Linkage of the Third National Health and Nutrition Examination Survey to Air Quality Data

Objectives: This report describes the linked data file obtained as a result of combining air pollution data and National Health and Nutrition Examination Survey (NHANES) III data.

Methods: Average annual air pollution exposures to particulate matter consisting of particles smaller than 10 micrometers in diameter (PM10), sulfur dioxide (SO2), nitrogen dioxide (NO2), and carbon monoxide (CO) were created for NHANES III examined persons by averaging values from monitors within a 5-, 10-, 15-, and 20-mile radius from the block-group centroid of their residence and in the county of their residence. Percentage records geocoded to block-group level, percentage records linked to air pollution, and distributions of exposure values were estimated for the total sample and various demographic groups.

Results: The percentages of respondents who were assigned countywide air pollution values ranges from a low of 43 percent in the case of NO2 data to a high of 68 percent in the case of PM10 data. Among the pollutants considered, PM10 data provides the best coverage. Of all the metrics created, the highest coverage is achieved by averaging readings of monitors located within a 20-mile distance from the centroid of respondents' block groups. Among the demographic variables analyzed, differences in air pollution coverage and exposure levels occur most often among groups defined by race and Hispanic origin, region, and county level of urbanization. However, differences among groups depend on the pollutant and geographic linkage method. The linked dataset provides researchers with opportunities to investigate the relationship between air pollution and various health outcomes.