Do Psychosocial Stress and Social Disadvantage Modify the Association Between Air Pollution and Blood Pressure?: The Multi-Ethnic Study of Atherosclerosis

Details

• Personal Author:
  Adar SD ; Auchincloss AH ; Diez Roux AV ; Hicken MT ; Kaufman JD ; Magzamen S ; O'Neill MS
• Description:
  Researchers have theorized that social and psychosocial factors increase vulnerability to the deleterious health effects of environmental hazards. We used baseline examination data (2000-2002) from the Multi-Ethnic Study of Atherosclerosis. Participants were 45-84 years of age and free of clinical cardiovascular disease at enrollment (n = 6814). The modifying role of social and psychosocial factors on the association between exposure to air pollution comprising particulate matter less than 2.5 um in aerodynamic diameter (PM2.5) and blood pressure measures were examined using linear regression models. There was no evidence of synergistic effects of higher PM2.5 and adverse social/psychosocial factors on blood pressure. In contrast, there was weak evidence of stronger associations of PM2.5 with blood pressure in higher socioeconomic status groups. For example, those in the 10th percentile of the income distribution (i.e., low income) showed no association between PM2.5 and diastolic blood pressure (b = -0.41 mmHg; 95% confidence interval: -1.40, 0.61), whereas those in the 90th percentile of the income distribution (i.e., high income) showed a 1.52-mmHg increase in diastolic blood pressure for each 10-ug/m3 increase in PM2.5 (95% confidence interval: 0.22, 2.83). Our results are not consistent with the hypothesis that there are stronger associations between PM2.5 exposures and blood pressure in persons of lower socioeconomic status or those with greater psychosocial adversity. [Description provided by NIOSH]
• Subjects:
  Air Pollution Cardiovascular Diseases Cardiovascular System Cohort Studies Epidemiology Occupational Health Particulate Matter Safety
• Keywords:
  Air Pollution Author Keywords: Air Pollution Blood Pressure Cardiovascular Disease Cohort Studies Particulates Population Groups Psychosocial Factors Social Environment Social Medicine Social Psychology Sociological Factors

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• ISSN:
  0002-9262
• Document Type:
  Text
• Funding:
  Grant
• Genre:
  Journal Article
• Place as Subject:
  Colorado ; Michigan ; OSHA Region 10 ; OSHA Region 3 ; OSHA Region 5 ; OSHA Region 8 ; Pennsylvania ; Washington
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Volume:
  178
• Issue:
  10
• NIOSHTIC Number:
  nn:20055107
• Citation:
  Am J Epidemiol 2013 Nov; 178(10):1550-1562
• Contact Point Address:
  Dr. Margaret T. Hicken, Department of Epidemiology, School of Public Health, University of Michigan, 3634 SPH Tower, 1416 Washington Heights, Ann Arbor, MI 48109
• Email:
  mhicken@umich.edu
• Federal Fiscal Year:
  2014
• Performing Organization:
  University of Washington
• Peer Reviewed:
  True
• Start Date:
  20050701
• Source Full Name:
  American Journal of Epidemiology
• End Date:
  20250630
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:c7589755744d6008988d6e1cc7ec935cd412cfe917202f3fc141a61da41b7c4f29e4795cf4326c0a7dadfca6c975faddc0b3045d706d945d8aa5031ceac44839
• Download URL:
  https://stacks.cdc.gov/view/cdc/217476/cdc_217476_DS1.pdf
• File Type:
  [PDF - 498.50 KB ]