Evidence map›Paper›PMID 35397221›Full record

ArticleThe Lancet. Planetary health2022

Associations of short-term exposure to air pollution and increased ambient temperature with psychiatric hospital admissions in older adults in the USA: a case-crossover study.

Xinye Qiu, Mahdieh Danesh-Yazdi, Yaguang Wei, Qian Di, Allan Just, Antonella Zanobetti, Marc Weisskopf, Francesca Dominici, Joel Schwartz

Open access · goldAbstract read
In one paragraph

Article in The Lancet. Planetary health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed, 4 pooled it
7.5field-weighted citation impact, top 2% of its field
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

32 citing papers in PubMed, 4 syntheses or guidelines pooled it, 75 citations in OpenAlex.

  1. Pooled it
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  5. Article
  6. Review
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  10. Climate change and its impact on mental health.Neuropsychiatrie : Klinik, Diagnostik, Therapie und Rehabilitation : Organ der Gesellschaft Osterreichischer Nervenarzte und Psychiater · 2026
    Review
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  13. Article
  14. Climate informed precision health.Frontiers in public health · 2026
    Article
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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

9 authors at 3 institutions in 2 countries.

Xinye QiuDepartment of Environmental Health, Harvard T.H. Chan School of Public Health, Boston, MA, USA. Electronic address: xqiu@g.harvard.edu.
Mahdieh Danesh-YazdiDepartment of Environmental Health, Harvard T.H. Chan School of Public Health, Boston, MA, USA.
Yaguang WeiDepartment of Environmental Health, Harvard T.H. Chan School of Public Health, Boston, MA, USA.
Qian DiVanke School of Public Health, Tsinghua University, Beijing, China.
Allan JustIcahn School of Medicine at Mount Sinai, New York City, New York, NY, USA.
Antonella ZanobettiDepartment of Environmental Health, Harvard T.H. Chan School of Public Health, Boston, MA, USA.
Marc WeisskopfDepartment of Environmental Health, Harvard T.H. Chan School of Public Health, Boston, MA, USA; Department of Epidemiology, Harvard T.H. Chan School of Public Health, Boston, MA, USA.
Francesca DominiciDepartment of Biostatistics, Harvard T.H. Chan School of Public Health, Boston, MA, USA.
Joel SchwartzDepartment of Environmental Health, Harvard T.H. Chan School of Public Health, Boston, MA, USA; Department of Epidemiology, Harvard T.H. Chan School of Public Health, Boston, MA, USA.
Harvard University · USIcahn School of Medicine at Mount Sinai · USVanke (China) · CN

Funding

Translational Research Support CoreP30ES000002 · NIEHS · HARVARD UNIVERSITY (SCH OF PUBLIC HLTH) · PI JAIME ELIZABETH HART · 1985 to 2026
$44.6M
National Cohort Studies of Alzheimer's Disease, Related Dementias and Air PollutionR01AG066793 · NIA · HARVARD UNIVERSITY D/B/A HARVARD SCHOOL OF PUBLIC HEALTH · PI ZANOBETTI, ANTONELLA · 2020 to 2025
$4.2M
Cardiovascular Health and Air Pollution: A National StudyR01ES024332 · NIEHS · HARVARD SCHOOL OF PUBLIC HEALTH · PI ZANOBETTI, ANTONELLA · 2015 to 2018
$2.5M
EPA R835872NIA NIH HHS R01 AG066793NIEHS NIH HHS P30 ES000002NIEHS NIH HHS R01 ES024332
6 · The paper itself

Abstract

backgroundLittle is known about the associations between ambient environmental exposures and the risk of acute episodes of psychiatric disorders. We aimed to estimate the link between short-term exposure to atmospheric pollutants, temperature, and acute psychiatric hospital admissions in adults aged 65 years and older in the USA.

methodsFor this study, we included all people (aged ≥65 years) enrolled in the Medicare programme in the USA who had an emergency or urgent hospital admission for a psychiatric disorder recorded between Jan 31, 2000, and Dec 31, 2016. We applied a case-crossover design to study the associations between short-term exposure to air pollution (fine particulate matter [PM

findingsFor each 5°C increase in short-term exposure to cold season temperature, the relative risk of acute hospital admission increased by 3·66% (95% CI 3·06-4·26) for depression, by 3·03% (2·04-4·02) for schizophrenia, and by 3·52% (2·38-4·68) for bipolar disorder in the US Medicare population. Increased short-term exposure to PM

interpretationIn the US Medicare population, short-term exposure to elevated concentrations of PM

fundingUS National Institute of Environmental Health Sciences, US Environmental Protection Agency, and US National Institute on Aging.

Indexed as

Air PollutantsAir PollutionAgedCross-Over StudiesHospitals, PsychiatricHumansMedicareNitrogen DioxideParticulate MatterTemperatureUnited StatesAir PollutantsNitrogen DioxideParticulate Matter

Identifiers

PMID35397221
PMCPMC9044858
OpenAlexW4223568238

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

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.