Please use this identifier to cite or link to this item: http://hdl.handle.net/10668/1907
Título : A combined analysis of the short-term effects of photochemical air pollutants on mortality within the EMECAM project.
Autor : Saez, Marc
Ballester, Ferran
Barceló, Maria Antònia
Pérez-Hoyos, Santiago
Bellido, Juan
Tenías, José María
Ocaña, Ricardo
Figueiras, Adolfo
Arribas, Federico
Aragonés, Nuria
Tobías, Aurelio
Cirera, Lluís
Cañada, Alvaro
Filiación: [Saez,M; Barceló,A] Research Group on Statistics, Applied Economics and Health, GRECS, Department of Economics, University of Girona, Spain. [Ballester,F; Pérez-Hoyos,S; Tenías,JM] Epidemiology and Statistics Unit, Valencian School for Health Studies (EVES), Spain. [Bellido,J] Epidemiological Service, Regional Health Authority, Castelló, Spain. [Ocaña,R] Andalusian School of Public Health, Granada, Spain. [Figueiras,A] Preventive Medicine, University of Santiago de Compostela, Spain. [Arribas,F] Health, Welfare and Labour Department, Zaragoza, Spain. [Aragonés,N] Public Health Authority, Madrid, Spain. [Tobías,A] Department of Clinical Epidemiology and Public Health, Hospital de la Santa Creu i Sant Pau, Barcelona, Spain. [Cirera,L] Epidemiology Department, Regional Health Council, Murcia, Spain. [Cañada,Á] Public Health Regional Authority, Social Services Council, Oviedo, Spain.
Grupo de Investigación: The EMECAM group
Palabras clave : Oxidantes Fotoquímicos
Ozono
Dióxido de Nitrógeno
Contaminantes del Aire
España
MeSH: Medical Subject Headings::Named Groups::Persons::Age Groups::Adult
Medical Subject Headings::Named Groups::Persons::Age Groups::Adult::Aged
Medical Subject Headings::Chemicals and Drugs::Chemical Actions and Uses::Toxic Actions::Environmental Pollutants::Air Pollutants
Medical Subject Headings::Named Groups::Persons::Age Groups::Child
Medical Subject Headings::Named Groups::Persons::Age Groups::Child::Child, Preschool
Medical Subject Headings::Geographicals::Geographic Locations::Cities
Medical Subject Headings::Health Care::Environment and Public Health::Public Health::Environmental Pollution::Environmental Exposure
Medical Subject Headings::Analytical, Diagnostic and Therapeutic Techniques and Equipment::Investigative Techniques::Epidemiologic Methods::Epidemiologic Study Characteristics as Topic::Epidemiologic Studies
Medical Subject Headings::Check Tags::Female
Medical Subject Headings::Organisms::Eukaryota::Animals::Chordata::Vertebrates::Mammals::Primates::Haplorhini::Catarrhini::Hominidae::Humans
Medical Subject Headings::Named Groups::Persons::Age Groups::Infant
Medical Subject Headings::Named Groups::Persons::Age Groups::Infant::Infant, Newborn
Medical Subject Headings::Named Groups::Persons::Age Groups::Infant::Infant, Newborn
Medical Subject Headings::Named Groups::Persons::Age Groups::Adult::Middle Aged
Medical Subject Headings::Analytical, Diagnostic and Therapeutic Techniques and Equipment::Investigative Techniques::Epidemiologic Methods::Data Collection::Vital Statistics::Mortality
Medical Subject Headings::Chemicals and Drugs::Inorganic Chemicals::Gases::Nitrogen Oxides::Nitrogen Dioxide
Medical Subject Headings::Chemicals and Drugs::Chemical Actions and Uses::Specialty Uses of Chemicals::Oxidants::Oxidants, Photochemical
Medical Subject Headings::Chemicals and Drugs::Inorganic Chemicals::Gases::Oxygen::Ozone
Medical Subject Headings::Analytical, Diagnostic and Therapeutic Techniques and Equipment::Investigative Techniques::Epidemiologic Methods::Statistics as Topic::Regression Analysis
Medical Subject Headings::Analytical, Diagnostic and Therapeutic Techniques and Equipment::Investigative Techniques::Epidemiologic Methods::Statistics as Topic::Probability::Risk::Risk Assessment
Medical Subject Headings::Geographicals::Geographic Locations::Europe::Spain
Medical Subject Headings::Named Groups::Persons::Age Groups::Adolescent
Fecha de publicación : Mar-2002
Editorial : National Institute of Environmental Health Sciences (NIEHS)
Cita Bibliográfica: Saez M, Ballester F, Barceló MA, Pérez-Hoyos S, Bellido J, Tenías JM, et al. A combined analysis of the short-term effects of photochemical air pollutants on mortality within the EMECAM project. Environ Health Perspect. 2002; 110(3):221-8
Abstract: In recent years, some epidemiologic studies have attributed adverse effects of air pollutants on health not only to particles and sulfur dioxide but also to photochemical air pollutants (nitrogen dioxide and ozone). The effects are usually small, leading to some inconsistencies in the results of the studies. Furthermore, the different methodologic approaches of the studies used has made it difficult to derive generic conclusions. We provide here a quantitative summary of the short-term effects of photochemical air pollutants on mortality in seven Spanish cities involved in the EMECAM project, using generalized additive models from analyses of single and multiple pollutants. Nitrogen dioxide and ozone data were provided by seven EMECAM cities (Barcelona, Gijón, Huelva, Madrid, Oviedo, Seville, and Valencia). Mortality indicators included daily total mortality from all causes excluding external causes, daily cardiovascular mortality, and daily respiratory mortality. Individual estimates, obtained from city-specific generalized additive Poisson autoregressive models, were combined by means of fixed effects models and, if significant heterogeneity among local estimates was found, also by random effects models. Significant positive associations were found between daily mortality (all causes and cardiovascular) and NO(2), once the rest of air pollutants were taken into account. A 10 microg/m(3) increase in the 24-hr average 1-day NO(2)level was associated with an increase in the daily number of deaths of 0.43% [95% confidence interval (CI), -0.003-0.86%] for all causes excluding external. In the case of significant relationships, relative risks for cause-specific mortality were nearly twice as much as that for total mortality for all the photochemical pollutants. Ozone was independently related only to cardiovascular daily mortality. No independent statistically significant relationship between photochemical air pollutants and respiratory mortality was found. The results in this study suggest that, given the present levels of photochemical pollutants, people living in Spanish cities are exposed to health risks derived from air pollution.
Descripción : Journal Article; Research Support, Non-U.S. Gov't;
URI: http://hdl.handle.net/10668/1907
Versión del editor : http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1240760/
DOI: http://dx.doi.org/10.1289/ehp.02110221
ISSN : 0091-6765 (Print)
1552-9924 (Electronic)
Appears in Collections:01- Artículos - EASP. Escuela Andaluza de Salud Pública

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