A National Prediction Model for PM2.5 Component Exposures and Measurement Error-Corrected Health Effect Inference.

Background: Studies estimating health effects of long-term air pollution exposure often use a two-stage approach: building exposure models to assign individual-level exposures, which are then used in regression analyses. This requires accurate exposure modeling and careful treatment of exposure meas...

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Publicado en:Environmental Health Perspectives Vol. 121; no. 9; pp. 1017 - 1026
Autores principales: Bergen, Silas, Sheppard, Lianne, Sampson, Paul D., Sun-Young Kim, Richards, Mark, Vedal, Sverre, Kaufman, Joel D., Szpiro, Adam A.
Formato: case study equations & formulas pictorial research tables/charts Journal Article
Publicado: National Institute of Environmental Health Sciences Sep2013
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Sep2013
      vid: 121
      iid: 9
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      pub: National Institute of Environmental Health Sciences
      place: Research Triangle Park, North Carolina
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        atl: A National Prediction Model for PM2.5 Component Exposures and Measurement Error-Corrected Health Effect Inference.
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          Bergen, Silas
          Sheppard, Lianne
          Sampson, Paul D.
          Sun-Young Kim
          Richards, Mark
          Vedal, Sverre
          Kaufman, Joel D.
          Szpiro, Adam A.
        affil: Department of Biostatistics, University of Washington, Seattle, Washington, USA
      sug:
        subj:
          Particulate Matter
          Environmental Exposure
          Models, Statistical
          Air Pollution
          Human
          Carbon
          Silicon
          Sulfur
          Cross Sectional Studies
          Carotid Arteries Pathology
          Descriptive Statistics
          Confidence Intervals
          United States
          Male
          Female
          Middle Age
          Aged
          Questionnaires
          Funding Source
          Middle Aged: 45-64 years
          Aged: 65+ years
          Male
          Female
      ab: Background: Studies estimating health effects of long-term air pollution exposure often use a two-stage approach: building exposure models to assign individual-level exposures, which are then used in regression analyses. This requires accurate exposure modeling and careful treatment of exposure measurement error. Objective: To illustrate the importance of accounting for exposure model characteristics in two-stage air pollution studies, we considered a case study based on data from the Multi-Ethnic Study of Atherosclerosis (MESA). Methods: We built national spatial exposure models that used partial least squares and universal kriging to estimate annual average concentrations of four PM2.5 components: elemental carbon (EC), organic carbon (OC), silicon (Si), and sulfur (S). We predicted PM2.55 component exposures for the MESA cohort and estimated cross-sectional associations with carotid intima-media thickness (CIMT), adjusting for subject-specific covariates. We corrected for measurement error using recently developed methods that account for the spatial structure of predicted exposures. Results: Our models performed well, with cross-validated R2 values ranging from 0.62 to 0.95. Naïve analyses that did not account for measurement error indicated statistically significant associations between CIMT and exposure to OC, Si, and S. EC and OC exhibited little spatial correlation, and the corrected inference was unchanged from the naïve analysis. The Si and S exposure surfaces displayed notable spatial correlation, resulting in corrected confidence intervals (CIs) that were 50% wider than the naïve CIs, but that were still statistically significant. Conclusion: The impact of correcting for measurement error on health effect inference is concordant with the degree of spatial correlation in the exposure surfaces. Exposure model characteristics must be considered when performing two-stage air pollution epidemiologic analyses because naïve health effect inference may be inappropriate.
      pubtype: Academic Journal
      doctype:
        case study
        equations & formulas
        pictorial
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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