Evidence map›Paper›PMID 37547049›Full record

ArticleThe Lancet regional health. Western Pacific2023

Individual and joint associations of long-term exposure to air pollutants and cardiopulmonary mortality: a 22-year cohort study in Northern China.

Wenzhong Huang, Yang Zhou, Xi Chen, Xiaowen Zeng, Luke D Knibbs, Yunting Zhang, Bin Jalaludin, Shyamali C Dharmage, Lidia Morawska, Yuming Guo and 13 more

Abstract read
In one paragraph

Article in The Lancet regional health. Western Pacific, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed, 4 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

31 citing papers in PubMed, 4 syntheses or guidelines pooled it.

  1. Pooled it
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  11. Combined effects of apparent low temperature and PMFrontiers in public health · 2026
    Article
  12. Article
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  16. PMEnvironment & health (Washington, D.C.) · 2025
    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

23 authors.

Wenzhong HuangGuangdong Provincial Engineering Technology Research Center of Environmental Pollution and Health Risk Assessment, Department of Occupational and Environmental Health, School of Public Health, Sun Yat-sen University, Guangzhou 510080, China.
Yang ZhouState Environmental Protection Key Laboratory of Environmental Pollution Health Risk Assessment, South China Institute of Environmental Sciences, Ministry of Environmental Protection, Guangzhou 510655, China.
Xi ChenDepartment of Occupational and Environmental Health, School of Public Health, Tianjin Medical University, Tianjin 300070, China.
Xiaowen ZengGuangdong Provincial Engineering Technology Research Center of Environmental Pollution and Health Risk Assessment, Department of Occupational and Environmental Health, School of Public Health, Sun Yat-sen University, Guangzhou 510080, China.
Luke D KnibbsFaculty of Medicine and Health, School of Public Health, The University of Sydney, NSW 2006, Australia.
Yunting ZhangGuangdong Provincial Engineering Technology Research Center of Environmental Pollution and Health Risk Assessment, Department of Occupational and Environmental Health, School of Public Health, Sun Yat-sen University, Guangzhou 510080, China.
Bin JalaludinCentre for Air Quality and Health Research and Evaluation, Glebe, NSW 2037, Australia.
Shyamali C DharmageAllergy and Lung Health Unit, Melbourne School of Population and Global Health, University of Melbourne, Melbourne, VIC 3052, Australia.
Lidia MorawskaInternational Laboratory for Air Quality and Health, Queensland University of Technology, Brisbane, QLD 4001, Australia.
Yuming GuoClimate, Air Quality Research Unit, School of Public Health and Preventive Medicine, Monash University, Melbourne, Australia.
Xueli YangDepartment of Occupational and Environmental Health, School of Public Health, Tianjin Medical University, Tianjin 300070, China.
Liwen ZhangDepartment of Occupational and Environmental Health, School of Public Health, Tianjin Medical University, Tianjin 300070, China.
Anqi ShanDepartment of Occupational and Environmental Health, School of Public Health, Tianjin Medical University, Tianjin 300070, China.
Jie ChenDepartment of Occupational and Environmental Health, School of Public Health, China Medical University, Shenyang 110122, China.
Tong WangSchool of Public Health, Shanxi Medical University, Taiyuan 030001, China.
Joachim HeinrichInstitute and Clinic for Occupational, Social and Environmental Medicine, University Hospital, LMU Munich, Munich 80336, Germany.
Meng GaoDepartment of Geography, Hong Kong Baptist University, Hong Kong SAR, China.
Lizi LinGuangdong Provincial Engineering Technology Research Center of Environmental Pollution and Health Risk Assessment, Department of Occupational and Environmental Health, School of Public Health, Sun Yat-sen University, Guangzhou 510080, China.
Xiang XiaoDepartment of Geography, Hong Kong Baptist University, Hong Kong SAR, China.
Peien ZhouDepartment of Public Health & Primary Care, University of Cambridge, Cambridge CB2 1TN, United Kingdom.
Yunjiang YuState Environmental Protection Key Laboratory of Environmental Pollution Health Risk Assessment, South China Institute of Environmental Sciences, Ministry of Environmental Protection, Guangzhou 510655, China.
Naijun TangDepartment of Occupational and Environmental Health, School of Public Health, Tianjin Medical University, Tianjin 300070, China.
Guanghui DongGuangdong Provincial Engineering Technology Research Center of Environmental Pollution and Health Risk Assessment, Department of Occupational and Environmental Health, School of Public Health, Sun Yat-sen University, Guangzhou 510080, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Evidence on the associations between long-term exposure to multiple air pollutants and cardiopulmonary mortality is limited, especially for developing regions with higher pollutant levels. We aimed to characterise the individual and joint (multi-pollutant) associations of long-term exposure to air pollutants with cardiopulmonary mortality, and to identify air pollutant that primarily contributes to the mortality risk. Methods: We followed 37,442 participants with a mean age of 43.5 years in four cities in northern China (Tianjin, Shenyang, Taiyuan, and Rizhao) from January 1998 to December 2019. Annual particulate matter (PM) with diameters ≤2.5 μm (PM Findings: During 785,807 person-years of follow-up, 5812 (15.5%) died from non-accidental causes, among which 2932 (7.8%) were from all CVDs, 479 (1.3%) from non-malignant RDs, and 552 (1.4%) from lung cancer. Long-term exposure to PM Interpretation: There was a strong and positive association of long-term individual and joint exposure to PM Funding: National Key Research and Development Program of China, the China Scholarship Council, the National Natural Science Foundation of China, Natural Science Foundation of Guangdong Province.

Indexed as

Air pollutionCardiorespiratory diseaseCohort studyJoint associationLung cancerMortality

Identifiers

PMID37547049
PMCPMC10398602

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.