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Influence of set-up conditions of exposure indicators on the estimate of short-term associations between urban pollution and mortality

Identifieur interne : 000123 ( PascalFrancis/Curation ); précédent : 000122; suivant : 000124

Influence of set-up conditions of exposure indicators on the estimate of short-term associations between urban pollution and mortality

Auteurs : Laurent Filleul [France] ; Abdelkrim Zeghnoun [France] ; Sylvie Cassadou [France] ; Christophe Declercq [France] ; Daniel Eilstein [France] ; Alain Le Tertre [France] ; Sylvia Medina [France] ; Laurence Pascal [France] ; Hélène Prouvost [France] ; Philippe Saviuc [France] ; Philippe Quenel [France]

Source :

RBID : Pascal:06-0127638

Descripteurs français

English descriptors

Abstract

In the past few years many studies on air pollution and health based on time series have been carried out. Yet, this approach does not assess exposure to air pollution at an individual level but it is based on ambient concentrations measured by air quality monitoring networks. Questions on the estimates of exposure to pollutants have been raised, in particular the fact that background measuring stations only have been considered in the set up of pollution indicators. To assess the impact of exposure indicator characteristics on the results of time series analysis, two series (black smoke and sulfur dioxide, respectively) of exposure indicators to urban air pollution were set up taking into account a growing part of proximity measures (industrial sources) available in the studied urban area (Le Havre, France). For each pollutant, indicators distributions were almost similar, especially for black smoke. Whatever the pollutant, the most obvious heterogeneity could be observed between the 100% background indicator and the indicator including the arithmetic mean for all the stations (50% background stations and 50% proximity stations). Then the sensitivity of the associations between mortality and air pollution to these indicators was studied. These indicators did not show statistically significant differences in the estimated excess risk. Yet, confidence intervals were more statistically significant as the contribution of proximity stations was more substantial, in particular for SO2. To conclude, the use of proximity measurements did not influence dramatically on the mean estimates of the association between air pollution and mortality indicators in Le Havre. Therefore it does not seem relevant to include the data provided by the proximity stations in the urban exposure indicators within the context of the epidemiology monitoring system.
pA  
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A08 01  1  ENG  @1 Influence of set-up conditions of exposure indicators on the estimate of short-term associations between urban pollution and mortality
A11 01  1    @1 FILLEUL (Laurent)
A11 02  1    @1 ZEGHNOUN (Abdelkrim)
A11 03  1    @1 CASSADOU (Sylvie)
A11 04  1    @1 DECLERCQ (Christophe)
A11 05  1    @1 EILSTEIN (Daniel)
A11 06  1    @1 LE TERTRE (Alain)
A11 07  1    @1 MEDINA (Sylvia)
A11 08  1    @1 PASCAL (Laurence)
A11 09  1    @1 PROUVOST (Hélène)
A11 10  1    @1 SAVIUC (Philippe)
A11 11  1    @1 QUENEL (Philippe)
A14 01      @1 Institut de Veille Sanitaire-Cire Aquitaine, Espasse Rodesse, 103, bis rue Belleville, BP 952 @2 33063 Bordeaux @3 FRA @Z 1 aut. @Z 2 aut. @Z 3 aut. @Z 5 aut. @Z 6 aut. @Z 7 aut. @Z 8 aut. @Z 10 aut. @Z 11 aut.
A14 02      @1 Observatoire Régional de la Santé Nord Pas-de-Calais @3 FRA @Z 4 aut. @Z 9 aut.
A20       @1 90-97
A21       @1 2006
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A44       @0 0000 @1 © 2006 INIST-CNRS. All rights reserved.
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C01 01    ENG  @0 In the past few years many studies on air pollution and health based on time series have been carried out. Yet, this approach does not assess exposure to air pollution at an individual level but it is based on ambient concentrations measured by air quality monitoring networks. Questions on the estimates of exposure to pollutants have been raised, in particular the fact that background measuring stations only have been considered in the set up of pollution indicators. To assess the impact of exposure indicator characteristics on the results of time series analysis, two series (black smoke and sulfur dioxide, respectively) of exposure indicators to urban air pollution were set up taking into account a growing part of proximity measures (industrial sources) available in the studied urban area (Le Havre, France). For each pollutant, indicators distributions were almost similar, especially for black smoke. Whatever the pollutant, the most obvious heterogeneity could be observed between the 100% background indicator and the indicator including the arithmetic mean for all the stations (50% background stations and 50% proximity stations). Then the sensitivity of the associations between mortality and air pollution to these indicators was studied. These indicators did not show statistically significant differences in the estimated excess risk. Yet, confidence intervals were more statistically significant as the contribution of proximity stations was more substantial, in particular for SO2. To conclude, the use of proximity measurements did not influence dramatically on the mean estimates of the association between air pollution and mortality indicators in Le Havre. Therefore it does not seem relevant to include the data provided by the proximity stations in the urban exposure indicators within the context of the epidemiology monitoring system.
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C03 05  X  FRE  @0 Milieu urbain @5 08
C03 05  X  ENG  @0 Urban environment @5 08
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C03 06  X  FRE  @0 Fumée noire @5 09
C03 06  X  ENG  @0 Carbonaceous smoke @5 09
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C03 07  X  ENG  @0 Sulfur dioxide @2 NK @2 FX @5 11
C03 07  X  SPA  @0 Dióxido sulfúrico @2 NK @2 FX @5 11
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C03 08  X  SPA  @0 Medición concentración @5 12
C03 09  X  FRE  @0 Teneur air ambiant @5 16
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C03 10  X  FRE  @0 Zone industrielle @5 17
C03 10  X  ENG  @0 Industrial area @5 17
C03 10  X  SPA  @0 Zona industrial @5 17
C03 11  X  FRE  @0 Proximité @5 18
C03 11  X  ENG  @0 Proximity @5 18
C03 11  X  SPA  @0 Proximidad @5 18
C03 12  X  FRE  @0 Zone résidentielle @5 19
C03 12  X  ENG  @0 Residential zone @5 19
C03 12  X  SPA  @0 Zona residencial @5 19
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C03 14  X  SPA  @0 Evaluación @5 21
C03 15  X  FRE  @0 Exposition @5 22
C03 15  X  ENG  @0 Exposure @5 22
C03 15  X  SPA  @0 Exposición @5 22
C03 16  X  FRE  @0 Méthodologie @5 23
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C07 01  X  ENG  @0 Europe @2 NG
C07 01  X  SPA  @0 Europa @2 NG
N21       @1 079

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Pascal:06-0127638

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<term>Carbonaceous smoke</term>
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<term>Evaluation</term>
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<div type="abstract" xml:lang="en">In the past few years many studies on air pollution and health based on time series have been carried out. Yet, this approach does not assess exposure to air pollution at an individual level but it is based on ambient concentrations measured by air quality monitoring networks. Questions on the estimates of exposure to pollutants have been raised, in particular the fact that background measuring stations only have been considered in the set up of pollution indicators. To assess the impact of exposure indicator characteristics on the results of time series analysis, two series (black smoke and sulfur dioxide, respectively) of exposure indicators to urban air pollution were set up taking into account a growing part of proximity measures (industrial sources) available in the studied urban area (Le Havre, France). For each pollutant, indicators distributions were almost similar, especially for black smoke. Whatever the pollutant, the most obvious heterogeneity could be observed between the 100% background indicator and the indicator including the arithmetic mean for all the stations (50% background stations and 50% proximity stations). Then the sensitivity of the associations between mortality and air pollution to these indicators was studied. These indicators did not show statistically significant differences in the estimated excess risk. Yet, confidence intervals were more statistically significant as the contribution of proximity stations was more substantial, in particular for SO
<sub>2</sub>
. To conclude, the use of proximity measurements did not influence dramatically on the mean estimates of the association between air pollution and mortality indicators in Le Havre. Therefore it does not seem relevant to include the data provided by the proximity stations in the urban exposure indicators within the context of the epidemiology monitoring system.</div>
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