Long-term air pollution exposure and self-reported morbidity: A longitudinal analysis from the Thai cohort study (TCS)

Kanawat Paoin; Kayo Ueda; Thammasin Ingviya; Suhaimee Buya; Arthit Phosri; Xerxes Tesoro Seposo; Sam-ang Seubsman; Matthew Kelly; Adrain Sleigh; Akiko Honda; Hirohisa Takano; Jaruwan Chokhanapitak; Chaiyun Churewong; Suttanit Hounthasarn; Suwanee Khamman; Daoruang Pandee; Suttinan Pangsap; Tippawan Prapamontol; Janya Puengson; Wimalin Rimpeekool; Yodyiam Sangrattanakul; Sam-ang Seubsman; Boonchai Somboonsook; Nintita Sripaiboonkij; Pathumvadee Somsamai; Benjawan Tawatsupa; Arunrat Tangmunkongvorakul; Duangkae Vilainerun; Wanee Wimonwattanaphan; Chris Bain; Emily Banks; Cathy Banwell; Janneke Berecki-Gisolf; Bruce Caldwell; Gordon Carmichael; Tarie Dellora; Jane Dixon; Sharon Friel; David Harley; Susan Jordan; Matthew Kelly; Tord Kjellstrom; Lynette Lim; Roderick McClure; Anthony McMichael; Tanya Mark; Adrian Sleigh; Lyndall Strazdins; Tam Tran; Vasoontara Yiengprugsawan; Jiaying Zhao

doi:10.1016/j.envres.2020.110330

Long-term air pollution exposure and self-reported morbidity: A longitudinal analysis from the Thai cohort study (TCS)

Kanawat Paoin, Kayo Ueda, Thammasin Ingviya, Suhaimee Buya, Arthit Phosri, Xerxes Tesoro Seposo, Sam-ang Seubsman, Matthew Kelly, Adrain Sleigh, Akiko Honda, Hirohisa Takano, Jaruwan Chokhanapitak, Chaiyun Churewong, Suttanit Hounthasarn, Suwanee Khamman, Daoruang Pandee, Suttinan Pangsap, Tippawan Prapamontol, Janya Puengson, Wimalin RimpeekoolYodyiam Sangrattanakul, Sam-ang Seubsman, Boonchai Somboonsook, Nintita Sripaiboonkij, Pathumvadee Somsamai, Benjawan Tawatsupa, Arunrat Tangmunkongvorakul, Duangkae Vilainerun, Wanee Wimonwattanaphan, Chris Bain, Emily Banks, Cathy Banwell, Janneke Berecki-Gisolf, Bruce Caldwell, Gordon Carmichael, Tarie Dellora, Jane Dixon, Sharon Friel, David Harley, Susan Jordan, Matthew Kelly, Tord Kjellstrom, Lynette Lim, Roderick McClure, Anthony McMichael, Tanya Mark, Adrian Sleigh, Lyndall Strazdins, Tam Tran, Vasoontara Yiengprugsawan, Jiaying Zhao

School of Rural Medicine

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Abstract

Background: Several studies have shown the health effects of air pollutants, especially in China, North American and Western European countries. But longitudinal cohort studies focused on health effects of long-term air pollution exposure are still limited in Southeast Asian countries where sources of air pollution, weather conditions, and demographic characteristics are different. The present study examined the association between longterm exposure to air pollution and self-reported morbidities in participants of the Thai cohort study (TCS) in Bangkok metropolitan region (BMR), Thailand.

Methods: This longitudinal cohort study was conducted for 9 years from 2005 to 2013. Self-reported morbidities in this study included high blood pressure, high blood cholesterol, and diabetes. Air pollution data were obtained from the Thai government Pollution Control Department (PCD). Particles with diameters ≤10 μm (PM₁₀), sulfur dioxide (SO₂), nitrogen dioxide (NO₂), ozone (O₃), and carbon monoxide (CO) exposures were estimated with ordinary kriging method using 22 background and 7 traffic monitoring stations in BMR during 2005–2013. Longterm exposure periods to air pollution for each subject was averaged as the same period of person-time. Cox proportional hazards models were used to examine the association between long-term air pollution exposure with self-reported high blood pressure, high blood cholesterol, diabetes. Results of self-reported morbidity were presented as hazard ratios (HRs) per interquartile range (IQR) increase in PM₁₀, O₃, NO₂, SO₂, and CO.

Results: After controlling for potential confounders, we found that an IQR increase in PM₁₀ was significantly associated with self-reported high blood pressure (HR = 1.13, 95% CI: 1.04, 1.23) and high blood cholesterol (HR = 1.07, 95%CI: 1.02, 1.12), but not with diabetes (HR = 1.05, 95%CI: 0.91, 1.21). SO₂ was also positively associated with self-reported high blood pressure (HR = 1.22, 95%CI: 1.08, 1.38), high blood cholesterol (HR = 1.20, 95%CI: 1.11, 1.30), and diabetes (HR = 1.21, 95%CI: 0.92, 1.60). Moreover, we observed a positive association between CO and self-reported high blood pressure (HR = 1.07, 95%CI: 1.00, 1.15), but not for other diseases. However, self-reported morbidities were not associated with O₃ and NO₂.

Conclusions: Long-term exposure to air pollution, especially for PM₁₀ and SO₂ was associated with self-reported high blood pressure, high blood cholesterol, and diabetes in subjects of TCS. Our study supports that exposure to air pollution increases cardiovascular disease risk factors for younger population.

Original language	English
Article number	110330
Pages (from-to)	1-10
Journal	Environmental Research
Volume	192
DOIs	https://doi.org/10.1016/j.envres.2020.110330
Publication status	Published - 31 Dec 2021

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SDG 3 Good Health and Well-being
SDG 11 Sustainable Cities and Communities

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Paoin, K., Ueda, K., Ingviya, T., Buya, S., Phosri, A., Seposo, X. T., Seubsman, S., Kelly, M., Sleigh, A., Honda, A., Takano, H., Chokhanapitak, J., Churewong, C., Hounthasarn, S., Khamman, S., Pandee, D., Pangsap, S., Prapamontol, T., Puengson, J., ... Zhao, J. (2021). Long-term air pollution exposure and self-reported morbidity: A longitudinal analysis from the Thai cohort study (TCS). Environmental Research, 192, 1-10. Article 110330. https://doi.org/10.1016/j.envres.2020.110330

@article{84eac111865744d89c72ba4011112c13,

title = "Long-term air pollution exposure and self-reported morbidity: A longitudinal analysis from the Thai cohort study (TCS)",

abstract = "Background: Several studies have shown the health effects of air pollutants, especially in China, North American and Western European countries. But longitudinal cohort studies focused on health effects of long-term air pollution exposure are still limited in Southeast Asian countries where sources of air pollution, weather conditions, and demographic characteristics are different. The present study examined the association between longterm exposure to air pollution and self-reported morbidities in participants of the Thai cohort study (TCS) in Bangkok metropolitan region (BMR), Thailand. Methods: This longitudinal cohort study was conducted for 9 years from 2005 to 2013. Self-reported morbidities in this study included high blood pressure, high blood cholesterol, and diabetes. Air pollution data were obtained from the Thai government Pollution Control Department (PCD). Particles with diameters ≤10 μm (PM10), sulfur dioxide (SO2), nitrogen dioxide (NO2), ozone (O3), and carbon monoxide (CO) exposures were estimated with ordinary kriging method using 22 background and 7 traffic monitoring stations in BMR during 2005–2013. Longterm exposure periods to air pollution for each subject was averaged as the same period of person-time. Cox proportional hazards models were used to examine the association between long-term air pollution exposure with self-reported high blood pressure, high blood cholesterol, diabetes. Results of self-reported morbidity were presented as hazard ratios (HRs) per interquartile range (IQR) increase in PM10, O3, NO2, SO2, and CO. Results: After controlling for potential confounders, we found that an IQR increase in PM10 was significantly associated with self-reported high blood pressure (HR = 1.13, 95\% CI: 1.04, 1.23) and high blood cholesterol (HR = 1.07, 95\%CI: 1.02, 1.12), but not with diabetes (HR = 1.05, 95\%CI: 0.91, 1.21). SO2 was also positively associated with self-reported high blood pressure (HR = 1.22, 95\%CI: 1.08, 1.38), high blood cholesterol (HR = 1.20, 95\%CI: 1.11, 1.30), and diabetes (HR = 1.21, 95\%CI: 0.92, 1.60). Moreover, we observed a positive association between CO and self-reported high blood pressure (HR = 1.07, 95\%CI: 1.00, 1.15), but not for other diseases. However, self-reported morbidities were not associated with O3 and NO2. Conclusions: Long-term exposure to air pollution, especially for PM10 and SO2 was associated with self-reported high blood pressure, high blood cholesterol, and diabetes in subjects of TCS. Our study supports that exposure to air pollution increases cardiovascular disease risk factors for younger population.",

author = "Kanawat Paoin and Kayo Ueda and Thammasin Ingviya and Suhaimee Buya and Arthit Phosri and Seposo, \{Xerxes Tesoro\} and Sam-ang Seubsman and Matthew Kelly and Adrain Sleigh and Akiko Honda and Hirohisa Takano and Jaruwan Chokhanapitak and Chaiyun Churewong and Suttanit Hounthasarn and Suwanee Khamman and Daoruang Pandee and Suttinan Pangsap and Tippawan Prapamontol and Janya Puengson and Wimalin Rimpeekool and Yodyiam Sangrattanakul and Sam-ang Seubsman and Boonchai Somboonsook and Nintita Sripaiboonkij and Pathumvadee Somsamai and Benjawan Tawatsupa and Arunrat Tangmunkongvorakul and Duangkae Vilainerun and Wanee Wimonwattanaphan and Chris Bain and Emily Banks and Cathy Banwell and Janneke Berecki-Gisolf and Bruce Caldwell and Gordon Carmichael and Tarie Dellora and Jane Dixon and Sharon Friel and David Harley and Susan Jordan and Matthew Kelly and Tord Kjellstrom and Lynette Lim and Roderick McClure and Anthony McMichael and Tanya Mark and Adrian Sleigh and Lyndall Strazdins and Tam Tran and Vasoontara Yiengprugsawan and Jiaying Zhao",

year = "2021",

month = dec,

day = "31",

doi = "10.1016/j.envres.2020.110330",

language = "English",

volume = "192",

pages = "1--10",

journal = "Environmental Research",

issn = "0013-9351",

publisher = "Academic Press",

}

Paoin, K, Ueda, K, Ingviya, T, Buya, S, Phosri, A, Seposo, XT, Seubsman, S, Kelly, M, Sleigh, A, Honda, A, Takano, H, Chokhanapitak, J, Churewong, C, Hounthasarn, S, Khamman, S, Pandee, D, Pangsap, S, Prapamontol, T, Puengson, J, Rimpeekool, W, Sangrattanakul, Y, Seubsman, S, Somboonsook, B, Sripaiboonkij, N, Somsamai, P, Tawatsupa, B, Tangmunkongvorakul, A, Vilainerun, D, Wimonwattanaphan, W, Bain, C, Banks, E, Banwell, C, Berecki-Gisolf, J, Caldwell, B, Carmichael, G, Dellora, T, Dixon, J, Friel, S, Harley, D, Jordan, S, Kelly, M, Kjellstrom, T, Lim, L, McClure, R, McMichael, A, Mark, T, Sleigh, A, Strazdins, L, Tran, T, Yiengprugsawan, V & Zhao, J 2021, 'Long-term air pollution exposure and self-reported morbidity: A longitudinal analysis from the Thai cohort study (TCS)', Environmental Research, vol. 192, 110330, pp. 1-10. https://doi.org/10.1016/j.envres.2020.110330

TY - JOUR

T1 - Long-term air pollution exposure and self-reported morbidity

T2 - A longitudinal analysis from the Thai cohort study (TCS)

AU - Paoin, Kanawat

AU - Ueda, Kayo

AU - Ingviya, Thammasin

AU - Buya, Suhaimee

AU - Phosri, Arthit

AU - Seposo, Xerxes Tesoro

AU - Seubsman, Sam-ang

AU - Kelly, Matthew

AU - Sleigh, Adrain

AU - Honda, Akiko

AU - Takano, Hirohisa

AU - Chokhanapitak, Jaruwan

AU - Churewong, Chaiyun

AU - Hounthasarn, Suttanit

AU - Khamman, Suwanee

AU - Pandee, Daoruang

AU - Pangsap, Suttinan

AU - Prapamontol, Tippawan

AU - Puengson, Janya

AU - Rimpeekool, Wimalin

AU - Sangrattanakul, Yodyiam

AU - Seubsman, Sam-ang

AU - Somboonsook, Boonchai

AU - Sripaiboonkij, Nintita

AU - Somsamai, Pathumvadee

AU - Tawatsupa, Benjawan

AU - Tangmunkongvorakul, Arunrat

AU - Vilainerun, Duangkae

AU - Wimonwattanaphan, Wanee

AU - Bain, Chris

AU - Banks, Emily

AU - Banwell, Cathy

AU - Berecki-Gisolf, Janneke

AU - Caldwell, Bruce

AU - Carmichael, Gordon

AU - Dellora, Tarie

AU - Dixon, Jane

AU - Friel, Sharon

AU - Harley, David

AU - Jordan, Susan

AU - Kelly, Matthew

AU - Kjellstrom, Tord

AU - Lim, Lynette

AU - McClure, Roderick

AU - McMichael, Anthony

AU - Mark, Tanya

AU - Sleigh, Adrian

AU - Strazdins, Lyndall

AU - Tran, Tam

AU - Yiengprugsawan, Vasoontara

AU - Zhao, Jiaying

PY - 2021/12/31

Y1 - 2021/12/31

N2 - Background: Several studies have shown the health effects of air pollutants, especially in China, North American and Western European countries. But longitudinal cohort studies focused on health effects of long-term air pollution exposure are still limited in Southeast Asian countries where sources of air pollution, weather conditions, and demographic characteristics are different. The present study examined the association between longterm exposure to air pollution and self-reported morbidities in participants of the Thai cohort study (TCS) in Bangkok metropolitan region (BMR), Thailand. Methods: This longitudinal cohort study was conducted for 9 years from 2005 to 2013. Self-reported morbidities in this study included high blood pressure, high blood cholesterol, and diabetes. Air pollution data were obtained from the Thai government Pollution Control Department (PCD). Particles with diameters ≤10 μm (PM10), sulfur dioxide (SO2), nitrogen dioxide (NO2), ozone (O3), and carbon monoxide (CO) exposures were estimated with ordinary kriging method using 22 background and 7 traffic monitoring stations in BMR during 2005–2013. Longterm exposure periods to air pollution for each subject was averaged as the same period of person-time. Cox proportional hazards models were used to examine the association between long-term air pollution exposure with self-reported high blood pressure, high blood cholesterol, diabetes. Results of self-reported morbidity were presented as hazard ratios (HRs) per interquartile range (IQR) increase in PM10, O3, NO2, SO2, and CO. Results: After controlling for potential confounders, we found that an IQR increase in PM10 was significantly associated with self-reported high blood pressure (HR = 1.13, 95% CI: 1.04, 1.23) and high blood cholesterol (HR = 1.07, 95%CI: 1.02, 1.12), but not with diabetes (HR = 1.05, 95%CI: 0.91, 1.21). SO2 was also positively associated with self-reported high blood pressure (HR = 1.22, 95%CI: 1.08, 1.38), high blood cholesterol (HR = 1.20, 95%CI: 1.11, 1.30), and diabetes (HR = 1.21, 95%CI: 0.92, 1.60). Moreover, we observed a positive association between CO and self-reported high blood pressure (HR = 1.07, 95%CI: 1.00, 1.15), but not for other diseases. However, self-reported morbidities were not associated with O3 and NO2. Conclusions: Long-term exposure to air pollution, especially for PM10 and SO2 was associated with self-reported high blood pressure, high blood cholesterol, and diabetes in subjects of TCS. Our study supports that exposure to air pollution increases cardiovascular disease risk factors for younger population.

AB - Background: Several studies have shown the health effects of air pollutants, especially in China, North American and Western European countries. But longitudinal cohort studies focused on health effects of long-term air pollution exposure are still limited in Southeast Asian countries where sources of air pollution, weather conditions, and demographic characteristics are different. The present study examined the association between longterm exposure to air pollution and self-reported morbidities in participants of the Thai cohort study (TCS) in Bangkok metropolitan region (BMR), Thailand. Methods: This longitudinal cohort study was conducted for 9 years from 2005 to 2013. Self-reported morbidities in this study included high blood pressure, high blood cholesterol, and diabetes. Air pollution data were obtained from the Thai government Pollution Control Department (PCD). Particles with diameters ≤10 μm (PM10), sulfur dioxide (SO2), nitrogen dioxide (NO2), ozone (O3), and carbon monoxide (CO) exposures were estimated with ordinary kriging method using 22 background and 7 traffic monitoring stations in BMR during 2005–2013. Longterm exposure periods to air pollution for each subject was averaged as the same period of person-time. Cox proportional hazards models were used to examine the association between long-term air pollution exposure with self-reported high blood pressure, high blood cholesterol, diabetes. Results of self-reported morbidity were presented as hazard ratios (HRs) per interquartile range (IQR) increase in PM10, O3, NO2, SO2, and CO. Results: After controlling for potential confounders, we found that an IQR increase in PM10 was significantly associated with self-reported high blood pressure (HR = 1.13, 95% CI: 1.04, 1.23) and high blood cholesterol (HR = 1.07, 95%CI: 1.02, 1.12), but not with diabetes (HR = 1.05, 95%CI: 0.91, 1.21). SO2 was also positively associated with self-reported high blood pressure (HR = 1.22, 95%CI: 1.08, 1.38), high blood cholesterol (HR = 1.20, 95%CI: 1.11, 1.30), and diabetes (HR = 1.21, 95%CI: 0.92, 1.60). Moreover, we observed a positive association between CO and self-reported high blood pressure (HR = 1.07, 95%CI: 1.00, 1.15), but not for other diseases. However, self-reported morbidities were not associated with O3 and NO2. Conclusions: Long-term exposure to air pollution, especially for PM10 and SO2 was associated with self-reported high blood pressure, high blood cholesterol, and diabetes in subjects of TCS. Our study supports that exposure to air pollution increases cardiovascular disease risk factors for younger population.

UR - https://www.scopus.com/pages/publications/85094614697

U2 - 10.1016/j.envres.2020.110330

DO - 10.1016/j.envres.2020.110330

M3 - Article

SN - 0013-9351

VL - 192

SP - 1

EP - 10

JO - Environmental Research

JF - Environmental Research

M1 - 110330

ER -

Long-term air pollution exposure and self-reported morbidity: A longitudinal analysis from the Thai cohort study (TCS)

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