Air Pollution and Deaths Among Elderly Residents of São Paulo, Brazil: An Analysis of Mortality Displacement

Overview

Journal Environ Health Perspect

Date 2016 Oct 8

PMID 27713111

Citations 34

Authors

Amine Farias Costa

Gerard Hoek

Bert Brunekreef

Antonio C M Ponce de Leon

Affiliations

Soon will be listed here.

Abstract

Background: Evaluation of short-term mortality displacement is essential to accurately estimate the impact of short-term air pollution exposure on public health.

Objectives: We quantified mortality displacement by estimating single-day lag effects and cumulative effects of air pollutants on mortality using distributed lag models.

Methods: We performed a daily time series of nonaccidental and cause-specific mortality among elderly residents of São Paulo, Brazil, between 2000 and 2011. Effects of particulate matter smaller than 10 μm (PM), nitrogen dioxide (NO) and carbon monoxide (CO) were estimated in Poisson generalized additive models. Single-day lag effects of air pollutant exposure were estimated for 0-, 1- and 2-day lags. Distributed lag models with lags of 0-10, 0-20 and 0-30 days were used to assess mortality displacement and potential cumulative exposure effects.

Results: PM, NO and CO were significantly associated with nonaccidental and cause-specific deaths in both single-day lag and cumulative lag models. Cumulative effect estimates for 0-10 days were larger than estimates for single-day lags. Cumulative effect estimates for 0-30 days were essentially zero for nonaccidental and circulatory deaths but remained elevated for respiratory and cancer deaths.

Conclusions: We found evidence of mortality displacement within 30 days for nonaccidental and circulatory deaths in elderly residents of São Paulo. We did not find evidence of mortality displacement within 30 days for respiratory or cancer deaths. Citation: Costa AF, Hoek G, Brunekreef B, Ponce de Leon AC. 2017. Air pollution and deaths among elderly residents of São Paulo, Brazil: an analysis of mortality displacement. Environ Health Perspect 125:349-354; http://dx.doi.org/10.1289/EHP98.

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References

Villeneuve P, Burnett R, Shi Y, Krewski D, Goldberg M, Hertzman C . A time-series study of air pollution, socioeconomic status, and mortality in Vancouver, Canada. J Expo Anal Environ Epidemiol. 2003; 13(6):427-35. DOI: 10.1038/sj.jea.7500292. View

Gasparrini A . Distributed Lag Linear and Non-Linear Models in R: The Package dlnm. J Stat Softw. 2011; 43(8):1-20. PMC: 3191524. View

ONeill M, Bell M, Ranjit N, Cifuentes L, Loomis D, Gouveia N . Air pollution and mortality in Latin America: the role of education. Epidemiology. 2008; 19(6):810-9. DOI: 10.1097/EDE.0b013e3181816528. View

Samoli E, Stafoggia M, Rodopoulou S, Ostro B, Declercq C, Alessandrini E . Associations between fine and coarse particles and mortality in Mediterranean cities: results from the MED-PARTICLES project. Environ Health Perspect. 2013; 121(8):932-8. PMC: 3734494. DOI: 10.1289/ehp.1206124. View

Armstrong B . Models for the relationship between ambient temperature and daily mortality. Epidemiology. 2006; 17(6):624-31. DOI: 10.1097/01.ede.0000239732.50999.8f. View

Schwartz J . The distributed lag between air pollution and daily deaths. Epidemiology. 2000; 11(3):320-6. DOI: 10.1097/00001648-200005000-00016. View

Gasparrini A, Armstrong B, Kenward M . Distributed lag non-linear models. Stat Med. 2010; 29(21):2224-34. PMC: 2998707. DOI: 10.1002/sim.3940. View

Goldberg M, Burnett R, Stieb D, Brophy J, Daskalopoulou S, Valois M . Associations between ambient air pollution and daily mortality among elderly persons in Montreal, Quebec. Sci Total Environ. 2013; 463-464:931-42. DOI: 10.1016/j.scitotenv.2013.06.095. View

Gasparrini A . Modeling exposure-lag-response associations with distributed lag non-linear models. Stat Med. 2013; 33(5):881-99. PMC: 4098103. DOI: 10.1002/sim.5963. View

10.

Zeger S, Dominici F, Samet J . Harvesting-resistant estimates of air pollution effects on mortality. Epidemiology. 1999; 10(2):171-5. View

11.

Martins L, Pereira L, Lin C, Santos U, Prioli G, Luiz O . The effects of air pollution on cardiovascular diseases: lag structures. Rev Saude Publica. 2006; 40(4):677-83. DOI: 10.1590/s0034-89102006000500018. View

12.

Samoli E, Zanobetti A, Schwartz J, Atkinson R, LeTertre A, Schindler C . The temporal pattern of mortality responses to ambient ozone in the APHEA project. J Epidemiol Community Health. 2009; 63(12):960-6. DOI: 10.1136/jech.2008.084012. View

13.

Zanobetti A, Schwartz J, Samoli E, Gryparis A, Touloumi G, Atkinson R . The temporal pattern of mortality responses to air pollution: a multicity assessment of mortality displacement. Epidemiology. 2002; 13(1):87-93. DOI: 10.1097/00001648-200201000-00014. View

14.

Romieu I, Gouveia N, Cifuentes L, de Leon A, Junger W, Vera J . Multicity study of air pollution and mortality in Latin America (the ESCALA study). Res Rep Health Eff Inst. 2013; (171):5-86. View

15.

Braga A, Zanobetti A, Schwartz J . The lag structure between particulate air pollution and respiratory and cardiovascular deaths in 10 US cities. J Occup Environ Med. 2001; 43(11):927-33. DOI: 10.1097/00043764-200111000-00001. View

16.

Zanobetti A, Schwartz J, Samoli E, Gryparis A, Touloumi G, Peacock J . The temporal pattern of respiratory and heart disease mortality in response to air pollution. Environ Health Perspect. 2003; 111(9):1188-93. PMC: 1241573. DOI: 10.1289/ehp.5712. View

17.

Zanobetti A, Schwartz J . Mortality displacement in the association of ozone with mortality: an analysis of 48 cities in the United States. Am J Respir Crit Care Med. 2007; 177(2):184-9. DOI: 10.1164/rccm.200706-823OC. View

18.

Goodman P, Dockery D, Clancy L . Cause-specific mortality and the extended effects of particulate pollution and temperature exposure. Environ Health Perspect. 2004; 112(2):179-85. PMC: 1241827. DOI: 10.1289/ehp.6451. View

19.

Filleul L, Le Tertre A, Baldi I, Tessier J . Difference in the relation between daily mortality and air pollution among elderly and all-ages populations in southwestern France. Environ Res. 2004; 94(3):249-53. DOI: 10.1016/S0013-9351(03)00080-X. View

20.

Roberts S, Martin M . A distributed lag approach to fitting non-linear dose-response models in particulate matter air pollution time series investigations. Environ Res. 2007; 104(2):193-200. DOI: 10.1016/j.envres.2007.01.009. View