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Particulate matter

Low PM2.5 still tracks Canadian mortality

Pinault L, Tjepkema M, Crouse DL, et al. · Environmental health : a global access science source · 2016

Open access · cc by · source: Europe PMC

In 299,500 Canadians, a 10 μg/m³ rise in PM2.5 was linked to HR 1.26 for non-accidental death even at mean 6.3 μg/m³.

Study at a glance

Design
Cohort — CCHS cohort Cox models of mortality vs low ambient PM2.5
N
N=299500 · 299,500 Canadian Community Health Survey respondents after exclusions
Population
Canadian adults in the CCHS linked to ambient PM2.5
Outcome
Non-accidental and cause-specific mortality per 10 μg/m³ PM2.5

Structured fields used in claim comparison tables when every cited study has a complete layer.

Key findings

Fully adjusted non-accidental HR was 1.26 per 10 μg/m³; respiratory mortality was strongest (HR 1.52). Risk remained elevated below the then-WHO 10 μg/m³ guideline.

Methodology

Cox models in the CCHS cohort assigned 3-year satellite/land-use PM2.5 and followed deaths up to 12 years, adjusting for socioeconomic, ecological, and behavioural covariates.

Limitations

Wide confidence intervals on the low-concentration spline; residual confounding from unmeasured smoking intensity or indoor sources cannot be ruled out, and mobility was only partly captured.

How this study connects

Role on claims

Each row is a claim on a concept or method page where this paper supports, challenges, or qualifies the statement. Roles are hand-checked — not a model guess.

  • SupportsCohort Studymethod

    Individual-level Cox models in the Canadian Community Health Survey cohort assigned 3-year satellite/land-use PM₂.₅ and followed deaths up to 12 years. The fully adjusted non-accidental HR was 1.26 per 10 μg/m³; respiratory mortality was strongest (HR 1.52). Risk remained elevated below the then-WHO 10 μg/m³ guideline.

    Evidence for the claim as stated.

  • SupportsCohort Studymethod

    Papers sharing the cohort label are not one design. Veneto is an ecological SMR for municipalities; CCHS and PROTECT assign person- or pregnancy-level exposures and model individual outcomes; MIREC maps residues without a disease endpoint; the GraMo phthalate–adipose analysis is a cross-sectional surgery sample that cannot establish temporality (WQS β = −30.089 for GSH). 'Cohort evidence that pollution kills' collapses those differences.

    Evidence for the claim as stated.

Open questions

Tensions this paper is part of

From concept pages' “where studies disagree.” Disagreement means the same question; scope means different assays, populations, or outcomes.

Related papers in this topic

Same topic cluster — not a recommendation engine.