Air pollution, cardiovascular endpoints and susceptibility by stress and material resources: a systematic review of the evidence

Abstract Background and Methods Evidence shows that both the physical and social environments play a role in the development of cardiovascular disease. The purpose of this systematic review is two-fold: First, we summarize research from the past 12 years from the growing number of studies focused on...

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Main Authors: Christina H. Fuller, Karla R. Feeser, Jeremy A. Sarnat, Marie S. O’Neill
Format: Article
Language:English
Published: BMC 2017-06-01
Series:Environmental Health
Subjects:
Online Access:http://link.springer.com/article/10.1186/s12940-017-0270-0
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author Christina H. Fuller
Karla R. Feeser
Jeremy A. Sarnat
Marie S. O’Neill
author_facet Christina H. Fuller
Karla R. Feeser
Jeremy A. Sarnat
Marie S. O’Neill
author_sort Christina H. Fuller
collection DOAJ
description Abstract Background and Methods Evidence shows that both the physical and social environments play a role in the development of cardiovascular disease. The purpose of this systematic review is two-fold: First, we summarize research from the past 12 years from the growing number of studies focused on effect modification of the relationships between air pollution and cardiovascular disease (CVD) outcomes by socioeconomic position (SEP) and; second, we identify research gaps throughout the published literature on this topic and opportunities for addressing these gaps in future study designs. Results We identified 30 articles that examined the modifying effects of either material resources or psychosocial stress (both related to SEP) on associations between short and long-term air pollution exposure and CVD endpoints. Although 18 articles identified at least one interaction between an air pollutant and material resource indicator, 11 others did not. Support for susceptibility to air pollution by psychosocial stress was weaker; however, only three articles tested this hypothesis. Further studies are warranted to investigate how air pollution and SEP together may influence CVD. Conclusions We recommend that such research include thorough assessment of air pollution and SEP correlations, including spatial correlation; investigate air pollution indices or multi-pollutant models; use standardized metrics of SEP to enhance comparability across studies; and evaluate potentially susceptible populations.
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spelling doaj.art-d454f3a1168a49fd87d623d5ec80cb6d2022-12-22T01:51:18ZengBMCEnvironmental Health1476-069X2017-06-0116111710.1186/s12940-017-0270-0Air pollution, cardiovascular endpoints and susceptibility by stress and material resources: a systematic review of the evidenceChristina H. Fuller0Karla R. Feeser1Jeremy A. Sarnat2Marie S. O’Neill3Division of Environmental Health, School of Public Health, Georgia State UniversityDivision of Environmental Health, School of Public Health, Georgia State UniversityDepartment of Environmental Health, Rollins School of Public Health, Emory UniversityDepartments of Environmental Health Sciences and Epidemiology, School of Public Health, University of MichiganAbstract Background and Methods Evidence shows that both the physical and social environments play a role in the development of cardiovascular disease. The purpose of this systematic review is two-fold: First, we summarize research from the past 12 years from the growing number of studies focused on effect modification of the relationships between air pollution and cardiovascular disease (CVD) outcomes by socioeconomic position (SEP) and; second, we identify research gaps throughout the published literature on this topic and opportunities for addressing these gaps in future study designs. Results We identified 30 articles that examined the modifying effects of either material resources or psychosocial stress (both related to SEP) on associations between short and long-term air pollution exposure and CVD endpoints. Although 18 articles identified at least one interaction between an air pollutant and material resource indicator, 11 others did not. Support for susceptibility to air pollution by psychosocial stress was weaker; however, only three articles tested this hypothesis. Further studies are warranted to investigate how air pollution and SEP together may influence CVD. Conclusions We recommend that such research include thorough assessment of air pollution and SEP correlations, including spatial correlation; investigate air pollution indices or multi-pollutant models; use standardized metrics of SEP to enhance comparability across studies; and evaluate potentially susceptible populations.http://link.springer.com/article/10.1186/s12940-017-0270-0Particulate matterAir pollutionTrafficSusceptibilityCardiovascularStress
spellingShingle Christina H. Fuller
Karla R. Feeser
Jeremy A. Sarnat
Marie S. O’Neill
Air pollution, cardiovascular endpoints and susceptibility by stress and material resources: a systematic review of the evidence
Environmental Health
Particulate matter
Air pollution
Traffic
Susceptibility
Cardiovascular
Stress
title Air pollution, cardiovascular endpoints and susceptibility by stress and material resources: a systematic review of the evidence
title_full Air pollution, cardiovascular endpoints and susceptibility by stress and material resources: a systematic review of the evidence
title_fullStr Air pollution, cardiovascular endpoints and susceptibility by stress and material resources: a systematic review of the evidence
title_full_unstemmed Air pollution, cardiovascular endpoints and susceptibility by stress and material resources: a systematic review of the evidence
title_short Air pollution, cardiovascular endpoints and susceptibility by stress and material resources: a systematic review of the evidence
title_sort air pollution cardiovascular endpoints and susceptibility by stress and material resources a systematic review of the evidence
topic Particulate matter
Air pollution
Traffic
Susceptibility
Cardiovascular
Stress
url http://link.springer.com/article/10.1186/s12940-017-0270-0
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