Fine Particulate Air Pollution and US County Life Expectancies

By C. Pope, M. Ezzati, D. Dockery, Abstr Act. New England Journal of Medicine, 2009

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Background Exposure to fine particulate matter air pollution has been associated with increased risk of cardiopulmonary and lung cancer morbidity and mortality, suggesting that sustained reductions in pollution exposure should result in improved life expectancy. This study directly evaluates changes in life expectancy associated with differential changes in fine particulate air pollution that occurred in the U.S. during the 1980s and 1990s. Methods Life expectancy, socio-economic, and demographic data were compiled for 217 counties in the 51 U.S. metropolitan areas with matching fine particulate air pollution data for the late 1970s/early 1980s and the late 1990s/early 2000s. Regression models were used to estimate the association between reductions in pollution and changes in life expectancy, controlling for changes in socio-economic and demographic variables and for proxy indicators of cigarette smoking. Results A decrease of 10 μg/m3 of fine particulate concentration was associated with an estimated increase in life expectancy equal to 0.77 (SE = 0.17) years. The estimated effect of reduced pollution exposure on life expectancy was not highly sensitive to controlling for changes in socio-economic, demographic, and proxy smoking variables or to restricting observations to relatively large counties and central metro counties. The effect of reductions in air pollution on life expectancy in the study areas was as much as 18% of the overall increase. Conclusion Reducing exposure to ambient fine particulate matter air pollution contributed to significant and measurable improvements in life expectancy in the U.S.

Subfields: Health, Health, Toxicology and Mutagenesis, Physiology

View Paper: https://www.semanticscholar.org/paper/04924db2ac112e437fcfe0f1e2885ac715303c9e

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In Health, Toxicology and Mutagenesis

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In Physiology

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