Cox Louis Anthony
Cox Associates, Entanglement, University of Colorado at Denver, Denver, CO. USA.
Glob Epidemiol. 2024 Nov 22;8:100176. doi: 10.1016/j.gloepi.2024.100176. eCollection 2024 Dec.
Exposure-response associations between fine particulate matter (PM2.5) and mortality have been extensively studied but potential confounding by daily minimum and maximum temperatures in the weeks preceding death has not been carefully investigated. This paper seeks to close that gap by using lagged partial dependence plots (PDPs), sorted by importance, to quantify how mortality risk depends on lagged values of PM2.5, daily minimum and maximum temperatures and other variables in a dataset from the Los Angeles air basin (SCAQMD). We find that daily minimum and maximum temperatures and daily mortality counts two to three weeks ago are important independent predictors of both current daily elderly mortality and current PM2.5 levels. Thus, it is important to control for these variables over a period of at least several weeks preceding death. Such detailed control for lagged confounders has not been performed in influential past papers on PM2.5-mortality associations, but appears to be essential for isolating the potential causal contributions of specific variables to mortality risk, and, therefore, a worthwhile area for future research and risk assessment modeling.
细颗粒物(PM2.5)与死亡率之间的暴露-反应关联已得到广泛研究,但死亡前几周每日最低和最高温度可能造成的混杂因素尚未得到仔细调查。本文旨在通过使用按重要性排序的滞后偏依赖图(PDP)来填补这一空白,以量化死亡风险如何取决于来自洛杉矶空气流域(SCAQMD)数据集中PM2.5的滞后值、每日最低和最高温度以及其他变量。我们发现,每日最低和最高温度以及两到三周前的每日死亡人数是当前每日老年死亡率和当前PM2.5水平的重要独立预测因素。因此,在死亡前至少几周的时间内控制这些变量非常重要。在过去关于PM2.5与死亡率关联的有影响力的论文中,尚未对滞后混杂因素进行如此详细的控制,但这似乎对于分离特定变量对死亡风险的潜在因果贡献至关重要,因此是未来研究和风险评估建模的一个有价值的领域。