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Association of Long-Term Exposure to PM2.5 Constituents and Green Space With Arthritis and Rheumatoid Arthritis

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机构: [1]Department of Epidemiology and Biostatistics School of Public Health Anhui Medical University Hefei China. [2]Inflammation and Immune Mediated Diseases Laboratory of Anhui Province Hefei China. [3]Anhui Provincial Institute of Translational Medicine Hefei China. [4]Beijing Ophthalmology & Visual Sciences Key Laboratory Beijing Institute of Ophthalmology Beijing Tongren Eye Center Beijing Tongren Hospital Capital Medical University Beijing China. [5]Teaching Center for Preventive Medicine School of Public Health Anhui Medical University Hefei China. [6]School of Medicine and Dentistry Griffith University Gold Coast QLD Australia.
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There is limited evidence regarding the effects of long-term exposure to PM2.5 constituents on the risk of arthritis and rheumatoid arthritis, and the interaction between PM2.5 and green space remains unclear. This study examined the relationship between long-term exposure to PM2.5 constituents and the risk of arthritis and rheumatoid arthritis, with the exposure period extending from recruitment until self-reported outcomes, death, loss to follow-up, or end of follow-up. Additionally, the study assessed whether there was an interactive effect between PM2.5 and green space on these risks. We gathered cohort data on 18,649 individuals aged ≥45 years. We applied generalized linear mixed-effects models to estimate the effects of PM2.5 constituents, NDVI, and their interaction on arthritis and rheumatoid arthritis. The quantile g-computation and weighted quantile sum regression model were applied to estimate the combined effect of PM2.5 constituents. Our results showed that exposure to single and mixed PM2.5 constituents adversely affected arthritis and rheumatoid arthritis, and was mainly attributed to the black carbon component. We observed "U" or "J" shaped exposure-response curves for the effects of PM2.5, OM, NO3 - and NH4 + exposure on the development of arthritis/rheumatoid arthritis. Additionally, the odds ratio of arthritis for per interquartile range (IQR) increase in PM2.5 was 1.209 (95% CI:1.198, 1.221), per 0.1-unit decrease in NDVI was 1.091 (95% CI:1.033, 1.151), and the interaction term was 1.005 (95% CI:1.002, 1.007). These findings flesh out the existing evidence for PM2.5 constituents, NDVI and arthritis, rheumatoid arthritis, but the underlying mechanisms still require further exploration.© 2024 The Author(s). GeoHealth published by Wiley Periodicals LLC on behalf of American Geophysical Union.

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出版当年[2023]版:
大类 | 2 区 医学
小类 | 2 区 环境科学 2 区 公共卫生、环境卫生与职业卫生
最新[2023]版:
大类 | 2 区 医学
小类 | 2 区 环境科学 2 区 公共卫生、环境卫生与职业卫生
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出版当年[2022]版:
Q2 ENVIRONMENTAL SCIENCES Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
最新[2023]版:
Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Q2 ENVIRONMENTAL SCIENCES

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第一作者机构: [1]Department of Epidemiology and Biostatistics School of Public Health Anhui Medical University Hefei China. [2]Inflammation and Immune Mediated Diseases Laboratory of Anhui Province Hefei China. [3]Anhui Provincial Institute of Translational Medicine Hefei China.
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通讯机构: [1]Department of Epidemiology and Biostatistics School of Public Health Anhui Medical University Hefei China. [2]Inflammation and Immune Mediated Diseases Laboratory of Anhui Province Hefei China. [3]Anhui Provincial Institute of Translational Medicine Hefei China.
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