Evidence map›Paper›PMID 33478866›Full record

ArticleAmerican journal of preventive medicine2021

Long-Term Air Pollution and Blood Pressure in an African American Cohort: the Jackson Heart Study.

Anne M Weaver, Yi Wang, Gregory A Wellenius, Aurelian Bidulescu, Mario Sims, Ambarish Vaidyanathan, DeMarc A Hickson, Daichi Shimbo, Marwah Abdalla, Keith M Diaz and 1 more

Abstract read
In one paragraph

Article in American journal of preventive medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Associations of exposure to PMBMC public health · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Anne M WeaverCenter for Public Health and Environmental Assessment, U.S. Environmental Protection Agency, Chapel Hill, North Carolina; Department of Environmental Health, Fairbanks School of Public Health, Indiana University, Indianapolis, Indiana.
Yi WangDepartment of Environmental Health, Fairbanks School of Public Health, Indiana University, Indianapolis, Indiana. Electronic address: yw54@iu.edu.
Gregory A WelleniusDepartment of Environmental Health, Boston University School of Public Health, Boston, Massachusetts.
Aurelian BidulescuDepartment of Epidemiology and Biostatistics, School of Public Health, Indiana University, Bloomington, Indiana.
Mario SimsDepartment of Medicine, University of Mississippi Medical Center, Jackson, Mississippi.
Ambarish VaidyanathanSchool of Civil & Environmental Engineering, Georgia Institute of Technology, Atlanta, Georgia.
DeMarc A HicksonDepartment of Epidemiology and Biostatistics, School of Public Health, Jackson State University, Jackson, Mississippi.
Daichi ShimboDivision of Cardiology, Columbia University Medical Center, New York, New York.
Marwah AbdallaDivision of Cardiology, Columbia University Medical Center, New York, New York.
Keith M DiazDivision of Cardiology, Columbia University Medical Center, New York, New York.
Samantha R SealsDepartment of Mathematics and Statistics, University of West Florida, Pensacola, Florida.

Funding

Nocturnal Hypertension and SleepK23HL141682 · NHLBI · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI ABDALLA, MARWAH · 2019 to 2023
$953k
Intramural EPA EPA999999NHLBI NIH HHS HHSN268201800010INHLBI NIH HHS HHSN268201800011CNHLBI NIH HHS HHSN268201800011INHLBI NIH HHS HHSN268201800012CNHLBI NIH HHS HHSN268201800012INHLBI NIH HHS HHSN268201800014CNHLBI NIH HHS HHSN268201800014INHLBI NIH HHS HHSN268201800015INHLBI NIH HHS K23 HL141682NIMHD NIH HHS HHSN268201800013I
6 · The paper itself

Abstract

introductionAfrican Americans are disproportionately affected by high blood pressure, which may be associated with exposure to air pollutants, such as fine particulate matter and ozone.

methodsAmong African American Jackson Heart Study participants, this study examined associations between 1-year and 3-year mean fine particulate matter and ozone concentrations with prevalent and incident hypertension at Visits 1 (2000-2004, n=5,191) and 2 (2005-2008, n=4,105) using log binomial regression. Investigators examined associations with systolic blood pressure, diastolic blood pressure, pulse pressure, and mean arterial pressure using linear regression and hierarchical linear models, adjusting for sociodemographic, behavioral, and clinical characteristics. Analyses were conducted in 2017-2019.

resultsNo associations were observed between fine particulate matter or ozone concentration and prevalent or incident hypertension. In linear models, an IQR increase in 1-year ozone concentration was associated with 0.67 mmHg higher systolic blood pressure (95% CI=0.27, 1.06), 0.42 mmHg higher diastolic blood pressure (95% CI=0.20, 0.63), and 0.50 mmHg higher mean arterial pressure (95% CI=0.26, 0.74). In hierarchical models, fine particulate matter was inversely associated with systolic blood pressure (-0.72, 95% CI= -1.31, -0.13), diastolic blood pressure (-0.69, 95% CI= -1.02, -0.36), and mean arterial pressure (-0.71, 95% CI= -1.08, -0.33). Attenuated associations were observed with 1-year concentrations and at Visit 1.

conclusionsPositive associations were observed between ozone and systolic blood pressure, diastolic blood pressure, and mean arterial pressure, and inverse associations between fine particulate matter and systolic blood pressure, diastolic blood pressure, and mean arterial pressure in an African American population with high (56%) prevalence of hypertension. Effect sizes were small and may not be clinically relevant.

Indexed as

Air PollutantsAir PollutionBlack or African AmericanBlood PressureEnvironmental ExposureHumansLongitudinal StudiesAir Pollutants

Identifiers

PMID33478866
PMCPMC10388406

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Registered trials

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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.