Effects of Particulate Matter on the Incidence of Respiratory Diseases in the Pisan Longitudinal Study

• Main Authors: Salvatore Fasola, Sara Maio, Sandra Baldacci, Stefania La Grutta, Giuliana Ferrante, Francesco Forastiere, Massimo Stafoggia, Claudio Gariazzo, Giovanni Viegi, on behalf of the BEEP Collaborative Group
• Format: Article
• Language: English
• Published: MDPI AG 2020-04-01
• Series: International Journal of Environmental Research and Public Health
• Subjects: air pollution; particulate matter; long-term exposure; random forest; questionnaire; respiratory symptoms/diseases
• Online Access: https://www.mdpi.com/1660-4601/17/7/2540
• ISSN: 1661-7827; 1660-4601

The current study aimed at assessing the effects of exposure to Particulate Matter (PM) on the incidence of respiratory diseases in a sub-sample of participants in the longitudinal analytical epidemiological study in Pisa, Italy. Three hundred and five subjects living at the same address from 1991 to 2011 were included. Individual risk factors recorded during the 1991 survey were considered, and new cases of respiratory diseases were ascertained until 2011. Average PM₁₀ and PM_2.5 exposures (µg/m³, year 2011) were estimated at the residential address (1-km² resolution) through a random forest machine learning approach, using a combination of satellite data and land use variables. Multivariable logistic regression with Firth’s correction was applied. The median (25th–75th percentile) exposure levels were 30.1 µg/m³ (29.9–30.7 µg/m³) for PM₁₀ and 19.3 µg/m³ (18.9–19.4 µg/m³) for PM_2.5. Incidences of rhinitis and chronic phlegm were associated with increasing PM_2.5: OR = 2.25 (95% CI: 1.07, 4.98) per unit increase (p.u.i.) and OR = 4.17 (1.12, 18.71) p.u.i., respectively. Incidence of chronic obstructive pulmonary disease was associated with PM₁₀: OR = 2.96 (1.50, 7.15) p.u.i. These results provide new insights into the long-term respiratory health effects of PM air pollution.