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Ambient Air Pollution and Transportation Noise : = How they Affect Mental Health in Older Adults.

紀錄類型:	書目-電子資源 : Monograph/item
正題名/作者:	Ambient Air Pollution and Transportation Noise :/
其他題名:	How they Affect Mental Health in Older Adults.
作者:	Wu, Jing.
面頁冊數:	1 online resource (87 pages)
附註:	Source: Dissertations Abstracts International, Volume: 85-03, Section: A.
Contained By:	Dissertations Abstracts International85-03A.
標題:	Air pollution. -
電子資源:	http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=30547078click for full text (PQDT)
ISBN:	9798380254915

Ambient Air Pollution and Transportation Noise : = How they Affect Mental Health in Older Adults.
Wu, Jing.

Ambient Air Pollution and Transportation Noise :How they Affect Mental Health in Older Adults. - 1 online resource (87 pages)

Source: Dissertations Abstracts International, Volume: 85-03, Section: A.

Thesis (Ph.D.)--Karolinska Institutet (Sweden), 2023.

Includes bibliographical references

Whether environmental factors are associated with mental health issues among older adults remains unclear. This doctoral thesis aimed to determine the extent to which air pollution and transportation noise affect mental health in older adults. We used data from the Swedish National study on Aging and Care-Kungsholmen (SNAC-K).Study I PM2.5 was not linearly associated with faster cognitive decline over 12 years of follow-up. A significantly increased risk of faster cognitive decline was observed for low levels of PM2.5 (<8.6μg/m3) among the oldest-old group (OR 1.81; 95% CI: 1.02-3.22). The existence of cerebrovascular diseases further enlarged the risk.Study II During follow-up, 15% of cognitively intact participants developed CIND, and 19% of cognitively impaired participants developed dementia. We observed 75%, 8%, and 18% increased risk of CIND onset corresponding to PM2.5, PM10 (both per 1μg/m3), and NOx (per 10μg/m3), respectively. Similarly, a higher hazard of progression from CIND to dementia was observed for exposure to higher levels of air pollution.Study III Out of a total of 2812 participants, 137 initially depression-free participants were diagnosed with depression during follow-up. Exposure to higher levels of PM2.5 and PM10 (per 1μg/m3) and NOx (per 10μg/m3) were associated with 53% (HR 1.53; 95% CI: 1.22-1.93), 7% (HR 1.07; 95% CI: 0.98-1.18), and 26% (HR 1.26; 95% CI: 1.01-1.58) increased risk of depression, accordingly. Importantly, the hazardous effects of air pollution were attenuated among participants with high social activity.Study IVA higher level of aircraft noise was associated with a faster annual rate of cognitive decline (β −0.007; 95% CI −0.012 to −0.001) over 16 years of follow-up. Higher levels of railway and aircraft noise exposure were associated with a 25% (HR 1.25; 95% CI 1.01-1.55) and 16% (HR 1.16; 95% CI: 0.91-1.49) higher hazard of developing CIND. However, no association was found between road traffic noise and cognitive outcomes.ConclusionsLong-term exposure to air pollution was associated with an increased risk of faster cognitive decline, cognitive impairment, and its progression to dementia, as well as depression incidence in older adults. Aircraft noise may be associated with worsening global cognition and cognitive impairment. Railway noise was associated with an increased risk of cognitive impairment. No evidence supported the relationship between road traffic noise and cognitive outcomes. These findings suggest air pollution and transportation noise may be risk factors impacting the mental well-being of older adults.

Electronic reproduction.
Ann Arbor, Mich. :
ProQuest,
2023

Mode of access: World Wide Web

ISBN: 9798380254915Subjects--Topical Terms:

888377
Air pollution.
Index Terms--Genre/Form:

542853
Electronic books.

Ambient Air Pollution and Transportation Noise : = How they Affect Mental Health in Older Adults.
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245 1 0 $a Ambient Air Pollution and Transportation Noise : $b How they Affect Mental Health in Older Adults.
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300 $a 1 online resource (87 pages)
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500 $a Source: Dissertations Abstracts International, Volume: 85-03, Section: A.
500 $a Advisor: Rizzuto, Debora;Bellander, Tom;Ljungman, Petter;Grande, Giulia.
502 $a Thesis (Ph.D.)--Karolinska Institutet (Sweden), 2023.
504 $a Includes bibliographical references
520 $a Whether environmental factors are associated with mental health issues among older adults remains unclear. This doctoral thesis aimed to determine the extent to which air pollution and transportation noise affect mental health in older adults. We used data from the Swedish National study on Aging and Care-Kungsholmen (SNAC-K).Study I PM2.5 was not linearly associated with faster cognitive decline over 12 years of follow-up. A significantly increased risk of faster cognitive decline was observed for low levels of PM2.5 (<8.6μg/m3) among the oldest-old group (OR 1.81; 95% CI: 1.02-3.22). The existence of cerebrovascular diseases further enlarged the risk.Study II During follow-up, 15% of cognitively intact participants developed CIND, and 19% of cognitively impaired participants developed dementia. We observed 75%, 8%, and 18% increased risk of CIND onset corresponding to PM2.5, PM10 (both per 1μg/m3), and NOx (per 10μg/m3), respectively. Similarly, a higher hazard of progression from CIND to dementia was observed for exposure to higher levels of air pollution.Study III Out of a total of 2812 participants, 137 initially depression-free participants were diagnosed with depression during follow-up. Exposure to higher levels of PM2.5 and PM10 (per 1μg/m3) and NOx (per 10μg/m3) were associated with 53% (HR 1.53; 95% CI: 1.22-1.93), 7% (HR 1.07; 95% CI: 0.98-1.18), and 26% (HR 1.26; 95% CI: 1.01-1.58) increased risk of depression, accordingly. Importantly, the hazardous effects of air pollution were attenuated among participants with high social activity.Study IVA higher level of aircraft noise was associated with a faster annual rate of cognitive decline (β −0.007; 95% CI −0.012 to −0.001) over 16 years of follow-up. Higher levels of railway and aircraft noise exposure were associated with a 25% (HR 1.25; 95% CI 1.01-1.55) and 16% (HR 1.16; 95% CI: 0.91-1.49) higher hazard of developing CIND. However, no association was found between road traffic noise and cognitive outcomes.ConclusionsLong-term exposure to air pollution was associated with an increased risk of faster cognitive decline, cognitive impairment, and its progression to dementia, as well as depression incidence in older adults. Aircraft noise may be associated with worsening global cognition and cognitive impairment. Railway noise was associated with an increased risk of cognitive impairment. No evidence supported the relationship between road traffic noise and cognitive outcomes. These findings suggest air pollution and transportation noise may be risk factors impacting the mental well-being of older adults.
533 $a Electronic reproduction. $b Ann Arbor, Mich. : $c ProQuest, $d 2023
538 $a Mode of access: World Wide Web
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650 4 $a Socioeconomic factors. $3 3435444
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650 4 $a Outdoor air quality. $3 3560044
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650 4 $a Ozone. $3 675302
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650 4 $a Aging. $3 543123
650 4 $a Atmospheric chemistry. $3 544140
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650 4 $a Clinical psychology. $3 524863
650 4 $a Cognitive psychology. $3 523881
650 4 $a Gerontology. $3 533633
650 4 $a Mental health. $3 534751
650 4 $a Psychology. $3 519075
650 4 $a Sociology. $3 516174
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710 2 $a Karolinska Institutet (Sweden). $3 3557748
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