SynthesisAmerican journal of epidemiology2014
Who is more affected by ozone pollution? A systematic review and meta-analysis.
Synthesis in American journal of epidemiology, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 84 papers, 5 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
84 citing papers in PubMed, 5 syntheses or guidelines pooled it.
- Impact of Short-Term Exposure to Ozone on Hospital Admissions for Multiple Cardiovascular Diseases: A Systematic Review and Meta-Analysis.Journal of the American Heart Association · 2025Pooled it
- Geospatial indicators of exposure, sensitivity, and adaptive capacity to assess neighbourhood variation in vulnerability to climate change-related health hazards.Environmental health : a global access science source · 2021Pooled it
- Heterogeneity in the Relationship between Disinfection By-Products in Drinking Water and Cancer: A Systematic Review.International journal of environmental research and public health · 2018Pooled it
- Global Association of Air Pollution and Cardiorespiratory Diseases: A Systematic Review, Meta-Analysis, and Investigation of Modifier Variables.American journal of public health · 2018Pooled it
- Air pollution, cardiovascular endpoints and susceptibility by stress and material resources: a systematic review of the evidence.Environmental health : a global access science source · 2017Pooled it
- Associations of Green Space and Air Pollution Mixture with Heterogeneous Biological Aging Patterns.Environmental health perspectives · 2026Article
- Bayesian Causal Methods for Environmental Accountability Studies with Heterogeneous Effects.Current environmental health reports · 2026Review
- The combined impact of chemical and non-chemical stressors on adverse health outcomes: an overview of reviews from the epidemiological literature and experimental animal studies.Journal of exposure science & environmental epidemiology · 2026Review
- Health Under Haze: Symptom Burden Among Adult Outpatients During the 2024-2025 Winter Smog Season in Lahore, Pakistan.Public health challenges · 2026Article
- Long-Term Ambient Ozone Exposure and Nonaccidental Mortality among Chinese Adults: A Nationwide Cohort Study.Environment & health (Washington, D.C.) · 2026Article
- Acute ozone exposure results in airway epithelial and immune cell disturbances in mice.Inhalation toxicology · 2026Article
- The use of race and ethnicity in air pollution epidemiology and methodological recommendations: A scoping review focusing on California.Environmental epidemiology (Philadelphia, Pa.) · 2026Review
- Estimation of mortality and economic burden attributable to ground-level OBMC public health · 2026Article
- Long-term exposure to ozone and incidence of lung cancer in China: data based on a national population cohort (ChinaHEART).Journal of the National Cancer Center · 2025Article
- Culture media influences primary human bronchial epithelial cell morphology, differentiation status, and transcriptional response to ozone exposure.Toxicological sciences : an official journal of the Society of Toxicology · 2025Article
- Impaired physical function in relation to later-life exposure to ambient fine particulate matter and ozone among Chinese middle-aged and older adults.BMC public health · 2025Article
- The influence of meteorological factors and air pollution on acute cardiovascular and cerebrovascular events in Western Guizhou.Scientific reports · 2025Article
- Ozone exposure and cardiovascular disease: A narrative review of epidemiology evidence and underlying mechanisms.Fundamental research · 2025Review
- Long-term exposure to fine particulate matter, ozone, and greenness and the risk of lung cancer: a retrospective cohort analysis within a national sample cohort.Frontiers in public health · 2025Article
- Interaction effects of high temperature and ozone on cardiovascular disease mortality in Chengdu, 2014-2023.Frontiers in public health · 2025Article
24 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors.
Funding
Abstract
Ozone is associated with adverse health; however, less is known about vulnerable/sensitive populations, which we refer to as sensitive populations. We systematically reviewed epidemiologic evidence (1988-2013) regarding sensitivity to mortality or hospital admission from short-term ozone exposure. We performed meta-analysis for overall associations by age and sex; assessed publication bias; and qualitatively assessed sensitivity to socioeconomic indicators, race/ethnicity, and air conditioning. The search identified 2,091 unique papers, with 167 meeting inclusion criteria (73 on mortality and 96 on hospitalizations and emergency department visits, including 2 examining both mortality and hospitalizations). The strongest evidence for ozone sensitivity was for age. Per 10-parts per billion increase in daily 8-hour ozone concentration, mortality risk for younger persons, at 0.60% (95% confidence interval (CI): 0.40, 0.80), was statistically lower than that for older persons, at 1.27% (95% CI: 0.76, 1.78). Findings adjusted for publication bias were similar. Limited/suggestive evidence was found for higher associations among women; mortality risks were 0.39% (95% CI: -0.22, 1.00) higher than those for men. We identified strong evidence for higher associations with unemployment or lower occupational status and weak evidence of sensitivity for racial/ethnic minorities and persons with low education, in poverty, or without central air conditioning. Findings show that some populations, especially the elderly, are particularly sensitive to short-term ozone exposure.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.