2022

Author(s): Ji JS, Liu L, Zhang JJ, Kan H, Zhao B, Burkart KG, Zeng Y

BACKGROUND: There is a discourse on whether air pollution mixture or air pollutant components are causally linked to increased mortality. In particular, there is uncertainty on whether the association of NO(2) with mortality is independent of fine particulate matter (PM(2.5)). Furthermore, effect modification by temperature on air pollution-related mortality also needs more evidence. METHODS: We used the Chinese Longitudinal Healthy Longevity Study (CLHLS), a prospective cohort with geographical and socio-economic diversity in China. The participants were enrolled in 2008 or 2009 and followed up in 2011-2012, 2014, and 2017-2018. We used remote sensing and ground monitors to measure nitrogen dioxide (NO(2)), fine particulate matter (PM(2.5)) , and temperature. We used the Cox-proportional hazards model to examine the association between component and composite air pollution and all-cause mortality, adjusted for demographic characteristics, lifestyle, geographical attributes, and temperature. We used the restricted cubic spline to visualize the concentration-response curve. RESULTS: Our study included 11 835 individuals with an average age of

DOI: https://dx.doi.org/10.1186/s12940-022-00901-8