS: We estimated the effects of PM2.5 on first hospital admission for dementia, AD, and PD among all Medicare enrollees >= 65 years in 50 northeastern U.S. cities (1999-2010). For each outcome, we first ran a Cox proportional hazards model for each city, adjusting for prior cardiopulmonary-related hospitalizations and year, and stratified by follow-up time, age, sex, and race. We then pooled the city-specific estimates by employing a random effects meta-regression. RESULTS: We followed approximately 9.8 million subjects and observed significant associations of long-term PM2.5 city-wide exposure with all three outcomes. Specifically, we estimated a hazard ratio (HR) of 1.08 (95% CI: 1.05, 1.11) for dementia, an HR of 1.15 (95% CI: 1.11, 1.19) for AD, and an HR of 1.08 (95% CI: 1.04, 1.12) for PD admissions per 1-mu g/m(3) increase in annual PM2.5 concentrations. CONCLUSIONS: To our knowledge, this is the first study to examine the relationship between long-term exposure to PM2.5 and time to first hospitalization for common neurodegenerative diseases. We found strong evidence of association for all three outcomes. Our findings provide the basis for further studies, as the implications of such exposures could be crucial to public health.

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381 citations in Web of Science
415 citations in Scopus

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UN Sustainable Development Goals (SDGs)

This publication has contributed to the advancement of the following goals:

#3 Good Health and Well-Being
#11 Sustainable Cities and Communities

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Highly Cited Paper 
Web of Science research areas
Environmental Sciences
Public, Environmental & Occupational Health
Toxicology
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