TY  - JOUR
PY  - 2021//
TI  - Short-term exposure to nitrogen dioxide and mortality: a systematic review and meta-analysis
JO  - Environmental research
A1  - Wang, Mingrui
A1  - Li, Haomin
A1  - Huang, Shiwen
A1  - Qian, Yaoyao
A1  - Steenland, Kyle
A1  - Xie, Yang
A1  - Papatheodorou, Stefania
A1  - Shi, Liuhua
SP  - ePub
EP  - ePub
VL  - ePub
IS  - ePub
N2  - BACKGROUND: Ambient air pollution has been characterized as a leading cause of mortality worldwide and has been associated with cardiovascular and respiratory diseases. There is increasing evidence that short-term exposure to nitrogen dioxide (NO(2)), is related to adverse health effects and mortality. <br><br>METHODS: We conducted a systematic review of short-term NO(2) and daily mortality, which were indexed in PubMed and Embase up to June 2021. We calculated random-effects estimates by different continents and globally, and tested for heterogeneity and publication bias. <br><br>RESULTS: We included 87 articles in our quantitative analysis. NO(2) and all-cause as well as cause-specific mortality were positively associated in the main analysis. For all-cause mortality, a 10 ppb increase in NO(2) was associated with a 1.58% (95%CI 1.28%-1.88%, I(2) = 96.3%, Eggers' test p < 0.01, N = 57) increase in the risk of death. For cause-specific mortality, a 10 ppb increase in NO(2) was associated with a 1.72% (95%CI 1.41%-2.04%, I(2) = 87.4%, Eggers' test p < 0.01, N = 42) increase in cardiovascular mortality and a 2.05% (95%CI 1.52%-2.59%, I(2) = 78.5%, Eggers' test p < 0.01, N = 38) increase in respiratory mortality. In the sensitivity analysis, the meta-estimates for all-cause mortality, cardiovascular and respiratory mortality were nearly identical. The heterogeneity would decline to varying degrees through regional and study-type stratification. <br><br>CONCLUSIONS: This study provides evidence of an association between short-term exposure to NO(2), a proxy for traffic-sourced air pollutants, and all-cause, cardiovascular and respiratory mortality.<p />  <p>Language: en</p>
LA  - en
SN  - 0013-9351
UR  - http://dx.doi.org/10.1016/j.envres.2021.111766
ID  - ref1
ER  -