Long-term exposure to traffic pollution and hospital admissions in London

TitleLong-term exposure to traffic pollution and hospital admissions in London
Publication TypeJournal Article
Year of Publication2016
AuthorsHalonen J.I, Blangiardo M., Toledano M.B, Fecht D., Gulliver J., Anderson H.R, Beevers S.D, Dajnak D., Kelly F.J, Tonne C.
JournalEnviron PollutEnvironmental Pollution
Volume208
Pagination48-57
Date PublishedJan
ISBN Number0269-7491
Accession Number26476693
KeywordsAdolescent, Adult, Aged, Aged, 80 and over, Air Pollutants/analysis/*toxicity, Air Pollution/analysis, Child, Child, Preschool, Environmental Exposure/*adverse effects/analysis, Epidemiology, Female, Hospital admission, Hospitalization/*statistics & numerical data, Humans, Infant, Infant, Newborn, Linear Models, London/epidemiology, Male, Middle Aged, Models, Theoretical, Small-area, Time Factors, Traffic pollution, Vehicle Emissions/analysis/*toxicity
Abstract

Evidence on the effects of long-term exposure to traffic pollution on health is inconsistent. In Greater London we examined associations between traffic pollution and emergency hospital admissions for cardio-respiratory diseases by applying linear and piecewise linear Poisson regression models in a small-area analysis. For both models the results for children and adults were close to unity. In the elderly, linear models found negative associations whereas piecewise models found non-linear associations characterized by positive risks in the lowest and negative risks in the highest exposure category. An increased risk was observed among those living in areas with the highest socioeconomic deprivation. Estimates were not affected by adjustment for traffic noise. The lack of convincing positive linear associations between primary traffic pollution and hospital admissions agrees with a number of other reports, but may reflect residual confounding. The relatively greater vulnerability of the most deprived populations has important implications for public health.

Short TitleEnviron Pollut
Alternate JournalEnvironmental pollution (Barking, Essex : 1987)