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Public Health and Air Pollution in Asia (PAPA): A Multicity Study of Short-Term Effects of Air Pollution on Mortality

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Wong, Chit-Ming, Vichit-Vadakan, Nuntavarn, Kan, Haidong, Qian, Zhengmin·2008·Environmental Health Perspectives

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Abstract

BACKGROUND AND OBJECTIVES: Although the deleterious effects of air pollution from fossil fuel combustion have been demonstrated in many Western nations, fewer studies have been conducted in Asia. The Public Health and Air Pollution in Asia (PAPA) project assessed the effects of short-term exposure to air pollution on daily mortality in Bangkok, Thailand, and in three cities in China: Hong Kong, Shanghai, and Wuhan. METHODS: Poisson regression models incorporating natural spline smoothing functions were used to adjust for seasonality and other time-varying covariates that might confound the association between air pollution and mortality. Effect estimates were determined for each city and then for the cities combined using a random effects method. RESULTS: In individual cities, associations were detected between most of the pollutants [nitrogen dioxide, sulfur dioxide, particulate matter < or = 10 microm in aerodynamic diameter (PM(10)), and ozone] and most health outcomes under study (i.e., all natural-cause, cardiovascular, and respiratory mortality). The city-combined effects of the four pollutants tended to be equal or greater than those identified in studies conducted in Western industrial nations. In addition, residents of Asian cities are likely to have higher exposures to air pollution than those in Western industrial nations because they spend more time outdoors and less time in air conditioning. CONCLUSIONS: Although the social and environmental conditions may be quite different, it is reasonable to apply estimates derived from previous health effect of air pollution studies in the West to Asia.

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Authors: Wong, C.-M., Vichit-Vadakan, N., Kan, H., & Qian, Z.
Affiliations: University of Hong Kong (HK)
Faculty of Public Health, Thammasat University, Pathumthani, Thailand
National Institutes of Health (US)
Pennsylvania State University (US)
Corresponding author: Wong, Chit-Ming
ORCID: Kan, Haidong
Qian, Zhengmin
Venue: Environmental Health Perspectives
Publisher: American Chemical Society (ACS)
Published: 2008-07-09
Volume: 116
Issue: 9
Pages: 1195-1202
ISSN: 0091-6765 (ISSN-L)
1552-9924
DOI: 10.1289/ehp.11257
PMC: PMC2535622
OpenAlex: W2165456540
Cited by: 476
References: 22
Citations by year: 2026: 12 · 2025: 16 · 2024: 20 · 2023: 19 · 2022: 40 · 2021: 31 · 2020: 33 · 2019: 32 · 2018: 28 · 2017: 31 · 2016: 26 · 2015: 28 · 2014: 29 · 2013: 31 · 2012: 33
FWCI: 15.39
Type: journal article
Language: en
Open access: gold
doi.org
Licence: public-domain
creativecommons.org/licenses/by/4.0/ (vor, 3460 d)
Locations: Environmental Health Perspectives (publishedVersion, public-domain)
PubMed Central (publishedVersion, public-domain)
PubMed (publishedVersion)
The HKU Scholars Hub (University of Hong Kong) (submittedVersion)
Funders: U.S. Environmental Protection Agency
Health Effects Institute
Topics: Physical Sciences › Environmental Science › Health, Toxicology and Mutagenesis › Air Quality and Health Impacts
Physical Sciences › Environmental Science › Health, Toxicology and Mutagenesis › Climate Change and Health Impacts
Physical Sciences › Environmental Science › Health, Toxicology and Mutagenesis › Indoor Air Quality and Microbial Exposure
Keywords: air pollution, short-term exposure, mortality, cardiovascular mortality, respiratory mortality, natural death, nitrogen dioxide, sulfur dioxide, particulate matter, ozone, Asian cities, Bangkok, Hong Kong, Shanghai, Wuhan, fossil fuel combustion, exposure assessment
MeSH terms: Aged, Air Pollution, Asia, Dose-Response Relationship, Drug, Humans, Middle Aged, Public Health

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Public Health and Air Pollution in Asia (PAPA): A Multicity Study of Short-Term Effects of Air Pollution on Mortality

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