Cited by 254Energy and Environment ImpactsAir Quality and Health ImpactsIndoor Air Quality and Microbial Exposure

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Indoor Air Pollution and Blood Pressure in Adult Women Living in Rural China

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Baumgartner, Jill, Schauer, James J., Ezzati, Majid, Lu, Lin, Cheng, Chun, Patz, Jonathan A., Bautista, Leonelo E.·2011·Environmental Health Perspectives

DOI 10.1289/ehp.1003371PMC PMC3230444

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Abstract

Background: Almost half of the world’s population uses coal and biomass fuels for domestic energy. Limited evidence suggests that exposure to air pollutants from indoor biomass combustion may be associated with elevated blood pressure (BP). Objective: Our aim was to assess the relationship between air pollution exposure from indoor biomass combustion and BP in women in rural China. Methods: We measured 24-hr personal integrated gravimetric exposure to fine particles < 2.5 µm in aerodynamic diameter (PM2.5) and systolic BP (SBP) and diastolic BP (DBP) in the winter and summer among 280 women ≥ 25 years of age living in rural households using biomass fuels in Yunnan, China. We investigated the association between PM2.5 exposure and SBP and DBP using mixed-effects models with random intercepts to account for correlation among repeated measures. Results: Personal average 24-hr exposure to PM2.5 ranged from 22 to 634 µg/m3 in winter and from 9 to 492 µg/m3 in summer. A 1-log-µg/m3 increase in PM2.5 exposure was associated with 2.2 mm Hg higher SBP [95% confidence interval (CI), 0.8 to 3.7; p = 0.003] and 0.5 mm Hg higher DBP (95% CI, –0.4 to 1.3; p = 0.31) among all women; estimated effects varied by age group. Among women > 50 years of age, a 1-log-µg/m3 increase in PM2.5 exposure was associated with 4.1 mm Hg higher SBP (95% CI, 1.5 to 6.6; p = 0.002) and 1.8 mm Hg higher DBP (95% CI, 0.4 to 3.2; p = 0.01). PM2.5 exposure was positively associated with SBP among younger women, but the association was not statistically significant. Conclusion: PM2.5 exposure from biomass combustion may be a risk factor for elevated BP and hence for cardiovascular events. Our findings should be corroborated in longitudinal studies.

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Authors: Baumgartner, J., Schauer, J. J., Ezzati, M., Lu, L., Cheng, C., Patz, J. A., & Bautista, L. E.
Affiliations: University of Minnesota (US)
University of Wisconsin–Madison (US)
Imperial College London (GB)
Yunnan Provincial Centers for Disease Control and Prevention, Kunming, Yunnan, People’s Republic of China
Yunnan Center for Disease Control And Prevention (CN)
Department of Population Health Sciences,
Corresponding author: Baumgartner, Jill
ORCID: Baumgartner, Jill
Schauer, James J.
Ezzati, Majid
Patz, Jonathan A.
Bautista, Leonelo E.
Venue: Environmental Health Perspectives
Publisher: American Chemical Society (ACS)
Published: 2011-07-01
Volume: 119
Issue: 10
Pages: 1390-1395
ISSN: 0091-6765 (ISSN-L)
1552-9924
DOI: 10.1289/ehp.1003371
PMC: PMC3230444
OpenAlex: W2000154455
Cited by: 254
References: 64
Citations by year: 2026: 10 · 2025: 10 · 2024: 15 · 2023: 14 · 2022: 23 · 2021: 25 · 2020: 20 · 2019: 19 · 2018: 22 · 2017: 18 · 2016: 18 · 2015: 18 · 2014: 17 · 2013: 10 · 2012: 15
FWCI: 12.49
Type: journal article
Language: en
Open access: gold
doi.org
Licence: public-domain
creativecommons.org/licenses/by/4.0/ (vor, 2373 d)
Locations: Environmental Health Perspectives (publishedVersion, public-domain)
Europe PMC (PubMed Central) (publishedVersion, public-domain)
PubMed Central (publishedVersion, public-domain)
PubMed (publishedVersion)
Funders: National Science Foundation (0549369)
Topics: Physical Sciences › Environmental Science › Pollution › Energy and Environment Impacts
Physical Sciences › Environmental Science › Health, Toxicology and Mutagenesis › Air Quality and Health Impacts
Physical Sciences › Environmental Science › Health, Toxicology and Mutagenesis › Indoor Air Quality and Microbial Exposure
Keywords: indoor air pollution, biomass combustion, blood pressure, PM2.5, women, rural households, cardiovascular risk, seasonal variation, age differences, Yunnan
MeSH terms: Adult, Aged, Aged, 80 and over, Blood Pressure, China, Environmental Monitoring, Female, Humans, Middle Aged, Risk Factors, Air Pollution, Indoor, Particulate Matter

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Indoor Air Pollution and Blood Pressure in Adult Women Living in Rural China

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