학술논문
Mixtures of long-term exposure to ambient air pollution, built environment and temperature and stroke incidence across Europe
Document Type
article
Author
Jeroen de Bont; Regina Pickford; Christopher Åström; Fabian Colomar; Konstantina Dimakopoulou; Kees de Hoogh; Dorina Ibi; Klea Katsouyanni; Erik Melén; Federica Nobile; Göran Pershagen; Åsa Persson; Evangelia Samoli; Massimo Stafoggia; Cathryn Tonne; Jelle Vlaanderen; Kathrin Wolf; Roel Vermeulen; Annette Peters; Petter Ljungman
Source
Environment International, Vol 179, Iss , Pp 108136- (2023)
Subject
Language
English
ISSN
0160-4120
Abstract
Introduction: The complex interplay of multiple environmental factors and cardiovascular has scarcely been studied. Within the EXPANSE project, we evaluated the association between long-term exposure to multiple environmental indices and stroke incidence across Europe. Methods: Participants from three traditional adult cohorts (Germany, Netherlands and Sweden) and four administrative cohorts (Catalonia [region Spain], Rome [city-wide], Greece and Sweden [nationwide]) were followed until incident stroke, death, migration, loss of follow-up or study end. We estimated exposures at residential addresses from different exposure domains: air pollution (nitrogen dioxide (NO2), particulate matter