Associations between fine and coarse particles and mortality in Mediterranean cities: Results from the MED-PARTICLES Project

Samoli, E; Stafoggia, M; Rodopoulou, S; Ostro, B; Declercq, C; Alessandrini, E; Díaz, J; Karanasiou, A; Kelessis, AG; Le Tertre, A; Pandolfi, P; Randi, G; Scarinzi, C; Zauli-Sajani, S; Katsouyanni, K; Forastiere, F

HERO ID

1790949

Reference Type

Journal Article

Year

2013

Language

English

PMID

23687008

HERO ID 1790949
In Press No
Year 2013
Title Associations between fine and coarse particles and mortality in Mediterranean cities: Results from the MED-PARTICLES Project
Authors Samoli, E; Stafoggia, M; Rodopoulou, S; Ostro, B; Declercq, C; Alessandrini, E; Díaz, J; Karanasiou, A; Kelessis, AG; Le Tertre, A; Pandolfi, P; Randi, G; Scarinzi, C; Zauli-Sajani, S; Katsouyanni, K; Forastiere, F
Journal Environmental Health Perspectives
Volume 121
Issue 8
Page Numbers 932-938
Abstract BACKGROUND: Few studies have investigated the independent health effects of different size fractions of particulate matter (PM), in multiple locations, especially in Europe. OBJECTIVES: We estimated the short-term effects of PM with aerodynamic diameter less than 10μm (PM10), less than 2.5μm (PM2.5), and between 2.5 and 10μm (PM2.5-10) on all-cause, cardiovascular and respiratory mortality in 10 European Mediterranean metropolitan areas within the MED-PARTICLES project. METHODSs: We analyzed data from each city using Poisson regression models, and combined city-specific estimates to derive overall effect estimates. We evaluated the sensitivity of our estimates to co-pollutant exposures and city-specific model choice, and investigated effect modification by age, sex, and season. We applied distributed lag and threshold models to investigate temporal patterns of associations. RESULTS: A 10-μg/m(3) increase in PM2.5 was associated with a 0.55% (95% CI: 0.27, 0.84%) increase in all-cause mortality (0-1 day cumulative lag), and a 1.91% increase (95%CI: 0.71, 3.12%) in respiratory mortality (0-5 day lag). In general, associations were stronger for cardiovascular and respiratory mortality than all-cause mortality, during warm versus cold months, and among those ≥ 75 versus <75 years of age. Associations with PM2.5-10 were positive but not statistically significant in most analyses, while associations with PM10 seemed to be driven by PM2.5 CONCLUSIONS: We found evidence of adverse effects of PM2.5 on mortality outcomes in the European Mediterranean region. Associations with PM2.5-10 were positive but smaller in magnitude. Associations were stronger for respiratory mortality when cumulative exposures were lagged over 0-5 days, and were modified by season and age.
Doi 10.1289/ehp.1206124
Pmid 23687008
Wosid WOS:000323711700021
Is Certified Translation No
Dupe Override No
Is Public Yes
Language Text English
Keyword coarse particles; fine particles; Mediterranean; mortality; particulate matter; time series