Evidence map›Paper›PMID 39694698›Full record

ArticleBMJ open2024

Long term exposure to ambient air pollution and hospital admission burden in Scotland: 16 year prospective population cohort study.

Mary Abed Al Ahad, Urška Demšar, Frank Sullivan, Hill Kulu

Abstract read
In one paragraph

Article in BMJ open, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–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

6 citing papers in PubMed.

  1. Review
  2. Review
  3. Article
  4. Article
  5. Air Pollution and Effects of Tropospheric Ozone (OInternational journal of environmental research and public health · 2025
    Review
  6. Article
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

4 authors.

Mary Abed Al AhadSchool of Geography and Sustainable Development, University of St Andrews, St Andrews, UK maaa1@st-andrews.ac.uk.ORCID http://orcid.org/0000-0002-9006-730X
Urška DemšarSchool of Geography and Sustainable Development, University of St Andrews, St Andrews, UK.
Frank SullivanSchool of Medicine, University of St Andrews, St Andrews, UK.ORCID http://orcid.org/0000-0002-6623-4964
Hill KuluSchool of Geography and Sustainable Development, University of St Andrews, St Andrews, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesAir pollution is considered a major threat for global health and is associated with various health outcomes. Previous research on long term exposure to ambient air pollution and health placed more emphasis on mortality rather than hospital admission outcomes and was characterised by heterogeneities in the size of effect estimates between studies, with less focus on mental/behavioural or infectious diseases outcomes. In this study, we investigated the association between long term exposure to ambient air pollution and all cause and cause specific hospital admissions.

designThis was a prospective cohort study.

settingIndividual level data from the Scottish Longitudinal Study (SLS) were linked to yearly concentrations of four pollutants (nitrogen dioxide (NO

participantsThe study included 202 237 adult individuals aged ≥17 years. OUTCOME MEASURES: The associations between air pollution and all cause, cardiovascular, respiratory, infectious, mental/behavioural disorders and other cause hospital admissions were examined using multi-level, mixed effects, negative binomial regression.

resultsHigher exposure to NO

conclusionsThe results of this study support an association between long term (16 years) exposure to ambient air pollution and increased all cause and cause specific hospital admissions for both physical and mental/behavioural illnesses. The results suggest that interventions on air pollution through stricter environmental regulations could help ease the hospital care burden in Scotland in the long term.

Indexed as

Air PollutantsAir PollutionEnvironmental ExposureHospitalizationNitrogen DioxideParticulate MatterAdolescentAdultAgedCardiovascular DiseasesFemaleHumansLongitudinal StudiesMaleMental DisordersMiddle AgedAir PollutantsNitrogen DioxideParticulate MatterSulfur DioxideEpidemiologyMENTAL HEALTHPublic health

Identifiers

PMID39694698
PMCPMC11660336

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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.