Distributed lag models (DLMs) have been widely used in environmental epidemiology to quantify the lagged effects of air pollution on a health outcome of interest such as mortality and morbidity. Most previous DLM approaches only consider one pollutant at a time. In this article, we propose distributed lag interaction model (DLIM) to characterize the joint lagged effect of two pollutants. One natural way to model the interaction surface is by assuming that the underlying basis functions are tensor products of the basis functions that generate the main-effect distributed lag functions. We extend Tukey's one-degree-of-freedom interaction structure to the two-dimensional DLM context. We also consider shrinkage versions of the two to allow departure from the specified Tukey's interaction structure and achieve bias-variance tradeoff. We derive the marginal lag effects of one pollutant when the other pollutant is fixed at certain quantiles. In a simulation study, we show that the shrinkage methods have better average performance in terms of mean squared error (MSE) across different scenarios. We illustrate the proposed methods by using the National Morbidity, Mortality, and Air Pollution Study (NMMAPS) data to model the joint effects of PM and O on mortality count in Chicago, Illinois, from 1987 to 2000.
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http://dx.doi.org/10.1111/rssc.12297 | DOI Listing |
Sci Rep
January 2025
Department of Neonatology, Zahedan University of Medical Sciences, Zahedan, Iran.
The growing fetus is very sensitive to environmental conditions. There is limited and conflicting evidence about the short-term effects of exposure to air pollutants on the pregnancy outcome. In this time-stratified case-crossover study, the effect of several air pollutants (i.
View Article and Find Full Text PDFEnviron Res
December 2024
School of Public Health, Mongolian National University of Medical Sciences, Ulaanbaatar, 14210, Mongolia. Electronic address:
Am J Epidemiol
December 2024
Climate Air Quality Research Unit, School of Public Health and Preventive Medicine, Monash University, Melbourne, VIC 3004, Australia.
Research Question: Previous evidence suggests a positive association between temperature and homicide, but the association was less clear in Brazil where homicide is one of the leading causes of death. This study aimed to quantify the association between ambient daily temperature and homicides in Brazil with potential lag effects and to quantify the temperature attributed fractions of homicides in Brazil.
Methods: A space-time-stratified case-crossover design with distributed lag models was used to evaluate the temperature-homicide association from 1·1·2010 to 31·12·2019 in Brazil.
Am J Epidemiol
December 2024
Department of Epidemiology, Harvard T.H. Chan School of Public Health, Boston, Massachusetts.
Identifying the determinants of pregnancy loss is a critical public health concern. However, pregnancy loss is often not noticed, and even when it is, it is inconsistently recorded. Thus, past studies have been limited to medically-identified losses or small, highly selected cohorts, which can lead to biased or non-generalizable results.
View Article and Find Full Text PDFFront Public Health
January 2025
Medical Affairs Department, Emergency General Hospital, Beijing, China.
Background: While temperature extremes have been shown to be associated with an increased risk of hospital admissions, evidence of their impact on the length of hospital stay, which may capture the lingering effects of temperature extremes, is scarce.
Objectives: We aimed to evaluate the association between daily variation in ambient temperature and daily variation in daily total length of stay (daily TLOS), a composite measure encompassing the daily count of hospital admissions and their corresponding length of hospital stay among cardiopulmonary patients. Additionally, we quantified the burden of TLOS attributable to non-optimal temperatures among Hong Kong's older adult population.
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