Reanalysis of the association between reduction in long-term PM2.5 concentrations and improved life expectancy

Abstract Background Much of the current evidence of associations between long-term PM2.5 and health outcomes relies on national or regional analyses using exposures derived directly from regulatory monitoring data. These findings could be affected by limited spatial coverage of monitoring data, part...

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Main Authors: Sun-Young Kim, Arden C. Pope, Julian D. Marshall, Neal Fann, Lianne Sheppard
Format: Article
Language:English
Published: BMC 2021-09-01
Series:Environmental Health
Subjects:
Online Access:https://doi.org/10.1186/s12940-021-00785-0
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author Sun-Young Kim
Arden C. Pope
Julian D. Marshall
Neal Fann
Lianne Sheppard
author_facet Sun-Young Kim
Arden C. Pope
Julian D. Marshall
Neal Fann
Lianne Sheppard
author_sort Sun-Young Kim
collection DOAJ
description Abstract Background Much of the current evidence of associations between long-term PM2.5 and health outcomes relies on national or regional analyses using exposures derived directly from regulatory monitoring data. These findings could be affected by limited spatial coverage of monitoring data, particularly for time periods before spatially extensive monitoring began in the late 1990s. For instance, Pope et al. (2009) showed that between 1980 and 2000 a 10 μg/m3 reduction in PM2.5 was associated with an average 0.61 year (standard error (SE) = 0.20) longer life expectancy. That analysis used 1979–1983 averages of PM2.5 across 51 U.S. Metropolitan Statistical Areas (MSAs) computed from about 130 monitoring sites. Our reanalysis re-examines this association using modeled PM2.5 in order to assess population- or spatially-representative exposure. We hypothesized that modeled PM2.5 with finer spatial resolution provides more accurate health effect estimates compared to limited monitoring data. Methods We used the same data for life expectancy and confounders, as well as the same analysis models, and investigated the same 211 continental U.S. counties, as Pope et al. (2009). For modeled PM2.5, we relied on a previously-developed point prediction model based on regulatory monitoring data for 1999–2015 and back-extrapolation to 1979. Using this model, we predicted annual average concentrations at centroids of all 72,271 census tracts and 12,501 25-km national grid cells covering the contiguous U.S., to represent population and space, respectively. We averaged these predictions to the county for the two time periods (1979–1983 and 1999–2000), whereas the original analysis used MSA averages given limited monitoring data. Finally, we estimated regression coefficients for PM2.5 reduction on life expectancy improvement over the two periods, adjusting for area-level confounders. Results A 10 μg/m3 decrease in modeled PM2.5 based on census tract and national grid predictions was associated with 0.69 (standard error (SE) = 0.31) and 0.81 (0.29) -year increases in life expectancy. These estimates are higher than the estimate of Pope et al. (2009); they also have larger SEs likely because of smaller variability in exposure predictions, a standard property of regression. Two sets of effect estimates, however, had overlapping confidence intervals. Conclusions Our approach for estimating population- and spatially-representative PM2.5 concentrations based on census tract and national grid predictions, respectively, provided generally consistent findings to the original findings using limited monitoring data. This finding lends additional support to the evidence that reduced fine particulate matter contributes to extended life expectancy.
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spelling doaj.art-86f124b22486491eb2358aed293114e02022-12-21T18:59:03ZengBMCEnvironmental Health1476-069X2021-09-0120111010.1186/s12940-021-00785-0Reanalysis of the association between reduction in long-term PM2.5 concentrations and improved life expectancySun-Young Kim0Arden C. Pope1Julian D. Marshall2Neal Fann3Lianne Sheppard4Department of Cancer Control and Population Health, Graduate School of Cancer Science and Policy, National Cancer CenterDepartment of Economics, Brigham Young UniversityDepartment of Civil and Environmental Engineering, University of WashingtonOffice of Air Quality, Planning and Standards, US Environmental Protection Agency, RTPDepartment of Environmental and Occupational Health Sciences, University of WashingtonAbstract Background Much of the current evidence of associations between long-term PM2.5 and health outcomes relies on national or regional analyses using exposures derived directly from regulatory monitoring data. These findings could be affected by limited spatial coverage of monitoring data, particularly for time periods before spatially extensive monitoring began in the late 1990s. For instance, Pope et al. (2009) showed that between 1980 and 2000 a 10 μg/m3 reduction in PM2.5 was associated with an average 0.61 year (standard error (SE) = 0.20) longer life expectancy. That analysis used 1979–1983 averages of PM2.5 across 51 U.S. Metropolitan Statistical Areas (MSAs) computed from about 130 monitoring sites. Our reanalysis re-examines this association using modeled PM2.5 in order to assess population- or spatially-representative exposure. We hypothesized that modeled PM2.5 with finer spatial resolution provides more accurate health effect estimates compared to limited monitoring data. Methods We used the same data for life expectancy and confounders, as well as the same analysis models, and investigated the same 211 continental U.S. counties, as Pope et al. (2009). For modeled PM2.5, we relied on a previously-developed point prediction model based on regulatory monitoring data for 1999–2015 and back-extrapolation to 1979. Using this model, we predicted annual average concentrations at centroids of all 72,271 census tracts and 12,501 25-km national grid cells covering the contiguous U.S., to represent population and space, respectively. We averaged these predictions to the county for the two time periods (1979–1983 and 1999–2000), whereas the original analysis used MSA averages given limited monitoring data. Finally, we estimated regression coefficients for PM2.5 reduction on life expectancy improvement over the two periods, adjusting for area-level confounders. Results A 10 μg/m3 decrease in modeled PM2.5 based on census tract and national grid predictions was associated with 0.69 (standard error (SE) = 0.31) and 0.81 (0.29) -year increases in life expectancy. These estimates are higher than the estimate of Pope et al. (2009); they also have larger SEs likely because of smaller variability in exposure predictions, a standard property of regression. Two sets of effect estimates, however, had overlapping confidence intervals. Conclusions Our approach for estimating population- and spatially-representative PM2.5 concentrations based on census tract and national grid predictions, respectively, provided generally consistent findings to the original findings using limited monitoring data. This finding lends additional support to the evidence that reduced fine particulate matter contributes to extended life expectancy.https://doi.org/10.1186/s12940-021-00785-0Fine particulate matterLife expectancyLong-term exposureMeasured exposureModeled exposurePrediction
spellingShingle Sun-Young Kim
Arden C. Pope
Julian D. Marshall
Neal Fann
Lianne Sheppard
Reanalysis of the association between reduction in long-term PM2.5 concentrations and improved life expectancy
Environmental Health
Fine particulate matter
Life expectancy
Long-term exposure
Measured exposure
Modeled exposure
Prediction
title Reanalysis of the association between reduction in long-term PM2.5 concentrations and improved life expectancy
title_full Reanalysis of the association between reduction in long-term PM2.5 concentrations and improved life expectancy
title_fullStr Reanalysis of the association between reduction in long-term PM2.5 concentrations and improved life expectancy
title_full_unstemmed Reanalysis of the association between reduction in long-term PM2.5 concentrations and improved life expectancy
title_short Reanalysis of the association between reduction in long-term PM2.5 concentrations and improved life expectancy
title_sort reanalysis of the association between reduction in long term pm2 5 concentrations and improved life expectancy
topic Fine particulate matter
Life expectancy
Long-term exposure
Measured exposure
Modeled exposure
Prediction
url https://doi.org/10.1186/s12940-021-00785-0
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