[PM.sub.2.5] and [PM.sub.[10-2.5]] exposures, mortality, and CHD.
There is growing evidence that fine particulate matter air
pollution [< 2.5 [micro]m in diameter ([PM.sub.2.5])] increases
mortality and cardiovascular disease, but less is known about coarse PM
[2.5-10 [micro]m ([PM.sub.[10-2.5]])]. Puett et al. (p. 1697) evaluated
chronic [PM.sub.2.5] and [PM.sub.[10-2.5]] in association with all-cause
mortality and fatal and nonfatal incident coronary heart disease (CHD)
among 66,250 Nurses' Health Study participants living in
metropolitan areas of the northeastern and midwestern United States.
Exposures were estimated according to current residence using geographic
information systems--based spatial smoothing models. [PM.sub.2.5]
exposure was positively associated with all-cause mortality and fatal
CHD, both before and after adjusting for individual- and community-level
confounders, but adjusted estimates did not support associations with
[PM.sub.[10-2.5]]. The authors note that stronger associations with
exposures in the prior 12 months than exposures in the more distant past
suggest that reducing [PM.sub.2.5] air pollution could lead to
relatively rapid improvements in human health.
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