Interacting effects of particulate pollution and cold temperature on cardiorespiratory mortality in Scotland

Objectives: To determine whether the effect of black smoke on cardiorespiratory mortality is modified by cold temperatures. Methods: Poisson regression models were used to investigate the relationship between lagged black smoke concentration and daily mortality, and whether the effect of black smoke...

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Main Authors: Carder, M., McNamee, R., Beverland, I., Elton, R., Van Tongeren, M., Cohen, G., Boyd, James, MacNee, W., Agius, R.
Format: Journal Article
Published: BMJ Group 2008
Online Access:http://hdl.handle.net/20.500.11937/22823
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author Carder, M.
McNamee, R.
Beverland, I.
Elton, R.
Van Tongeren, M.
Cohen, G.
Boyd, James
MacNee, W.
Agius, R.
author_facet Carder, M.
McNamee, R.
Beverland, I.
Elton, R.
Van Tongeren, M.
Cohen, G.
Boyd, James
MacNee, W.
Agius, R.
author_sort Carder, M.
building Curtin Institutional Repository
collection Online Access
description Objectives: To determine whether the effect of black smoke on cardiorespiratory mortality is modified by cold temperatures. Methods: Poisson regression models were used to investigate the relationship between lagged black smoke concentration and daily mortality, and whether the effect of black smoke on mortality was modified by cold temperature for three Scottish cities from January 1981 to December 2001. Main results: For all-cause respiratory and non-cardiorespiratory mortality, there was a significant association between mortality and lagged black smoke concentration. Generally the maximum black smoke effect occurred at lag 0, although these estimates were not statistically significant. A 10 µgm-3 increase in the daily mean black smoke concentration on any given day was associated with a 1.68% (95% CI 0.72 to 2.65) increase in all-cause mortality and a 0.43% (95% CI -0.97 to 1.86), 5.36% (95% CI 2.93 to 7.84) and 2.13% (95% CI 0.82 to 3.47) increase in cardiovascular, respiratory and non-cardiorespiratory mortality, respectively, over the ensuing 30-day period. The effect of black smoke on mortality did not vary significantly between seasons (cool and warm periods). For all-cause, cardiovascular and non-cardiorespiratory mortality the inclusion of interaction terms did not improve the models, although for all-cause and non-cardiorespiratory mortality there was a suggestion for interaction between temperature and recent black smoke exposure. Conclusions: The results of this study suggested a greater effect of black smoke on mortality at low temperatures. Since extremes of cold and particulate pollution may coexist, for example during temperature inversion, these results may have important public health implications.
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spelling curtin-20.500.11937-228232017-09-13T13:57:44Z Interacting effects of particulate pollution and cold temperature on cardiorespiratory mortality in Scotland Carder, M. McNamee, R. Beverland, I. Elton, R. Van Tongeren, M. Cohen, G. Boyd, James MacNee, W. Agius, R. Objectives: To determine whether the effect of black smoke on cardiorespiratory mortality is modified by cold temperatures. Methods: Poisson regression models were used to investigate the relationship between lagged black smoke concentration and daily mortality, and whether the effect of black smoke on mortality was modified by cold temperature for three Scottish cities from January 1981 to December 2001. Main results: For all-cause respiratory and non-cardiorespiratory mortality, there was a significant association between mortality and lagged black smoke concentration. Generally the maximum black smoke effect occurred at lag 0, although these estimates were not statistically significant. A 10 µgm-3 increase in the daily mean black smoke concentration on any given day was associated with a 1.68% (95% CI 0.72 to 2.65) increase in all-cause mortality and a 0.43% (95% CI -0.97 to 1.86), 5.36% (95% CI 2.93 to 7.84) and 2.13% (95% CI 0.82 to 3.47) increase in cardiovascular, respiratory and non-cardiorespiratory mortality, respectively, over the ensuing 30-day period. The effect of black smoke on mortality did not vary significantly between seasons (cool and warm periods). For all-cause, cardiovascular and non-cardiorespiratory mortality the inclusion of interaction terms did not improve the models, although for all-cause and non-cardiorespiratory mortality there was a suggestion for interaction between temperature and recent black smoke exposure. Conclusions: The results of this study suggested a greater effect of black smoke on mortality at low temperatures. Since extremes of cold and particulate pollution may coexist, for example during temperature inversion, these results may have important public health implications. 2008 Journal Article http://hdl.handle.net/20.500.11937/22823 10.1136/oem.2007.032896 BMJ Group unknown
spellingShingle Carder, M.
McNamee, R.
Beverland, I.
Elton, R.
Van Tongeren, M.
Cohen, G.
Boyd, James
MacNee, W.
Agius, R.
Interacting effects of particulate pollution and cold temperature on cardiorespiratory mortality in Scotland
title Interacting effects of particulate pollution and cold temperature on cardiorespiratory mortality in Scotland
title_full Interacting effects of particulate pollution and cold temperature on cardiorespiratory mortality in Scotland
title_fullStr Interacting effects of particulate pollution and cold temperature on cardiorespiratory mortality in Scotland
title_full_unstemmed Interacting effects of particulate pollution and cold temperature on cardiorespiratory mortality in Scotland
title_short Interacting effects of particulate pollution and cold temperature on cardiorespiratory mortality in Scotland
title_sort interacting effects of particulate pollution and cold temperature on cardiorespiratory mortality in scotland
url http://hdl.handle.net/20.500.11937/22823