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Long-term residential exposure to source-specific particulate matter and incidence of diabetes mellitus: A cohort study in northern Sweden
Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine, Section of Sustainable Health.ORCID iD: 0000-0002-8854-498x
Swedish Meteorological and Hydrological Institute, Norrköping, Sweden..
Division for Occupational and Environmental Medicine, Department for Laboratory Medicine, Lund University, Lund, Sweden..
Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine, Section of Sustainable Health. Division for Occupational and Environmental Medicine, Department for Laboratory Medicine, Lund University, Lund, Sweden..
2023 (English)In: Environmental Research, ISSN 0013-9351, E-ISSN 1096-0953, Vol. 217, article id 114833Article in journal (Refereed) Published
Abstract [en]

Diabetes mellitus (DM) incidence have been assessed in connection with air pollution exposure in several studies; however, few have investigated associations with source-specific local emissions. This study aims to estimate the risk of DM incidence associated with source-specific air pollution in a Swedish cohort with relatively low exposure. Individuals in the Västerbotten intervention programme cohort were followed until either a DM diagnosis or initiation of treatment with glucose-lowering medication occurred. Dispersion models with high spatial resolution were used to estimate annual mean concentrations of particulate matter (PM) with aerodynamic diameter ≤10 μm (PM10) and ≤2.5 μm (PM2.5) at individual addresses. Hazard ratios were estimated using Cox regression models in relation to moving averages 1-5 years preceding the outcome. During the study period, 1479 incident cases of DM were observed during 261,703 person-years of follow-up. Increased incidence of DM was observed in association with PM10 (4% [95% CI: -54-137%] per 10 μg/m3), PM10-traffic (2% [95% CI: -6-11%] per 1 μg/m3) and PM2.5-exhaust (11% [95% CI: -39-103%] per 1 μg/m3). A negative association was found for both PM2.5 (-18% [95% CI: -99-66%] per 5 μg/m3), but only in the 2nd exposure tertile (-10% [95% CI: -25-9%] compared to the first tertile), and PM2.5-woodburning (-30% [95% CI: -49-4%] per 1 μg/m3). In two-pollutant models including PM2.5-woodburning, there was an 11% [95% CI: -11-38%], 6% [95% CI: -16-34%], 13% [95% CI: -7-36%] and 17% [95% CI: 4-41%] higher risk in the 3rd tertile of PM10, PM2.5, PM10-traffic and PM2.5-exhaust, respectively, compared to the 1st. Although the results lacked in precision they are generally in line with the current evidence detailing particulate matter air pollution from traffic as an environmental risk factor for DM.

Place, publisher, year, edition, pages
Elsevier, 2023. Vol. 217, article id 114833
Keywords [en]
Air pollution, Cohort, Diabetes mellitus, Exhaust, Particulate matter, Traffic emissions
National Category
Occupational Health and Environmental Health
Identifiers
URN: urn:nbn:se:umu:diva-201854DOI: 10.1016/j.envres.2022.114833ISI: 000895272700010PubMedID: 36402182Scopus ID: 2-s2.0-85145580527OAI: oai:DiVA.org:umu-201854DiVA, id: diva2:1721172
Funder
Swedish Research Council Formas, 2017–00898Available from: 2022-12-21 Created: 2022-12-21 Last updated: 2023-01-12Bibliographically approved

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Nilsson Sommar, JohanOudin, Anna

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