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Long-term exposure to ambient ozone and mortality: A quantitative systematic review and meta-analysis of evidence from cohort studies

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Long-term exposure to ambient ozone and mortality : A quantitative systematic review and meta-analysis of evidence from cohort studies. / Atkinson, R. W.; Butland, B. K.; Dimitroulopoulou, C.; Heal, M. R.; Stedman, J. R.; Carslaw, N.; Jarvis, D.; Heaviside, C.; Vardoulakis, S.; Walton, H.; Anderson, H. R.

In: BMJ Open, Vol. 6, No. 2, e009493, 23.02.2016.

Research output: Contribution to journalArticle

Harvard

Atkinson, RW, Butland, BK, Dimitroulopoulou, C, Heal, MR, Stedman, JR, Carslaw, N, Jarvis, D, Heaviside, C, Vardoulakis, S, Walton, H & Anderson, HR 2016, 'Long-term exposure to ambient ozone and mortality: A quantitative systematic review and meta-analysis of evidence from cohort studies', BMJ Open, vol. 6, no. 2, e009493. https://doi.org/10.1136/bmjopen-2015-009493

APA

Atkinson, R. W., Butland, B. K., Dimitroulopoulou, C., Heal, M. R., Stedman, J. R., Carslaw, N., ... Anderson, H. R. (2016). Long-term exposure to ambient ozone and mortality: A quantitative systematic review and meta-analysis of evidence from cohort studies. BMJ Open, 6(2), [e009493]. https://doi.org/10.1136/bmjopen-2015-009493

Vancouver

Atkinson RW, Butland BK, Dimitroulopoulou C, Heal MR, Stedman JR, Carslaw N et al. Long-term exposure to ambient ozone and mortality: A quantitative systematic review and meta-analysis of evidence from cohort studies. BMJ Open. 2016 Feb 23;6(2). e009493. https://doi.org/10.1136/bmjopen-2015-009493

Author

Atkinson, R. W. ; Butland, B. K. ; Dimitroulopoulou, C. ; Heal, M. R. ; Stedman, J. R. ; Carslaw, N. ; Jarvis, D. ; Heaviside, C. ; Vardoulakis, S. ; Walton, H. ; Anderson, H. R. / Long-term exposure to ambient ozone and mortality : A quantitative systematic review and meta-analysis of evidence from cohort studies. In: BMJ Open. 2016 ; Vol. 6, No. 2.

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@article{e8ca8ceb233b45feb4efea257cab481a,
title = "Long-term exposure to ambient ozone and mortality: A quantitative systematic review and meta-analysis of evidence from cohort studies",
abstract = "Objectives: While there is good evidence for associations between short-term exposure to ozone and a range of adverse health outcomes, the evidence from narrative reviews for long-term exposure is suggestive of associations with respiratory mortality only. We conducted a systematic, quantitative evaluation of the evidence from cohort studies, reporting associations between long-term exposure to ozone and mortality. Methods: Cohort studies published in peer-reviewed journals indexed in EMBASE and MEDLINE to September 2015 and PubMed to October 2015 and cited in reviews/key publications were identified via search strings using terms relating to study design, pollutant and health outcome. Study details and estimate information were extracted and used to calculate standardised effect estimates expressed as HRs per 10 ppb increment in long-term ozone concentrations. Results: 14 publications from 8 cohorts presented results for ozone and all-cause and cause-specific mortality. We found no evidence of associations between long-term annual O3 concentrations and the risk of death from all causes, cardiovascular or respiratory diseases, or lung cancer. 4 cohorts assessed ozone concentrations measured during the warm season. Summary HRs for cardiovascular and respiratory causes of death derived from 3 cohorts were 1.01 (95{\%} CI 1.00 to 1.02) and 1.03 (95{\%} CI 1.01 to 1.05) per 10 ppb, respectively. Conclusions: Our quantitative review revealed a paucity of independent studies regarding the associations between long-term exposure to ozone and mortality. The potential impact of climate change and increasing anthropogenic emissions of ozone precursors on ozone levels worldwide suggests further studies of the long-term effects of exposure to high ozone levels are warranted.",
author = "Atkinson, {R. W.} and Butland, {B. K.} and C. Dimitroulopoulou and Heal, {M. R.} and Stedman, {J. R.} and N. Carslaw and D. Jarvis and C. Heaviside and S. Vardoulakis and H. Walton and Anderson, {H. R.}",
year = "2016",
month = "2",
day = "23",
doi = "10.1136/bmjopen-2015-009493",
language = "English",
volume = "6",
journal = "BMJ Open",
issn = "2044-6055",
publisher = "British Medical Journal Publishing Group",
number = "2",

}

RIS (suitable for import to EndNote) - Download

TY - JOUR

T1 - Long-term exposure to ambient ozone and mortality

T2 - A quantitative systematic review and meta-analysis of evidence from cohort studies

AU - Atkinson, R. W.

AU - Butland, B. K.

AU - Dimitroulopoulou, C.

AU - Heal, M. R.

AU - Stedman, J. R.

AU - Carslaw, N.

AU - Jarvis, D.

AU - Heaviside, C.

AU - Vardoulakis, S.

AU - Walton, H.

AU - Anderson, H. R.

PY - 2016/2/23

Y1 - 2016/2/23

N2 - Objectives: While there is good evidence for associations between short-term exposure to ozone and a range of adverse health outcomes, the evidence from narrative reviews for long-term exposure is suggestive of associations with respiratory mortality only. We conducted a systematic, quantitative evaluation of the evidence from cohort studies, reporting associations between long-term exposure to ozone and mortality. Methods: Cohort studies published in peer-reviewed journals indexed in EMBASE and MEDLINE to September 2015 and PubMed to October 2015 and cited in reviews/key publications were identified via search strings using terms relating to study design, pollutant and health outcome. Study details and estimate information were extracted and used to calculate standardised effect estimates expressed as HRs per 10 ppb increment in long-term ozone concentrations. Results: 14 publications from 8 cohorts presented results for ozone and all-cause and cause-specific mortality. We found no evidence of associations between long-term annual O3 concentrations and the risk of death from all causes, cardiovascular or respiratory diseases, or lung cancer. 4 cohorts assessed ozone concentrations measured during the warm season. Summary HRs for cardiovascular and respiratory causes of death derived from 3 cohorts were 1.01 (95% CI 1.00 to 1.02) and 1.03 (95% CI 1.01 to 1.05) per 10 ppb, respectively. Conclusions: Our quantitative review revealed a paucity of independent studies regarding the associations between long-term exposure to ozone and mortality. The potential impact of climate change and increasing anthropogenic emissions of ozone precursors on ozone levels worldwide suggests further studies of the long-term effects of exposure to high ozone levels are warranted.

AB - Objectives: While there is good evidence for associations between short-term exposure to ozone and a range of adverse health outcomes, the evidence from narrative reviews for long-term exposure is suggestive of associations with respiratory mortality only. We conducted a systematic, quantitative evaluation of the evidence from cohort studies, reporting associations between long-term exposure to ozone and mortality. Methods: Cohort studies published in peer-reviewed journals indexed in EMBASE and MEDLINE to September 2015 and PubMed to October 2015 and cited in reviews/key publications were identified via search strings using terms relating to study design, pollutant and health outcome. Study details and estimate information were extracted and used to calculate standardised effect estimates expressed as HRs per 10 ppb increment in long-term ozone concentrations. Results: 14 publications from 8 cohorts presented results for ozone and all-cause and cause-specific mortality. We found no evidence of associations between long-term annual O3 concentrations and the risk of death from all causes, cardiovascular or respiratory diseases, or lung cancer. 4 cohorts assessed ozone concentrations measured during the warm season. Summary HRs for cardiovascular and respiratory causes of death derived from 3 cohorts were 1.01 (95% CI 1.00 to 1.02) and 1.03 (95% CI 1.01 to 1.05) per 10 ppb, respectively. Conclusions: Our quantitative review revealed a paucity of independent studies regarding the associations between long-term exposure to ozone and mortality. The potential impact of climate change and increasing anthropogenic emissions of ozone precursors on ozone levels worldwide suggests further studies of the long-term effects of exposure to high ozone levels are warranted.

UR - http://www.scopus.com/inward/record.url?scp=84960468144&partnerID=8YFLogxK

U2 - 10.1136/bmjopen-2015-009493

DO - 10.1136/bmjopen-2015-009493

M3 - Article

VL - 6

JO - BMJ Open

JF - BMJ Open

SN - 2044-6055

IS - 2

M1 - e009493

ER -