Short-Term Effects of Nitrogen Dioxide on Mortality and Susceptibility Factors in 10 Italian Cities: The EpiAir Study (Articolo in rivista)

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  • Short-Term Effects of Nitrogen Dioxide on Mortality and Susceptibility Factors in 10 Italian Cities: The EpiAir Study (Articolo in rivista) (literal)
Anno
  • 2011-01-01T00:00:00+01:00 (literal)
Http://www.cnr.it/ontology/cnr/pubblicazioni.owl#doi
  • 10.1289/ehp.1002904 (literal)
Alternative label
  • Chiusolo M, Cadum E, Stafoggia M, Galassi C, Berti G, Faustini A, Bisanti L, Vigotti MA, Dessì MP, Cernigliaro A, Mallone S, Pacelli B, Minerba S, Simonato L, Forastiere F; on behalf of the EPIAIR collaborative Group. (Viegi G. in collaborazione) (2011)
    Short-Term Effects of Nitrogen Dioxide on Mortality and Susceptibility Factors in 10 Italian Cities: The EpiAir Study
    in Environmental health perspectives
    (literal)
Http://www.cnr.it/ontology/cnr/pubblicazioni.owl#autori
  • Chiusolo M, Cadum E, Stafoggia M, Galassi C, Berti G, Faustini A, Bisanti L, Vigotti MA, Dessì MP, Cernigliaro A, Mallone S, Pacelli B, Minerba S, Simonato L, Forastiere F; on behalf of the EPIAIR collaborative Group. (Viegi G. in collaborazione) (literal)
Pagina inizio
  • 1233 (literal)
Pagina fine
  • 1238 (literal)
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  • 119 (literal)
Rivista
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  • 6 (literal)
Http://www.cnr.it/ontology/cnr/pubblicazioni.owl#numeroFascicolo
  • 9 (literal)
Note
  • ISI Web of Science (WOS) (literal)
Http://www.cnr.it/ontology/cnr/pubblicazioni.owl#affiliazioni
  • Environmental Epidemiological Unit, Regional Environmental Protection Agency, Piedmont, Turin, Italy; Environmental Epidemiological Unit, Regional Environmental Protection Agency, Piedmont, Turin, Italy; Department of Epidemiology, Rome/E Local Health Authority, Rome (Italy); Cancer Epidemiology Unit, Center for Cancer Prevention, Piedmont, Turin, Italy; Environmental Epidemiological Unit, Regional Environmental Protection Agency, Piedmont, Turin, Italy;Department of Epidemiology, Rome/E Local Health Authority, Rome (Italy); Epidemiology Unit, Local Health Authority, Milan (Italy); Department of Biology, University of Pisa, Pisa, Italy; Department of Prevention, Local Health Authority, Cagliari, Italy; Epidemiological Observatory, Regional Health Authority, Palermo, Italy; Institute for Cancer Study and Prevention, Florence, Italy; Epidemiology Observatory, Department of Public Health, Local Health Authority, Bologna; Statistics and Epidemiology Unit, Local Health Authority, Taranto, Italy;Department of Environmental Medicine and Public Health, School of Medicine, University of Padova, Padova, Italy; Department of Epidemiology, Rome/E Local Health Authority, Rome (Italy); CNR-IFC, Pisa (literal)
Titolo
  • Short-Term Effects of Nitrogen Dioxide on Mortality and Susceptibility Factors in 10 Italian Cities: The EpiAir Study (literal)
Abstract
  • BACKGROUND: Several studies have shown an association between nitrogen dioxide (NO(2)) and mortality. In Italy, the EpiAir multicentric study, \"Air Pollution and Health: Epidemiological Surveillance and Primary Prevention,\" investigated short-term health effects of air pollution, including NO(2). OBJECTIVES: To study the individual susceptibility, we evaluated the association between NO(2) and cause-specific mortality, investigating individual sociodemographic features and chronic/acute medical conditions as potential effect modifiers. METHODS: We considered 276,205 natural deaths of persons > 35 years of age, resident in 10 Italian cities, and deceased between 2001 and 2005. We chose a time-stratified case-crossover analysis to evaluate the short-term effects of NO(2) on natural, cardiac, cerebrovascular, and respiratory mortality. For each subject, we collected information on sociodemographic features and hospital admissions in the previous 2 years. Fixed monitors provided daily concentrations of NO(2), particulate matter <= 10 mu m in aerodynamic diameter (PM(10)) and ozone (O(3)). RESULTS: We found statistically significant associations with a 10-mu g/m(3) increase of NO2 for natural mortality [2.09% for lag 0-5; 95% confidence interval (CI), 0.96-3.24], for cardiac mortality (2.63% for lag 0-5; 95% CI, 1.53-3.75), and for respiratory mortality (3.48% for lag 1-5; 95% CI, 0.75-6.29). These associations were independent from those of PM(10) and O(3). Stronger associations were estimated for subjects with at least one hospital admission in the 2 previous years and for subjects with three or more specific chronic conditions. Some cardiovascular conditions (i.e., ischemic heart disease, pulmonary circulation impairment, heart conduction disorders, heart failure) and diabetes appeared to confer a strong susceptibility to air pollution. CONCLUSIONS: Our results suggest significant and likely independent effects of NO(2) on natural, cardiac, and respiratory mortality, particularly among subjects with specific cardiovascular preexisting chronic conditions and diabetes. (literal)
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