Putting Co-Exposures on Equal Footing: An Ecological Analysis of Same-Scale Measures of Air Pollution and Social Factors on Cardiovascular Disease in New York City
Published, Version of Record (VoR)CC BY V4.0, Open
Abstract
Environmental Sciences Environmental Sciences & Ecology Life Sciences & Biomedicine Public, Environmental & Occupational Health Science & Technology
Epidemiologic evidence consistently links urban air pollution exposures to health, even after adjustment for potential spatial confounding by socioeconomic position (SEP), given concerns that air pollution sources may be clustered in and around lower-SEP communities. SEP, however, is often measured with less spatial and temporal resolution than are air pollution exposures (i.e., census-tract socio-demographics vs. fine-scale spatio-temporal air pollution models). Although many questions remain regarding the most appropriate, meaningful scales for the measurement and evaluation of each type of exposure, we aimed to compare associations for multiple air pollutants and social factors against cardiovascular disease (CVD) event rates, with each exposure measured at equal spatial and temporal resolution. We found that, in multivariable census-tract-level models including both types of exposures, most pollutant-CVD associations were non-significant, while most social factors retained significance. Similarly, the magnitude of association was higher for an IQR-range difference in the social factors than in pollutant concentrations. We found that when offered equal spatial and temporal resolution, CVD was more strongly associated with social factors than with air pollutant exposures in census-tract-level analyses in New York City.
Putting Co-Exposures on Equal Footing: An Ecological Analysis of Same-Scale Measures of Air Pollution and Social Factors on Cardiovascular Disease in New York City
Creators
Jamie L. Humphrey - Drexel University
Colleen E. Reid - University of Colorado Boulder
Ellen J. Kinnee - University of Pittsburgh
Laura D. Kubzansky - Harvard University
Lucy F. Robinson - Drexel University
Jane E. Clougherty - Drexel University
Publication Details
International journal of environmental research and public health, v 16(23), p4621
Publisher
Mdpi
Number of pages
19
Grant note
R-82811201 / United States Environmental Protection Agency (EPA); United States Environmental Protection Agency
Resource Type
Journal article
Language
English
Academic Unit
Epidemiology and Biostatistics; Environmental and Occupational Health
Web of Science ID
WOS:000507275700217
Scopus ID
2-s2.0-85075308069
Other Identifier
991019168990404721
UN Sustainable Development Goals (SDGs)
This publication has contributed to the advancement of the following goals:
InCites Highlights
Data related to this publication, from InCites Benchmarking & Analytics tool: