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Journal of Occupational & Environmental Medicine:
doi: 10.1097/JOM.0b013e3182973092
Original Articles

Associations of Particulate Matter With Stroke Mortality: A Multicity Study in Japan

Yorifuji, Takashi MD; Kashima, Saori PhD

Continued Medical Education
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Abstract

Objective: Evidence linking short-term exposure to outdoor air pollution with hemorrhagic stroke is inconclusive.

Methods: We evaluated the effects of suspended particulate matter (SPM) on cardiovascular disease mortality, focusing on types of stroke, from March 2005 to December 2010, in five selected prefectures in western Japan. A multicity time-series analysis was used, and Asian dust was adjusted in the models.

Results: Even after adjusting for Asian dust, the same-day SPM was positively associated with several types of stroke mortality. Following a 10-μg/m3 increase in SPM, rate ratios were 1.014 (90% confidence interval [CI]: 1.002 to 1.026) for stroke, 1.030 (90% CI: 1.004 to 1.056) for intracerebral hemorrhage, and 1.016 (90% CI: 1.003 to 1.030) for ischemic stroke mortality.

Conclusions: Short-term exposure to outdoor air pollution may increase the risks of hemorrhagic stroke as well as ischemic stroke mortality.

Copyright © 2013 by the American College of Occupational and Environmental Medicine

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