Roadway construction as a natural experiment to examine air pollution impacts on infant health.

Traffic-related air pollution (TRAP) poses a significant public health risk that is associated with adverse birth outcomes. Large roadway infrastructure projects present a natural experiment to examine how resulting congestion change is associated with adverse birth outcomes for nearby populations. This study is designed to examine the influence of living close to a roadway before, during, and after a construction project using a difference-in-differences design. We integrated data on all large roadway construction projects (defined as widening of existing roads, building new roads, improving bridges, installing intelligent transportation systems, improving intersections, and installing or upgrading traffic signals) in Texas from 2007 to 2016 with Vital Statistic data for all births with residential addresses within 1 km of construction projects. Our outcomes included term low birth weight, term birth weight, preterm birth, and very preterm birth. Using a difference-in-differences design, we included births within 3 years of construction start and 2 years of construction end. In our main model, the exposed group is limited to pregnant individuals residing within 300 m of a construction project, and the control group includes those living within 300-1000 m from a project. We used regression models to estimate the influence of construction on infant health. We included 1,360 large roadway construction projects linked to 408,979 births. During construction, we found that the odds of term low birth weight increased by 19% (95% CI: 1.05, 1.36). However, we saw little evidence of an association for other birth outcomes. Contrary to our hypothesis of decreased TRAP after construction ends, we did not observe consistent improvements post-construction for pregnant individuals living within 300 m. Continued consideration of the influence of traffic congestion programs on birth outcomes is necessary to inform future policy decisions.

COVID-19 pandemic reveals persistent disparities in nitrogen dioxide pollution.

The unequal spatial distribution of ambient nitrogen dioxide ([Formula: see text]), an air pollutant related to traffic, leads to higher exposure for minority and low socioeconomic status communities. We exploit the unprecedented drop in urban activity during the COVID-19 pandemic and use high-resolution, remotely sensed [Formula: see text] observations to investigate disparities in [Formula: see text] levels across different demographic subgroups in the United States. We show that, prior to the pandemic, satellite-observed [Formula: see text] levels in the least White census tracts of the United States were nearly triple the [Formula: see text] levels in the most White tracts. During the pandemic, the largest lockdown-related [Formula: see text] reductions occurred in urban neighborhoods that have 2.0 times more non-White residents and 2.1 times more Hispanic residents than neighborhoods with the smallest reductions. [Formula: see text] reductions were likely driven by the greater density of highways and interstates in these racially and ethnically diverse areas. Although the largest reductions occurred in marginalized areas, the effect of lockdowns on racial, ethnic, and socioeconomic [Formula: see text] disparities was mixed and, for many cities, nonsignificant. For example, the least White tracts still experienced ∼1.5 times higher [Formula: see text] levels during the lockdowns than the most White tracts experienced prior to the pandemic. Future policies aimed at eliminating pollution disparities will need to look beyond reducing emissions from only passenger traffic and also consider other collocated sources of emissions such as heavy-duty vehicles.

Network approach reveals the spatiotemporal influence of traffic on air pollution under COVID-19.

Air pollution causes widespread environmental and health problems and severely hinders the quality of life of urban residents. Traffic is critical for human life, but its emissions are a major source of pollution, aggravating urban air pollution. However, the complex interaction between traffic emissions and air pollution in cities and regions has not yet been revealed. In particular, the spread of COVID-19 has led various cities and regions to implement different traffic restriction policies according to the local epidemic situation, which provides the possibility to explore the relationship between urban traffic and air pollution. Here, we explore the influence of traffic on air pollution by reconstructing a multi-layer complex network base on the traffic index and air quality index. We uncover that air quality in the Beijing-Tianjin-Hebei (BTH), Chengdu-Chongqing Economic Circle (CCS), and Central China (CC) regions is significantly influenced by the surrounding traffic conditions after the outbreak. Under different stages of the fight against the epidemic, the influence of traffic in some regions on air pollution reaches the maximum in stage 2 (also called Initial Progress in Containing the Virus). For the BTH and CC regions, the impact of traffic on air quality becomes bigger in the first two stages and then decreases, while for CC, a significant impact occurs in phase 3 among the other regions. For other regions in the country, however, the changes are not evident. Our presented network-based framework provides a new perspective in the field of transportation and environment and may be helpful in guiding the government to formulate air pollution mitigation and traffic restriction policies.

Exposure to traffic-related air pollution and changes in exhaled nitric oxide and DNA methylation in arginase and nitric oxide synthase in children with asthma.

BACKGROUND: Traffic-related air pollution (TRAP) has been associated with increased risk of airway inflammation in children with asthma. While epigenetic changes could potentially modulate TRAP-induced inflammatory responses, few studies have assessed the temporal pattern of exposure to TRAP, epigenetic changes and inflammation in children with asthma. Our goal was to test the time-lag patterns of personal exposure to TRAP, airway inflammation (measured as fractional exhaled nitric oxide, FeNO), and DNA methylation in the promoter regions of genes involved in nitric oxide synthesis among children with asthma. METHODS: We measured personal exposure to black carbon (BC) and FeNO for up to 30 days in a panel of children with asthma. We collected 90 buccal cell samples for DNA methylation analysis from 18 children (5 per child). Methylation in promoter regions of nitric oxide synthase (NOS1, NOS2A, NOS3) and arginase (ARG1, ARG2) was assessed by bisulfite pyrosequencing. Linear-mixed effect models were used to test the associations of BC at different lag periods, percent DNA methylation at each site and FeNO level. RESULTS: Exposure to BC was positively associated with FeNO, and negatively associated with DNA methylation in NOS3. We found strongest association between FeNO and BC at lag 0-6 h while strongest associations between methylation at positions 1 and 2 in NOS3 and BC were at lag 13-24 h and lag 0-24 h, respectively. The strengths of associations were attenuated at longer lag periods. No significant associations between exposure to TRAP and methylation levels in other NOS and ARG isoforms were observed. CONCLUSIONS: Exposure to TRAP was associated with higher levels of FeNO and lower levels of DNA methylation in the promoter regions of the NOS3 gene, indicating that DNA methylation of the NOS3 gene could be an important epigenetic mechanism in physiological responses to TRAP in children with asthma.

Childhood traffic-related air pollution and adverse changes in subclinical atherosclerosis measures from childhood to adulthood.

BACKGROUND: Chronic exposure to air pollutants is associated with increased risk of cardiovascular disease (CVD) among adults. However, little is known about how air pollution may affect the development of subclinical atherosclerosis in younger populations. Carotid artery intima-media thickness (CIMT) is a measure of subclinical atherosclerosis that provides insight into early CVD pathogenesis. METHODS: In a pilot study of 70 participants from the Southern California Children's Health Study, we investigated CIMT progression from childhood to adulthood. Using carotid artery ultrasound images obtained at age 10 and follow-up images at age 21-22, we examined associations between childhood ambient and traffic-related air pollutants with changes in CIMT over time and attained adult CIMT using linear mixed-effects models adjusted for potential confounders. Average residential childhood exposures (i.e., birth to time of measurement at 10-11 years) were assigned for regional, ambient pollutants (ozone, nitrogen dioxide, particulate matter, interpolated from regulatory air monitoring data) and traffic-related nitrogen oxides (NOx) by road class (modeled using the CALINE4 line source dispersion model). Traffic density was calculated within a 300-m residential buffer. RESULTS: For each 1 standard deviation (SD) increase in childhood traffic-related total NOx exposure, we observed greater yearly rate of change in CIMT from childhood to adulthood (ß: 2.17 µm/yr, 95% CI: 0.78-3.56). Increases in annual rate of CIMT change from childhood to adulthood also were observed with freeway NOx exposure (ß: 2.24 µm/yr, 95% CI: 0.84-3.63) and traffic density (ß: 2.11 µm/yr, 95% CI: 0.79-3.43). Traffic exposures were also related to increases in attained CIMT in early adulthood. No associations of CIMT change or attained level were observed with ambient pollutants. CONCLUSIONS: Overall, we observed adverse changes in CIMT over time in relation to childhood traffic-related NOx exposure and traffic density in our study population. While these results must be cautiously interpreted given the limited sample size, the observed associations of traffic measures with CIMT suggest a need for future studies to more fully explore this relationship.

Commuter PM exposure and estimated life-expectancy loss across multiple transportation modes in Xi'an, China.

Commuters are reportedly exposed to severe traffic-related air pollution (TRAP) during their commuting trips. This study was designed and implemented to (1) compare particulate matter (PM) exposure across four common transportation modes; (2) examine and analyze various determining factors; and (3) estimate public health effects caused by commuting exposure to PM. All analyses and calculations were based on the experimental data collected from 13 volunteers, including heart-rate data on 336 commuting trips in four travel modes in Xi'an China. The results indicate highest PM exposure associated with cycling (average PM10, PM2.5 and PM1.0 of 114.35, 72.37 and 56.51 µg/m3, respectively), followed by riding transit buses (116.29, 67.60 and 51.12 µg/m3 for the same pollutants, respectively), then taking a taxi (97.61, 58.87 and 45.11 µg/m3), and the lowest exposure onboard subways (55.86, 46.20 and 40.20 µg/m3). A multivariable linear regression model was used to examine major influences on PM concentration variations, with results corroborating significant PM variance across commuting modes, which is also affected by background pollution concentration and relative humidity. Further, years of life expectancy (YLE) loss were estimated using an inhalation dose model together with the life table method: cycling commuters experienced the greatest YLE loss (5.51-6.43 months per capita for the studied age group). During severe pollution periods, substituting other modes (like subway) for cycling could effectively avoid acute exposure. PM2.5 levels in taxi cabins powered by CNG or methanol were comparatively lower, indicating that implementing alternative energy strategies could effectively lower traffic emissions and population exposure.

Public Transport Strikes and Their Relationships With Air Pollution, Mortality, and Hospital Admissions.

There is limited suggestive evidence of relationships between public transport strikes and either increased air pollution or worse population health. In this study we aimed to assess whether public transport strikes were associated with increases in health events (overall, cardiovascular and respiratory mortality, and cardiovascular and respiratory hospitalizations). We also explored whether air pollution mediated those associations. We used data from the city of Barcelona (Spain) for the period 2005-2016 on strikes, health events, and ambient air pollution (nitrogen dioxide, nitrogen monoxide, particulate matter (PM) with an aerodynamic diameter ≤10 µm, PM with an aerodynamic diameter ≤2.5µm, PM with an aerodynamic diameter ≤1µm, number of particles with a diameter greater than 5 nm per cm3 (particle number concentration), and black carbon). We used linear and quasi-Poisson regression models to explore the associations between air pollution and public transport strikes and between public transport strikes and health outcomes. We also investigated potential causal mediation by air pollution. Overall, this study suggested that public transport strikes are associated with increased overall mortality, respiratory mortality, and respiratory hospitalizations. However, our findings suggest that such increases are not mediated by the increase in air pollution. Our results indicate the need to further investigate these relationships and potential mechanisms.

Sources apportionment and carcinogenic risk of polycyclic aromatic hydrocarbons in gas phase of urban Shanghai: Based on high volume solid phase extraction (Hi-volume SPE).

Polycyclic aromatic hydrocarbons (PAHs) are ubiquitous environmental pollutants, posing potentially serious threats to human health. This study analyzed compositional characteristics, sources, and carcinogenic risks of PAHs in the atmospheric gas phase at an urban site in Shanghai, East China. Seventy-four gas phase samples were collected during the warm months of May-October 2018 using a high-volume solid phase extraction (Hi-volume SPE) technique. The total concentration of sixteen priority PAHs (ΣPAHs) was in the range of 5.54-182.05 ng m-3 (average 34.47 ng m-3) and the total of seven carcinogenic PAHs (ΣCPAHs) was in range of 0.03-1.49 ng m-3 (average 0.48 ng m-3), accounting for 1.47% of ΣPAHs and indicating low carcinogenic potential. Redundancy analyses indicated positive correlations between ΣPAHs and air quality, and ΣCPAHs and average high temperature, and a negative correlation between ΣPAHs and wind speed. Four possible sources, namely petroleum and petrogenic sources, traffic emissions, coal combustion, and mixed gasoline and coal combustion sources, were identified by positive matrix factorization (PMF), accounting for 62.84%, 19.31%, 10.15%, and 7.69% of ΣPAHs, respectively. The overall lifetime lung cancer risk (LLCR) through inhalation of PAHs was estimated to be at a low risk level of 1.61 × 10-5. The LLCR based on PMF apportionment decreased in the order of mixed gasoline and coal combustion sources (47.07%) > traffic emissions (35.10%) > petroleum and petrogenic sources (11.06%) > coal combustion (6.74%). This study demonstrates the effectiveness of Hi-volume SPE in collecting and analyzing atmospheric gas phase PAHs.

Changes in heavy metal accumulation in some edible landscape plants depending on traffic density.

Food scarcity is one of global issues that our world faces today. A significant portion of the world's population has no access to adequate food, and it is stated that approximately 830 million people suffer from chronic famine. This predicament is estimated to grow even further. Many attempts have been made to solve the food problem. Some examples are using new resources which have not been used for dietary purposes up to this point, planting new areas to produce food products, and increasing the potential harvest per an area unit. One of the solution proposals, which has come up recently within this scope, is the term of "edible landscaping", which means the use of edible plants in the landscaping works, and thus maximizing the potential for food security. However, edible landscaping poses a considerable risk. Heavy metal accumulation in plants grown in urban centers can reach to high levels, and consuming these plants will allow these heavy metals a direct access into the human body and wreak havoc to the public health. But since this subject has not been sufficiently studied yet, the extent of such a risk is not accurately determined yet. This study aims to determine the changes of Ni, Co and Mn concentrations depending on traffic density in the leaves, branches, barks and fruits of cherry, plum, mulberry and apple trees growing in areas with dense traffic, low-density traffic and no-traffic zones in Kastamonu province. The results showed that the concentrations of Ni and Co elements increased in many organelles depending on traffic density, and that the heavy metal concentrations in fruits could be very high. This situation indicates that fruit and vegetables grown in industrial zones and urban centers, where heavy metal pollution may be high, can be harmful to the public health if consumed as crops.

Ambient air pollution exposure and risk and progression of interstitial lung abnormalities: the Framingham Heart Study.

BACKGROUND: Ambient air pollution accelerates lung function decline among adults, however, there are limited data about its role in the development and progression of early stages of interstitial lung disease. AIMS: To evaluate associations of long-term exposure to traffic and ambient pollutants with odds of interstitial lung abnormalities (ILA) and progression of ILA on repeated imaging. METHODS: We ascertained ILA on chest CT obtained from 2618 Framingham participants from 2008 to 2011. Among 1846 participants who also completed a cardiac CT from 2002 to 2005, we determined interval ILA progression. We assigned distance from home address to major roadway, and the 5-year average of fine particulate matter (PM2.5), elemental carbon (EC, a traffic-related PM2.5 constituent) and ozone using spatio-temporal prediction models. Logistic regression models were adjusted for age, sex, body mass index, smoking status, packyears of smoking, household tobacco exposure, neighbourhood household value, primary occupation, cohort and date. RESULTS: Among 2618 participants with a chest CT, 176 (6.7%) had ILA, 1361 (52.0%) had no ILA, and the remainder were indeterminate. Among 1846 with a preceding cardiac CT, 118 (6.4%) had ILA with interval progression. In adjusted logistic regression models, an IQR difference in 5-year EC exposure of 0.14 µg/m3 was associated with a 1.27 (95% CI 1.04 to 1.55) times greater odds of ILA, and a 1.33 (95% CI 1.00 to 1.76) times greater odds of ILA progression. PM2.5 and O3 were not associated with ILA or ILA progression. CONCLUSIONS: Exposure to EC may increase risk of progressive ILA, however, associations with other measures of ambient pollution were inconclusive.

Traffic exposures, air pollution and outcomes in pulmonary arterial hypertension: a UK cohort study analysis.

While traffic and air pollution exposure is associated with increased mortality in numerous diseases, its association with disease severity and outcomes in pulmonary arterial hypertension (PAH) remains unknown.Exposure to particulate matter with a 50% cut-off aerodynamic diameter ≤2.5 µm (PM2.5), nitrogen dioxide (NO2) and indirect measures of traffic-related air pollution (distance to main road and length of roads within buffer zones surrounding residential addresses) were estimated for 301 patients with idiopathic/heritable PAH recruited in the UK National Cohort Study of Idiopathic and Heritable PAH. Associations with transplant-free survival and pulmonary haemodynamic severity at baseline were assessed, adjusting for confounding variables defined a prioriHigher estimated exposure to PM2.5 was associated with higher risk of death or lung transplant (unadjusted hazard ratio (HR) 2.68 (95% CI 1.11-6.47) per 3 µg·m-3; p=0.028). This association remained similar when adjusted for potential confounding variables (HR 4.38 (95% CI 1.44-13.36) per 3 µg·m-3; p=0.009). No associations were found between NO2 exposure or other traffic pollution indicators and transplant-free survival. Conversely, indirect measures of exposure to traffic-related air pollution within the 500-1000 m buffer zones correlated with the European Society of Cardiology/European Respiratory Society risk categories as well as pulmonary haemodynamics at baseline. This association was strongest for pulmonary vascular resistance.In idiopathic/heritable PAH, indirect measures of exposure to traffic-related air pollution were associated with disease severity at baseline, whereas higher PM2.5 exposure may independently predict shorter transplant-free survival.

Combined effects of traffic air pollution and home environmental factors on preterm birth in China.

BACKGROUND: Although mounting evidence have linked traffic-related air pollution (TRAP) with increased risk of preterm birth (PTB), whether it can interact with indoor environmental factors remains unknown, and its window(s) susceptibility at the stage of gestation is unclear. OBJECTIVE: To explore PTB risk for prenatal exposure to traffic-related air pollution and home environmental factors during pregnancy, so as to identify critical window(s) in the combined effect of traffic air pollution and main home environmental factor(s) on PTB development. METHODS: A retrospective cohort study of 3,509 preschool children was performed in Changsha, China during 2011-2012. The PTB prevalence was reported by the parents based on a questionnaire. We estimated each mother's exposure to traffic-related air pollutant NO2 in different windows of gestation, including conception month, three trimesters, birth month, and whole gestation. Maternal exposure to home environmental factors was considered by renovation (new furniture/redecoration) in pregnancy, and mold/damp stains and window condensation during perinatal period. Associations of PTB with both ambient NO2 and home environmental factors, and their interactions on PTB were evaluated by logistic regression models using odds ratio (OR) with 95% confidence interval (CI). RESULTS: Traffic air pollutant NO2 exposure in utero was significantly associated with PTB, with adjusted odds ratio (OR) (95% CI) of 1.41 (1.00-1.98) for an IQR increase in NO2 exposure during whole pregnancy, particularly in the conception month and 1st trimester. We further found a positive relationship between perinatal exposure to mold/damp stains in the homes and PTB, OR (95% CI) = 1.73 (1.04-2.90). Especially, we detected a significant interaction between outdoor NO2 and indoor mold/damp stains on PTB risk. Male and female foetus were respectively more susceptible to perinatal mold/dampness at home and outdoor NO2 exposure in early gestation. CONCLUSION: Our finding indicates that both outdoor traffic air pollutant and indoor mold/dampness play key roles in PTB development, and their interaction effect in early pregnancy significantly increases PTB risk.

Trace metals and PAHs in topsoils of the University campus in the megacity of São Paulo, Brazil.

The aim of this study is to discuss the concentration distribution, composition and possible sources of trace metals and 13 PAHs in topsoils of the University campus, in the city of São Paulo, the largest city of South America. Mineralogy and granulometry of topsoils (0-10 cm) samples, were determined and As, Ba, Cd, Co, Cr, Cu, Mo, Ni, Pb, Sb, V, Zn, Hg, Pt, Pd and PAHs concentrations were quantified in the bulk fraction. The average clay content of soils was 221±61.8 g kg-1 and total carbon was low (mean of 25 g kg-1). Concentrations of metals were generally lower than the reference value established by the São Paulo State Environmental Agency and other studies in the São Paulo urban area, except for Cd, Ni, Pb, Cr and Zn. The mean concentration of the sum of 13 PAHs was 0.33 mg kg-1 and fluorene, indeno(1,2,3-cd)pyrene, anthracene, pyrene and benzo(ghi)perylene were the most abundant compounds. PAHs and trace metals variability were constrained in PMF analysis and showed an association with exhaust and non-exhaust vehicular emissions. The results also pointed out a spatial pattern in the campus area related to traffic conditions and intensity and terrain slope.

Air quality and PM10-associated poly-aromatic hydrocarbons around the railway traffic area: statistical and air mass trajectory approaches.

Diesel engine railway traffic causes atmosphere pollution due to the exhaust emission which may be harmful to the passengers as well as workers. In this study, the air quality and PM10 concentrations were evaluated around a railway station in Northeast India where trains are operated with diesel engines. The gaseous pollutant (e.g. SO2, NO2, and NH3) was collected and measured by using ultraviolet-visible spectroscopy. The advanced level characterizations of the PM10 samples were carried out by using ion chromatography, Fourier-transform infrared, X-ray diffraction, inductively coupled plasma optical emission spectrometry , X-ray photoelectron spectroscopy, field-emission scanning electron microscopy with energy-dispersive spectroscopy, and high-resolution transmission electron microscopy with energy-dispersive spectroscopy techniques to know their possible environmental contaminants. High-performance liquid chromatography technique was used to determine the concentration of polycyclic aromatic hydrocarbons to estimate the possible atmospheric pollution level caused by the rail traffic in the enclosure. The average PM10 concentration was found to be 262.11 µg m-3 (maximum 24 hour) which indicates poor air quality (AQI category) around the rail traffic. The statistical and air mass trajectory analysis was also done to know their mutual correlation and source apportionment. This study will modify traditional studies where only models are used to simulate the origins.

Occurrence of heavy elements in street dust from sub/urban zone of Tianjin: pollution characteristics and health risk assessment.

Main purpose of this study was to determine the concentrations of selected heavy elements (As, Cd, Pb, Cu, Co, Cr and Ni) in the street dust samples (n = 49) collected from seven districts located in suburban/urban zone of Tianjin in order to estimate their possible sources and degree of environmental pollution as well as human health risk. Mean concentrations (mg kg-1) of As (19.3), Cd (0.60), Pb (28.4) and Cu (62.7) were above their corresponding soil background values. According to the results of multivariate statistical analysis, the accumulation of As, Cd, Pb, Cu and Cr in street dust was affected by anthropogenic activities, while the contents of Ni and Co were associated with natural sources. Pollution degree by geo-accumulation index had the following trend: Cd > Cu > As > Pb > Cr > Ni > Co. Dust contamination with Cd ranged from unpolluted to highly polluted. Potential ecological risk indicated low (Pb, Cu, Cr, Co and Ni) to high (Cd) risk, while potential risk index showed moderate and very high risks. Non-carcinogenic risk of the studied elements was below safe level (<1). Data obtained in this investigation gave the additional values to the knowledge needed for future monitoring and risk assessment, relating the presence of heavy elements studied in suburban/urban areas.

Heavy metal accumulation in rosemary leaves and stems exposed to traffic-related pollution near Adana-Iskenderun Highway (Hatay, Turkey).

Pollution has become a problem on a global scale and poses a significant risk in terms of human health and natural ecosystems. Generally, the biggest sources of pollution are municipal and industrial facilities. However, traffic-related air pollution cannot be overlooked as a dangerous source either. There have been various methods of interventions to measure and reduce the risk and effects of traffic-related pollution. In the case of measuring, the use of certain plant species that can accumulate pollutants in their tissues is considered a practical solution. In this study, the aim is to find out the metals that are accumulated in rosemary leaves and stems and the rosemary leaves. In other words, the leaves and the stems are to be used as a biomonitors to reveal the rate of metal pollution along the highway. We try to identify the accumulation ability of traffic-related heavy metals (Al, Cd, Cr, Cu, Fe, Mn, Ni, Pb, and Zn) of the Rosmarinus officinalis L. (rosemary) which is used in the refuge and slopes along the highway connecting Adana with Iskenderun (Hatay). Our findings concluded that the rosemary could have a decent capacity to accumulate Al, Cd, Cr, Cu, Fe, Mn, Pb, and Zn in both leaves and stem. We therefore believe that R. officinalis is a great tool in determining the amount of traffic-related pollution in urban areas.

Traffic-Related Air Pollution and Autism Spectrum Disorder: A Population-Based Nested Case-Control Study in Israel.

Accumulating evidence suggests that perinatal air pollutant exposures are associated with increased risk of autism spectrum disorder (ASD), but evidence for traffic pollutants outside the United States is inconclusive. We assessed the association between nitrogen dioxide, a traffic pollution tracer, and risk of ASD. We conducted a nested case-control study among the entire population of children born during 2005-2009 in the central coastal area of Israel. Cases were identified through the National Insurance Institute of Israel (n = 2,098). Controls were a 20% random sample of the remaining children (n = 54,191). Exposure was based on an optimized dispersion model. We estimated adjusted odds ratios and 95% confidence intervals using logistic regression and a distributed-lag model. In models mutually adjusted for the 2 periods, the odds ratio per 5.85-parts per billion (ppb) increment of nitrogen dioxide exposure during pregnancy (median, 16.8 ppb; range, 7.5-31.2 ppb) was 0.77 (95% confidence interval: 0.59, 1.00), and the odds ratio for exposure during the 9 months after birth was 1.40 (95% confidence interval: 1.09, 1.80). A distributed-lag model revealed reduced risk around week 13 of pregnancy and elevated risk around week 26 after birth. These findings suggest that postnatal exposure to nitrogen dioxide in Israel is associated with increased odds of ASD, and prenatal exposure with lower odds. The latter may relate to selection effects.

High-resolution mapping of traffic related air pollution with Google street view cars and incidence of cardiovascular events within neighborhoods in Oakland, CA.

BACKGROUND: Some studies have linked long-term exposure to traffic related air pollutants (TRAP) with adverse cardiovascular health outcomes; however, previous studies have not linked highly variable concentrations of TRAP measured at street-level within neighborhoods to cardiovascular health outcomes. METHODS: Long-term pollutant concentrations for nitrogen dioxide [NO2], nitric oxide [NO], and black carbon [BC] were obtained by street-level mobile monitoring on 30 m road segments and linked to residential addresses of 41,869 adults living in Oakland during 2010 to 2015. We fit Cox proportional hazard models to estimate the relationship between air pollution exposures and time to first cardiovascular event. Secondary analyses examined effect modification by diabetes and age. RESULTS: Long-term pollutant concentrations [mean, (standard deviation; SD)] for NO2, NO and BC were 9.9 ppb (SD 3.8), 4.9 ppb (SD 3.8), and 0.36 µg/m3 (0.17) respectively. A one SD increase in NO2, NO and BC, was associated with a change in risk of a cardiovascular event of 3% (95% confidence interval [CI] -6% to 12%), 3% (95% CI -5% to 12%), and - 1% (95% CI -8% to 7%), respectively. Among the elderly (≥65 yrs), we found an increased risk of a cardiovascular event of 12% for NO2 (95% CI: 2%, 24%), 12% for NO (95% CI: 3%, 22%), and 7% for BC (95% CI: -3%, 17%) per one SD increase. We found no effect modification by diabetes. CONCLUSIONS: Street-level differences in long-term exposure to TRAP were associated with higher risk of cardiovascular events among the elderly, indicating that within-neighborhood differences in TRAP are important to cardiovascular health. Associations among the general population were consistent with results found in previous studies, though not statistically significant.

Ethnic disparities in ambient air and traffic-related pollution exposure and ethnic-specific impacts on clinical biomarker levels.

BACKGROUND: Although characterizing the inequality in pollution exposure burden across ethnic groups and the ethnic-specific exposure associations is of great social and public health importance, it has not been systematically investigated in large population studies. METHODS: The UK Biobank data (N = 485, 806) of individual-level air ambient and traffic-related pollution exposure, biomarkers routinely used in clinical practice, genotype, life-style factors, and socioeconomic status were analyzed. Air pollution exposure estimates were compared among six genetically inferred ethnic groups. We also quantified the association between exposure and biomarkers within and across ethnicities. RESULTS: Non-European participants (defined by genetics) disproportionately bear a higher burden of exposure than their European counterparts even after adjusting for covariables including socioeconomic status. For example, exposure to NO2 in people with African ancestry was 30.7 % higher (p = 1.5E-786) than European subjects. Within the genetically defined African group, larger African genetic ancestry proportion (AGAP) was linked to higher ambient air pollutant exposure. Trans-Ethnic analysis identified 32 clinical biomarkers associated with environmental exposure. For 13 biomarkers, the association with exposure was significantly different or even in opposing directions across ethnic groups. CONCLUSIONS: Substantial disparities in air pollution exposure was observed among genetically-defined ethnic groups. Most importantly, we show that the impact of exposure on biomarkers varies by ethnicity. Reducing the disproportionally high exposure burden on non-European populations and alleviating the adverse consequences in an ethnic-specific manner are of great urgency and significance.

Traffic related activity pattern of Chinese adults: a nation-wide population based survey.

BACKGROUND: Traffic-related air pollutants lead to increased risks of many diseases. Understanding travel patterns and influencing factors are important for mitigating traffic exposures. However, there is a lack of national large-scale research. OBJECTIVE: This study aimed to evaluate the daily travel patterns of Chinese adults and provide basic data for traffic exposure and health risk research. METHODS: We conducted the first nation-wide survey of travel patterns of adults (aged 18 and above) in China during 2011-2012. We conducted a cross-sectional study based on a nationally representative sample of 91, 121 adults from 31 provinces in China. We characterized typical travel patterns by cluster analysis and identified the associated factors of each pattern using multiple logistic regression and generalized linear regression models. RESULTS: We found 115 typical daily travel patterns of Chinese adults and the top 11 accounted for 94% of the population. The interaction of age, urban and rural areas, income levels, gender, educational levels, city population and temperature affect people's choice of travel patterns. The average travel time of Chinese adults is 45 ± 40 min/day, with the longest travel time by the combination of walking and car (70 min/day). Gender has the largest effect on travel time (B = -8.94, 95% CI: -8.95, -8.93), followed by city GDP (B = -4.23, 95% CI: -4.23, -4.22), urban and rural areas (B = -3.62, 95% CI: -3.63, -3.61), age (B = -2.21, 95% CI: -2.21, -2.2), educational levels (B = -1.53, 95% CI: -1.53, -1.52), city area (B = -1.4, 95% CI: -1.4, -1.39) and temperature (B = 1.21, 95% CI: 1.2, 1.21). SIGNIFICANCE: This study was the first nation-wide study on traffic activity patterns in China, which provides basic data for traffic exposure and health risk research and provides the basis for the state to formulate transportation-related policies.