An Integrated Risk Function for Estimating the Global Burden of Disease Attributable to Ambient Fine Particulate Matter Exposure
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Author
Burnett, Richard T.
Pope, C. Arden
Ezzati, Majid
Olives, Casey
Lim, Stephen S.
Mehta, Sumi
Shin, Hwashin H.
Hubbell, Bryan
Brauer, Michael
Anderson, H. Ross
Smith, Kirk R.
Balmes, John R.
Bruce, Nigel G.
Kan, Haidong
Prüss-Ustün, Annette
Turner, Michelle C.
Gapstur, Susan M.
Diver, W. Ryan
Cohen, Aaron
Note: Order does not necessarily reflect citation order of authors.
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https://doi.org/10.1289/ehp.1307049Metadata
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Burnett, R. T., C. A. Pope, M. Ezzati, C. Olives, S. S. Lim, S. Mehta, H. H. Shin, et al. 2014. “An Integrated Risk Function for Estimating the Global Burden of Disease Attributable to Ambient Fine Particulate Matter Exposure.” Environmental Health Perspectives 122 (4): 397-403. doi:10.1289/ehp.1307049. http://dx.doi.org/10.1289/ehp.1307049.Abstract
Background: Estimating the burden of disease attributable to long-term exposure to fine particulate matter (PM2.5) in ambient air requires knowledge of both the shape and magnitude of the relative risk (RR) function. However, adequate direct evidence to identify the shape of the mortality RR functions at the high ambient concentrations observed in many places in the world is lacking. Objective: We developed RR functions over the entire global exposure range for causes of mortality in adults: ischemic heart disease (IHD), cerebrovascular disease (stroke), chronic obstructive pulmonary disease (COPD), and lung cancer (LC). We also developed RR functions for the incidence of acute lower respiratory infection (ALRI) that can be used to estimate mortality and lost-years of healthy life in children < 5 years of age. Methods: We fit an integrated exposure–response (IER) model by integrating available RR information from studies of ambient air pollution (AAP), second hand tobacco smoke, household solid cooking fuel, and active smoking (AS). AS exposures were converted to estimated annual PM2.5 exposure equivalents using inhaled doses of particle mass. We derived population attributable fractions (PAFs) for every country based on estimated worldwide ambient PM2.5 concentrations. Results: The IER model was a superior predictor of RR compared with seven other forms previously used in burden assessments. The percent PAF attributable to AAP exposure varied among countries from 2 to 41 for IHD, 1 to 43 for stroke, < 1 to 21 for COPD, < 1 to 25 for LC, and < 1 to 38 for ALRI. Conclusions: We developed a fine particulate mass–based RR model that covered the global range of exposure by integrating RR information from different combustion types that generate emissions of particulate matter. The model can be updated as new RR information becomes available. Citation: Burnett RT, Pope CA III, Ezzati M, Olives C, Lim SS, Mehta S, Shin HH, Singh G, Hubbell B, Brauer M, Anderson HR, Smith KR, Balmes JR, Bruce NG, Kan H, Laden F, Prüss-Ustün A, Turner MC, Gapstur SM, Diver WR, Cohen A. 2014. An integrated risk function for estimating the global burden of disease attributable to ambient fine particulate matter exposure. Environ Health Perspect 122:397–403; http://dx.doi.org/10.1289/ehp.1307049Other Sources
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3984213/pdf/Terms of Use
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