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Multinational prediction of household and personal exposure to fine particulate matter (PM2.5) in the PURE cohort study.
Shupler, Matthew; Hystad, Perry; Birch, Aaron; Chu, Yen Li; Jeronimo, Matthew; Miller-Lionberg, Daniel; Gustafson, Paul; Rangarajan, Sumathy; Mustaha, Maha; Heenan, Laura; Seron, Pamela; Lanas, Fernando; Cazor, Fairuz; Jose Oliveros, Maria; Lopez-Jaramillo, Patricio; Camacho, Paul A; Otero, Johnna; Perez, Maritza; Yeates, Karen; West, Nicola; Ncube, Tatenda; Ncube, Brian; Chifamba, Jephat; Yusuf, Rita; Khan, Afreen; Liu, Zhiguang; Wu, Shutong; Wei, Li; Tse, Lap Ah; Mohan, Deepa; Kumar, Parthiban; Gupta, Rajeev; Mohan, Indu; Jayachitra, K G; Mony, Prem K; Rammohan, Kamala; Nair, Sanjeev; Lakshmi, P V M; Sagar, Vivek; Khawaja, Rehman; Iqbal, Romaina; Kazmi, Khawar; Yusuf, Salim; Brauer, Michael.
Afiliación
  • Shupler M; School of Population and Public Health, University of British Columbia, Vancouver, British Columbia, Canada; Department of Public Health, Policy and Systems, University of Liverpool, Liverpool, United Kingdom. Electronic address: mshupler@mail.ubc.ca.
  • Hystad P; College of Public Health and Human Sciences, Oregon State University, Corvallis, OR, United States.
  • Birch A; School of Population and Public Health, University of British Columbia, Vancouver, British Columbia, Canada.
  • Chu YL; School of Population and Public Health, University of British Columbia, Vancouver, British Columbia, Canada.
  • Jeronimo M; School of Population and Public Health, University of British Columbia, Vancouver, British Columbia, Canada.
  • Miller-Lionberg D; Access Sensors Technologies, Fort Collins, CO, United States.
  • Gustafson P; Department of Statistics, University of British Columbia, Vancouver, British Columbia, Canada.
  • Rangarajan S; Population Health Research Institute, Hamilton Health Sciences, McMaster University, Hamilton, Ontario, Canada.
  • Mustaha M; Population Health Research Institute, Hamilton Health Sciences, McMaster University, Hamilton, Ontario, Canada.
  • Heenan L; Population Health Research Institute, Hamilton Health Sciences, McMaster University, Hamilton, Ontario, Canada.
  • Seron P; Population Health Research Institute, Hamilton Health Sciences, McMaster University, Hamilton, Ontario, Canada.
  • Lanas F; Universidad de La Frontera, Temuco, Chile.
  • Cazor F; Universidad de La Frontera, Temuco, Chile.
  • Jose Oliveros M; Universidad de La Frontera, Temuco, Chile.
  • Lopez-Jaramillo P; Universidad de Santander (UDES), Bucaramanga, Colombia.
  • Camacho PA; Fundación Oftalmológica de Santander (FOSCAL), Floridablanca, Colombia.
  • Otero J; Universidad Militar Nueva Granada, Bogota, Colombia.
  • Perez M; Pamoja Tunaweza Research Centre, Moshi, Tanzania.
  • Yeates K; Department of Medicine, Queen's University, Kingston, Ontario, Canada; Department of Biomedical Sciences, University of Zimbabwe, Harare, Zimbabwe.
  • West N; Pamoja Tunaweza Research Centre, Moshi, Tanzania.
  • Ncube T; Department of Biomedical Sciences, University of Zimbabwe, Harare, Zimbabwe.
  • Ncube B; Department of Biomedical Sciences, University of Zimbabwe, Harare, Zimbabwe.
  • Chifamba J; Department of Biomedical Sciences, University of Zimbabwe, Harare, Zimbabwe.
  • Yusuf R; School of Life Sciences, Independent University, Dhaka, Bangladesh.
  • Khan A; School of Life Sciences, Independent University, Dhaka, Bangladesh.
  • Liu Z; Beijing An Zhen Hospital of the Capital University of Medical Sciences, China.
  • Wu S; Medical Research & Biometrics Center, National Center for Cardiovascular Diseases, Fuwai Hospital, Chinese Academy of Medical Sciences, China.
  • Wei L; Medical Research & Biometrics Center, National Center for Cardiovascular Diseases, Fuwai Hospital, Chinese Academy of Medical Sciences, China.
  • Tse LA; Jockey Club School of Public Health and Primary Care, the Chinese University of Hong Kong, HKSAR, China.
  • Mohan D; Madras Diabetes Research Foundation, Chennai, India.
  • Kumar P; Madras Diabetes Research Foundation, Chennai, India.
  • Gupta R; Eternal Heart Care Centre & Research Institute, Jaipur, India.
  • Mohan I; Mahatma Gandhi University of Medical Sciences and Technology, Jaipur, India.
  • Jayachitra KG; St. John's Medical College & Research Institute, Bangalore, India.
  • Mony PK; St. John's Medical College & Research Institute, Bangalore, India.
  • Rammohan K; Health Action By People, Government Medical College, Trivandrum, India.
  • Nair S; Health Action By People, Government Medical College, Trivandrum, India.
  • Lakshmi PVM; Post Graduate Institute of Medical Education and Research, Chandigarh, India.
  • Sagar V; Post Graduate Institute of Medical Education and Research, Chandigarh, India.
  • Khawaja R; Department of Community Health Science, Aga Khan University Hospital, Karachi, Pakistan.
  • Iqbal R; Department of Community Health Science, Aga Khan University Hospital, Karachi, Pakistan.
  • Kazmi K; Department of Community Health Science, Aga Khan University Hospital, Karachi, Pakistan.
  • Yusuf S; Population Health Research Institute, Hamilton Health Sciences, McMaster University, Hamilton, Ontario, Canada.
  • Brauer M; School of Population and Public Health, University of British Columbia, Vancouver, British Columbia, Canada.
Environ Int ; 159: 107021, 2022 01 15.
Article en En | MEDLINE | ID: mdl-34915352
INTRODUCTION: Use of polluting cooking fuels generates household air pollution (HAP) containing health-damaging levels of fine particulate matter (PM2.5). Many global epidemiological studies rely on categorical HAP exposure indicators, which are poor surrogates of measured PM2.5 levels. To quantitatively characterize HAP levels on a large scale, a multinational measurement campaign was leveraged to develop household and personal PM2.5 exposure models. METHODS: The Prospective Urban and Rural Epidemiology (PURE)-AIR study included 48-hour monitoring of PM2.5 kitchen concentrations (n = 2,365) and male and/or female PM2.5 exposure monitoring (n = 910) in a subset of households in Bangladesh, Chile, China, Colombia, India, Pakistan, Tanzania and Zimbabwe. PURE-AIR measurements were combined with survey data on cooking environment characteristics in hierarchical Bayesian log-linear regression models. Model performance was evaluated using leave-one-out cross validation. Predictive models were applied to survey data from the larger PURE cohort (22,480 households; 33,554 individuals) to quantitatively estimate PM2.5 exposures. RESULTS: The final models explained half (R2 = 54%) of the variation in kitchen PM2.5 measurements (root mean square error (RMSE) (log scale):2.22) and personal measurements (R2 = 48%; RMSE (log scale):2.08). Primary cooking fuel type, heating fuel type, country and season were highly predictive of PM2.5 kitchen concentrations. Average national PM2.5 kitchen concentrations varied nearly 3-fold among households primarily cooking with gas (20 µg/m3 (Chile); 55 µg/m3 (China)) and 12-fold among households primarily cooking with wood (36 µg/m3 (Chile)); 427 µg/m3 (Pakistan)). Average PM2.5 kitchen concentration, heating fuel type, season and secondhand smoke exposure were significant predictors of personal exposures. Modeled average PM2.5 female exposures were lower than male exposures in upper-middle/high-income countries (India, China, Colombia, Chile). CONCLUSION: Using survey data to estimate PM2.5 exposures on a multinational scale can cost-effectively scale up quantitative HAP measurements for disease burden assessments. The modeled PM2.5 exposures can be used in future epidemiological studies and inform policies targeting HAP reduction.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Contaminación del Aire Interior / Contaminantes Atmosféricos Tipo de estudio: Etiology_studies / Incidence_studies / Observational_studies / Prognostic_studies / Risk_factors_studies Límite: Female / Humans / Male Idioma: En Revista: Environ Int Año: 2022 Tipo del documento: Article Pais de publicación: Países Bajos

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Contaminación del Aire Interior / Contaminantes Atmosféricos Tipo de estudio: Etiology_studies / Incidence_studies / Observational_studies / Prognostic_studies / Risk_factors_studies Límite: Female / Humans / Male Idioma: En Revista: Environ Int Año: 2022 Tipo del documento: Article Pais de publicación: Países Bajos