ArticleFrontiers in public health2025
Ambient air pollution, sleep quality, and cerebral hemorrhage risk in older adults: development and validation of the Anhui environmental exposure questionnaire in a 460 participant cohort study.
Article in Frontiers in public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Objectives: To develop and validate the Anhui Environmental Exposure Questionnaire (AEEQ) and evaluate whether its composite score independently predicts incident cerebral haemorrhage in older adults. Methods: In a prospective cohort (January 2022-April 2024) from Hefei, we enrolled 460 participants aged 60-79 years with ≥5 years' residence and MMSE ≥24, excluding prior stroke/ICH/TBI, heavy-industry/mining workers, lifetime smoking ≥5 pack-years, and recent (≤6 months) antihypertensive changes. The 42-item AEEQ spans six domains. Content validity used Delphi procedures; construct validity used split-sample EFA/CFA; reliability used Cronbach's Results: Content validity was high (S-CVI/Ave 0.96). Factorability was adequate (KMO 0.91); EFA supported six factors (66.1% variance). CFA fit was excellent (χ Conclusion: The AEEQ reliably quantifies chronic environmental burden and adds independent, dose-responsive prognostic value for cerebral haemorrhage, supporting its use in community screening and targeted prevention.
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