Evidence map›Paper›PMID 42192393›Full record

ArticleBMC public health2026

Air pollution, socioeconomic status and the risk of incident rheumatic heart disease: a prospective cohort study.

Shuyang Meng, Jiacheng Ying, Yuwei Jin, Baojie Hua, Shuxiao Ren, Peiyang Luo, Yun Hong, Qihong Yang, Feitian Ni, Jing Guo and 5 more

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in BMC public health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

15 authors.

Shuyang Meng *The Fourth School of Clinical Medicine, Zhejiang Chinese Medical University, Hangzhou, 310053, China.
Jiacheng Ying *The Fourth School of Clinical Medicine, Zhejiang Chinese Medical University, Hangzhou, 310053, China.
Yuwei Jin *The Fourth School of Clinical Medicine, Zhejiang Chinese Medical University, Hangzhou, 310053, China.
Baojie HuaDepartment of Epidemiology, School of Public Health, Zhejiang Chinese Medical University, 548 Binwen Road, Hangzhou, Zhejiang, 310053, China.
Shuxiao RenThe Fourth School of Clinical Medicine, Zhejiang Chinese Medical University, Hangzhou, 310053, China.
Peiyang LuoThe Fourth School of Clinical Medicine, Zhejiang Chinese Medical University, Hangzhou, 310053, China.
Yun HongThe Second School of Clinical Medicine, Zhejiang Chinese Medical University, Hangzhou, 310053, China.
Qihong YangThe Second School of Clinical Medicine, Zhejiang Chinese Medical University, Hangzhou, 310053, China.
Feitian NiThe Second School of Clinical Medicine, Zhejiang Chinese Medical University, Hangzhou, 310053, China.
Jing GuoDepartment of Epidemiology, School of Public Health, Zhejiang Chinese Medical University, 548 Binwen Road, Hangzhou, Zhejiang, 310053, China.
Jiayu LiDepartment of Epidemiology, School of Public Health, Zhejiang Chinese Medical University, 548 Binwen Road, Hangzhou, Zhejiang, 310053, China.
Xiaohui SunDepartment of Epidemiology, School of Public Health, Zhejiang Chinese Medical University, 548 Binwen Road, Hangzhou, Zhejiang, 310053, China.
Cuiqing LiuDepartment of Epidemiology, School of Public Health, Zhejiang Chinese Medical University, 548 Binwen Road, Hangzhou, Zhejiang, 310053, China.
Ding YeDepartment of Epidemiology, School of Public Health, Zhejiang Chinese Medical University, 548 Binwen Road, Hangzhou, Zhejiang, 310053, China. yeding@zcmu.edu.cn.
Yingying MaoDepartment of Epidemiology, School of Public Health, Zhejiang Chinese Medical University, 548 Binwen Road, Hangzhou, Zhejiang, 310053, China. myy@zcmu.edu.cn.

Funding

National Natural Science Foundation of China 82174208 and 81973663Natural Science Exploration Project of Zhejiang Chinese Medical University 2023JKZKTS14Natural Science Foundation of Zhejiang Province LY22H260005
6 · The paper itself

Abstract

backgroundThe relationship between long-term ambient air pollution exposure and socioeconomic status (SES) with rheumatic heart disease (RHD) has been rarely investigated.

methodsWe conducted a population-based cohort study involving approximately half a million participants based on UK Biobank. Long-term exposure to five air pollutants (PM

resultsDuring a median follow-up of 13.6 years among 404,317 participants, a total of 7,944 incident RHD cases were identified. Higher SES was associated with a reduced risk of incident RHD (Medium vs. Low, HR = 0.77, 95% CI: 0.74-0.81; High vs. Low, HR = 0.65, 95% CI: 0.60-0.71; P for trend = 2.29 × 10-35). Statistically significant associations were also observed between incident RHD and PM

conclusionsLong-term exposure to air pollution was associated with an increased risk of incident RHD. Notably, individuals with lower-SES exhibited greater susceptibility to the detrimental effects of air pollution exposure on RHD.

Indexed as

Air PollutionEnvironmental ExposureRheumatic Heart DiseaseSocial ClassAdultAir PollutantsFemaleHumansIncidenceLow Socioeconomic StatusMaleMiddle AgedProspective StudiesRisk FactorsSocioeconomic Disparities in HealthUnited KingdomAir PollutantsAir pollutionCohort studyInteractionMediationRheumatic heart diseaseSocioeconomic status

Identifiers

PMID42192393
PMCPMC13386850

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LicenceCC BY-NC-ND
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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.