Publications by authors named "Adam A Szpiro"

Background: Evidence suggests that long-term exposure to air pollution may increase the risk of dementia and related cognitive outcomes. A major source of air pollution is automotive traffic, which is modifiable by technological and regulatory interventions.

Objectives: We examined associations of four traffic-related air pollutants with rates of cognitive decline in a cohort of older adults.

View Article and Find Full Text PDF

Nationwide PM exposure models typically rely on regulatory monitoring data as the only ground-level measurements. In this study, we develop a high-resolution spatiotemporal PM model for the contiguous United States from 2000 to 2019 with dense monitoring data at both regulatory and residential sites. Specifically, we combine publicly-available data from 1843 regulatory monitors with our own set of multiple 2-week measurements at 939 residential locations.

View Article and Find Full Text PDF

Background: Exposure to ambient air pollution is associated with morbidity and mortality, making it an important public health concern. Emissions from motorized traffic are a common source of air pollution but evaluating the contribution of traffic-related air pollution (TRAP) emissions to health risks is challenging because it is difficult to disentangle the contribution of individual air pollution sources to exposure contrasts in an epidemiological study.

Objective: This paper describes a new framework to identify whether air pollution differences reflect contrasts in TRAP exposures.

View Article and Find Full Text PDF
Article Synopsis
  • Background research highlights that prenatal exposure to ambient fine particulate matter (PM) may negatively affect child lung health, yet studies specifically investigating the timing of exposure during critical lung development phases are limited.
  • The study involved 675 children, tracking prenatal PM exposure and assessing lung function at ages 8-9 through spirometry while controlling for various factors like maternal and child characteristics.
  • Results showed weak associations between PM exposure during specific fetal development phases and lung function measures (FEV1 and FVC), with no significant effect from factors like child sex or allergic sensitization.
View Article and Find Full Text PDF

Objective: Evaluate the clinical utility of patient-collected dried blood spots (DBS) in measuring HIV-1 viral load (VL) for monitoring antiretroviral therapy (ART) compared to provider-collected DBS and blood plasma.

Design: In a randomized trial of community-based delivery of ART in South Africa, we assessed performance of: (1) DBS specimens compared to plasma, and (2) participant-collected versus staff-collected DBS specimens, to measure HIV-1 VL.

Methods: The bioMérieux NucliSENS EasyQ HIV-1 v2.

View Article and Find Full Text PDF

Missing covariate data is a common problem that has not been addressed in observational studies of gene expression. Here, we present a multiple imputation method that accommodates high dimensional gene expression data by incorporating principal component analysis of the transcriptome into the multiple imputation prediction models to avoid bias. Simulation studies using three datasets show that this method outperforms complete case and single imputation analyses at uncovering true positive differentially expressed genes, limiting false discovery rates, and minimizing bias.

View Article and Find Full Text PDF

Objective: Prenatal exposure to polycyclic aromatic hydrocarbons (PAHs) is associated with adverse birth and developmental outcomes in children. We aimed to describe prenatal PAH exposures in a large, multisite U.S.

View Article and Find Full Text PDF
Article Synopsis
  • - The Deliver Health Study assessed the effectiveness of home-delivered antiretroviral therapy (ART) compared to clinic-based care for people living with HIV during the COVID-19 pandemic, revealing that home delivery significantly improved viral suppression rates.
  • - Researchers tracked 155 adults in KwaZulu-Natal, South Africa, from October 2019 to December 2020 to evaluate the influence of changing COVID-19 restrictions on missed ART doses and late clinic refill visits using statistical analyses.
  • - Although the pandemic did not notably affect self-reported ART use between the groups, there was a significant increase in the risk of late clinic refill visits during COVID-19 alert levels, indicating that as restrictions worsened, more patients delayed their clinic
View Article and Find Full Text PDF
Article Synopsis
  • Executive functions, crucial for problem-solving and planning, develop rapidly in childhood, but prenatal exposure to environmental toxicants like polycyclic aromatic hydrocarbons (PAHs) may hinder this development.
  • The study analyzed 814 children from non-smoking mothers, measuring urine levels of PAH metabolites during pregnancy and evaluating their executive functions at age 8-9, focusing on cognitive flexibility, working memory, and inhibitory control.
  • Results showed mostly null associations between PAH exposure and executive functions, although some interactions between specific PAH metabolites and working memory were observed, highlighting the need for further research in this area.
View Article and Find Full Text PDF

Background: Executive function, which develops rapidly in childhood, enables problem-solving, focused attention, and planning. Animal models describe executive function decrements associated with ambient air pollution exposure, but epidemiologic studies are limited.

Methods: We examined associations between early childhood air pollution exposure and school-aged executive function in 1235 children from three US pregnancy cohorts in the ECHO-PATHWAYS Consortium.

View Article and Find Full Text PDF
Article Synopsis
  • The study examined the relationship between exposure to particulate matter (PM) and cognitive outcomes, highlighting mixed findings in previous research due to differing estimation methods.
  • Researchers used data from the Atherosclerosis Risk in Communities (ARIC) Study to compare PM exposure levels across 11 different methods, assessing their effect on cognitive and MRI outcomes.
  • Results showed high agreement in exposure estimates across different sites, but low within-site consistency; however, findings indicated no significant associations between PM levels and cognitive outcomes, raising concerns about potential biases related to unmeasured confounding factors.
View Article and Find Full Text PDF

Background: Statistical models of air pollution enable intra-urban characterization of pollutant concentrations, benefiting exposure assessment for environmental epidemiology. The new generation of low-cost sensors facilitate the deployment of dense monitoring networks and can potentially be used to improve intra-urban models of air pollution.

Objective: Develop and evaluate a spatiotemporal model for nitrogen dioxide (NO) in the Puget Sound region of WA, USA for the Adult Changes in Thought Air Pollution (ACT-AP) study and assess the contribution of low-cost sensor data to the model's performance through cross-validation.

View Article and Find Full Text PDF
Article Synopsis
  • *The study analyzed data from 1012 mother-child pairs in Shelby County, Tennessee, using techniques like weighted quantile sum regression to assess how neighborhood factors impacted greenspace, measured by NDVI, tree canopy, and park proximity.
  • *Findings reveal that aspects like homeownership, nearby educational resources, and racial composition significantly contribute to greenspace quality, while adding individual-level data did not enhance prediction accuracy, emphasizing the need for targeted policies to promote equitable greenspace access.
View Article and Find Full Text PDF

Less than two-thirds of US adolescents are up-to-date with HPV vaccination. While mothers engaged in preventive care are more likely to seek preventive care for their children, current studies on associations between maternal cervical cancer screening (CCS) and adolescent HPV vaccination are needed. We assessed associations between maternal preventive service utilization and adolescent HPV vaccination using electronic health record data from a healthcare system in Washington State.

View Article and Find Full Text PDF
Article Synopsis
  • Accurately predicting nitrogen oxide (NO) levels is crucial for public health due to the impact of traffic-related air pollution in cities.
  • This study developed a new modeling approach that incorporates traffic data into predicting NO concentrations using a dispersion model (RLINE) and a robust spatiotemporal framework.
  • By analyzing data from Los Angeles between 2006 and 2009, the researchers found that integrating traffic estimates improved the predictive accuracy of the NO models, significantly enhancing predictions near highways.
View Article and Find Full Text PDF

We examined associations between prenatal fine particulate matter (PM), nitrogen dioxide (NO), and ozone (O) exposures and child respiratory outcomes through age 8-9 years in 1279 ECHO-PATHWAYS Consortium mother-child dyads. We averaged spatiotemporally modeled air pollutant exposures during four fetal lung development phases: pseudoglandular (5-16 weeks), canalicular (16-24 weeks), saccular (24-36 weeks), and alveolar (36+ weeks). We estimated adjusted relative risks (RR) for current asthma at age 8-9 and asthma with recent exacerbation or atopic disease, and odds ratios (OR) for wheezing trajectories using modified Poisson and multinomial logistic regression, respectively.

View Article and Find Full Text PDF
Article Synopsis
  • This study examined the effects of prenatal exposure to polycyclic aromatic hydrocarbons (PAHs) on asthma and wheezing in children aged 8-9, using data from a diverse sample of 1,081 parent-child pairs across five U.S. cities.! -
  • Researchers measured levels of PAH metabolites in mothers during mid-pregnancy and assessed asthma and wheezing symptoms in children, adjusting for various factors like smoke exposure and demographics.! -
  • The findings revealed limited evidence linking prenatal PAH exposure to asthma or wheezing trajectories, with some associations noted for specific compounds in boys and girls, but no strong overall connections were established.
View Article and Find Full Text PDF

Placental corticotropin-releasing hormone (pCRH) is a neuroactive peptide produced in high concentrations in mid-late pregnancy, during key periods of fetal brain development. Some evidence suggests that higher pCRH exposure during gestation is associated with adverse neurodevelopment, particularly in female offspring. In 858 mother-child dyads from the sociodemographically diverse CANDLE cohort (Memphis, TN), we examined: (1) the slope of pCRH rise in mid-late pregnancy and (2) estimated pCRH at delivery as a measure of cumulative prenatal exposure.

View Article and Find Full Text PDF

Background: In contrast to fine particles, less is known of the inflammatory and coagulation impacts of coarse particulate matter (, particulate matter with aerodynamic diameter ). Toxicological research suggests that these pathways might be important processes by which impacts health, but there are relatively few epidemiological studies due to a lack of a national monitoring network.

Objectives: We used new spatiotemporal exposure models to examine associations of both 1-y and 1-month average concentrations with markers of inflammation and coagulation.

View Article and Find Full Text PDF