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dc.contributor.authorAbed Al Ahad, Mary
dc.contributor.authorSullivan, Frank
dc.contributor.authorDemšar, Urška
dc.contributor.authorMelhem, Maya
dc.contributor.authorKulu, Hill
dc.contributor.editorLee, Chon-lin
dc.date.accessioned2020-10-30T10:30:06Z
dc.date.available2020-10-30T10:30:06Z
dc.date.issued2020-10-29
dc.identifier.citationAbed Al Ahad , M , Sullivan , F , Demšar , U , Melhem , M , Kulu , H & Lee , C (ed.) 2020 , ' The effect of air-pollution and weather exposure on mortality and hospital admission and implications for further research : a systematic scoping review ' , PLoS ONE , vol. 15 , no. 10 , e0241415 . https://doi.org/10.1371/journal.pone.0241415en
dc.identifier.issn1932-6203
dc.identifier.otherPURE: 270945178
dc.identifier.otherPURE UUID: 1554805f-a5ad-46dc-859e-701a79c248f9
dc.identifier.othercrossref: 10.1371/journal.pone.0241415
dc.identifier.otherORCID: /0000-0001-7791-2807/work/82788694
dc.identifier.otherORCID: /0000-0001-8808-0719/work/82788779
dc.identifier.otherORCID: /0000-0002-9006-730X/work/82788921
dc.identifier.otherScopus: 85094908405
dc.identifier.otherWOS: 000600013600020
dc.identifier.urihttp://hdl.handle.net/10023/20861
dc.descriptionThis review is part of a PhD project that is funded by the St Leonard’s PhD scholarship, University of St Andrews, Scotland, United Kingdom. The open access publication fees were funded by the University of St Andrews Libraries, Scotland, United Kingdom.en
dc.description.abstractBackground Air-pollution and weather exposure beyond certain thresholds have serious effects on public health. Yet, there is lack of information on wider aspects including the role of some effect modifiers and the interaction between air-pollution and weather. This article aims at a comprehensive review and narrative summary of literature on the association of air-pollution and weather with mortality and hospital admissions; and to highlight literature gaps that require further research. Methods We conducted a scoping literature review. The search on two databases (PubMed and Web-of-Science) from 2012 to 2020 using three conceptual categories of “environmental factors”, “health outcomes”, and “Geographical region” revealed a total of 951 records. The narrative synthesis included all original studies with time-series, cohort, or case cross-over design; with ambient air-pollution and/or weather exposure; and mortality and/or hospital admission outcomes. Results The final review included 112 articles from which 70 involved mortality, 30 hospital admission, and 12 studies included both outcomes. Air-pollution was shown to act consistently as risk factor for all-causes, cardiovascular, respiratory, cerebrovascular and cancer mortality and hospital admissions. Hot and cold temperature was a risk factor for wide range of cardiovascular, respiratory, and psychiatric illness; yet, in few studies, the increase in temperature reduced the risk of hospital admissions for pulmonary embolism, angina pectoris, chest, and ischemic heart diseases. The role of effect modification in the included studies was investigated in terms of gender, age, and season but not in terms of ethnicity. Conclusion Air-pollution and weather exposure beyond certain thresholds affect human health negatively. Effect modification of important socio-demographics such as ethnicity and the interaction between air-pollution and weather is often missed in the literature. Our findings highlight the need of further research in the area of health behaviour and mortality in relation to air-pollution and weather, to guide effective environmental health precautionary measures planning.
dc.format.extent24
dc.language.isoeng
dc.relation.ispartofPLoS ONEen
dc.rightsCopyright: © 2020 Abed Al Ahad et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.en
dc.subjectG Geography (General)en
dc.subjectRA0421 Public health. Hygiene. Preventive Medicineen
dc.subjectDASen
dc.subject.lccG1en
dc.subject.lccRA0421en
dc.titleThe effect of air-pollution and weather exposure on mortality and hospital admission and implications for further research : a systematic scoping reviewen
dc.typeJournal articleen
dc.description.versionPublisher PDFen
dc.contributor.institutionUniversity of St Andrews.School of Geography & Sustainable Developmenten
dc.contributor.institutionUniversity of St Andrews.Population and Health Researchen
dc.contributor.institutionUniversity of St Andrews.School of Medicineen
dc.contributor.institutionUniversity of St Andrews.Sir James Mackenzie Institute for Early Diagnosisen
dc.contributor.institutionUniversity of St Andrews.Population and Behavioural Science Divisionen
dc.contributor.institutionUniversity of St Andrews.Environmental Change Research Groupen
dc.contributor.institutionUniversity of St Andrews.Bell-Edwards Geographic Data Instituteen
dc.identifier.doihttps://doi.org/10.1371/journal.pone.0241415
dc.description.statusPeer revieweden


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