ArticleEnvironmental health perspectives2017
Associations between Environmental Quality and Mortality in the Contiguous United States, 2000-2005.
Article in Environmental health perspectives, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.
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Who cites it
24 citing papers in PubMed.
- Urban Sprawl, Natural Environments, and Mortality Inequality: Socioeconomic Pathways and Spatial Heterogeneity Across U.S. Counties.Applied geography (Sevenoaks, England) · 2026Article
- Biomarkers of aging: from molecules and surrogates to physiology and function.Physiological reviews · 2025Review
- Environmental Quality, Extreme Heat, and Healthcare Expenditures.International journal of environmental research and public health · 2024Article
- Landscape analysis of environmental data sources for linkage with SEER cancer patients database.Journal of the National Cancer Institute. Monographs · 2024Article
- Geospatial Modeling Methods in Epidemiological Kidney Research: An Overview and Practical Example.Kidney international reports · 2024Review
- Cumulative environmental quality is associated with breast cancer incidence differentially by summary stage and urbanicity.Scientific reports · 2023Article
- Is gastroschisis associated with county-level socio-environmental quality during pregnancy?Birth defects research · 2023Article
- Climatic modification effects on the association between PM1 and lung cancer incidence in China.BMC public health · 2021Article
- The effect of global warming on mortality.Early human development · 2021Article
- Associations between cumulative environmental quality and ten selected birth defects in Texas.Birth defects research · 2021Article
- Environmental Quality and Invasive Breast Cancer.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2020Article
- How do natural features in the residential environment influence women's self-reported general health? Results from cross-sectional analyses of a U.S. national cohort.Environmental research · 2020Article
- Autonomous monitoring, analysis, and countering of air pollution using environmental drones.Heliyon · 2020Article
- Do multiple environmental factors impact four cancers in women in the contiguous United States?Environmental research · 2019Article
- A Community EcoHealth Index from EnviroAtlas Ecosystem Services Metrics.International journal of environmental research and public health · 2019Article
- Environmental Health Indicators for China: Data Resources for Chinese Environmental Public Health Tracking.Environmental health perspectives · 2019Article
- Article
- A Call for an Aloft Air Quality Monitoring Network: Need, Feasibility, and Potential Value.Environmental science & technology · 2018Article
- Associations between environmental quality and adult asthma prevalence in medical claims data.Environmental research · 2018Article
- Comparing U.S. Injury Death Estimates from GBD 2015 and CDC WONDER.International journal of environmental research and public health · 2018Article
Corrections and comments
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7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundAssessing cumulative effects of the multiple environmental factors influencing mortality remains a challenging task.
objectivesThis study aimed to examine the associations between cumulative environmental quality and all-cause and leading cause-specific (heart disease, cancer, and stroke) mortality rates.
methodsWe used the overall Environmental Quality Index (EQI) and its five domain indices (air, water, land, built, and sociodemographic) to represent environmental exposure. Associations between the EQI and mortality rates (CDC WONDER) for counties in the contiguous United States (
resultsWe found 1 standard deviation increase in the overall EQI (worse environment) was associated with a mean 3.22% (95% CI: 2.80%, 3.64%) increase in all-cause mortality, a 0.54% (95% CI: -0.17%, 1.25%) increase in heart disease mortality, a 2.71% (95% CI: 2.21%, 3.22%) increase in cancer mortality, and a 2.25% (95% CI: 1.11%, 3.39%) increase in stroke mortality. Among the environmental domains, the associations ranged from -1.27% (95% CI: -1.70%, -0.84%) to 3.37% (95% CI: 2.90%, 3.84%) for all-cause mortality, -2.62% (95% CI: -3.52%, -1.73%) to 4.50% (95% CI: 3.73%, 5.27%) for heart disease mortality, -0.88% (95% CI: -2.12%, 0.36%) to 3.72% (95% CI: 2.38%, 5.06%) for stroke mortality, and -0.68% (95% CI: -1.19%, -0.18%) to 3.01% (95% CI: 2.46%, 3.56%) for cancer mortality. Air had the largest associations with all-cause, heart disease, and cancer mortality, whereas the sociodemographic index had the largest association with stroke mortality. Across the urbanicity gradient, no consistent trend was found. Across climate regions, the associations ranged from 2.29% (95% CI: 1.87%, 2.72%) to 5.30% (95% CI: 4.30%, 6.30%) for overall EQI, and larger associations were generally found in dry areas for both overall EQI and domain indices.
conclusionsThese results suggest that poor environmental quality, particularly poor air quality, was associated with increased mortality and that associations vary by urbanicity and climate region. Citation: Jian Y, Messer LC, Jagai JS, Rappazzo KM, Gray CL, Grabich SC, Lobdell DT. 2017. Associations between environmental quality and mortality in the contiguous United States, 2000-2005. Environ Health Perspect 125:355-362; http://dx.doi.org/10.1289/EHP119.
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