Inequities in air pollution on stroke mortality among Older Americans: a U.S. nationwide analysis

Autor: Jean-Luc K. Kabangu, Danny Fowler, Amanda Hernandez, Takara Newsome-Cuby, Benson Joseph, John Dugan, Lane Fry, Momodou G. Bah, Sonia V. Eden
Jazyk: angličtina
Rok vydání: 2024
Předmět:
Zdroj: Frontiers in Public Health, Vol 12 (2024)
Druh dokumentu: article
ISSN: 2296-2565
DOI: 10.3389/fpubh.2024.1364165
Popis: BackgroundAir pollution is a known risk factor for cardiovascular diseases, including stroke. This study examines the impact of county-level air pollution on ischemic and hemorrhagic stroke mortality among U.S. individuals aged 65 and older, emphasizing racial and socioeconomic disparities.MethodsUsing data from the Center for Disease Control (CDC) Interactive Atlas of Heart Disease and Stroke, we analyzed county-level ischemic stroke mortality rates for older residents between 2016 and 2020. The data on air pollution at the county level, specifically particulate matter (PM2.5) levels, were obtained from the CDC. We applied multivariable linear and logistic regression models to examine the association between PM2.5 levels and stroke mortality, as well as the probability of meeting the Environmental Protection Agency (EPA) air quality standards.ResultsCounty-level analysis revealed a significant correlation (R = 0.68, R2 = 0.48, p
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