TY - JOUR
T1 - Comparing the performance of air pollution models for nitrogen dioxide and ozone in the context of a multilevel epidemiological analysis
AU - Butland, Barbara K.
AU - Samoli, Evangelia
AU - Atkinson, Richard W.
AU - Barratt, Benjamin
AU - Beevers, Sean D.
AU - Kitwiroon, Nutthida
AU - Dimakopoulou, Konstantina
AU - Rodopoulou, Sophia
AU - Schwartz, Joel D.
AU - Katsouyanni, Klea
N1 - Publisher Copyright:
© 2020 Wolters Kluwer Health. All rights reserved.
Copyright:
Copyright 2021 Elsevier B.V., All rights reserved.
PY - 2020
Y1 - 2020
N2 - Background: Using modeled air pollutant predictions as exposure variables in epidemiological analyses can produce bias in health effect estimation. We used statistical simulation to estimate these biases and compare different air pollution models for London. Methods: Our simulations were based on a sample of 1,000 small geographical areas within London, United Kingdom. "True" pollutant data (daily mean nitrogen dioxide [NO2] and ozone [O3]) were simulated to include spatio-temporal variation and spatial covariance. All-cause mortality and cardiovascular hospital admissions were simulated from "true" pollution data using prespecified effect parameters for short and long-term exposure within a multilevel Poisson model. We compared: land use regression (LUR) models, dispersion models, LUR models including dispersion output as a spline (hybrid1), and generalized additive models combining splines in LUR and dispersion outputs (hybrid2). Validation datasets (model versus fixed-site monitor) were used to define simulation scenarios. Results: For the LUR models, bias estimates ranged from -56% to +7% for short-term exposure and -98% to -68% for long-term exposure and for the dispersion models from -33% to -15% and -52% to +0.5%, respectively. Hybrid1 provided little if any additional benefit, but hybrid2 appeared optimal in terms of bias estimates for short-term (-17% to +11%) and long-term (-28% to +11%) exposure and in preserving coverage probability and statistical power. Conclusions: Although exposure error can produce substantial negative bias (i.e., towards the null), combining outputs from different air pollution modeling approaches may reduce bias in health effect estimation leading to improved impact evaluation of abatement policies.
AB - Background: Using modeled air pollutant predictions as exposure variables in epidemiological analyses can produce bias in health effect estimation. We used statistical simulation to estimate these biases and compare different air pollution models for London. Methods: Our simulations were based on a sample of 1,000 small geographical areas within London, United Kingdom. "True" pollutant data (daily mean nitrogen dioxide [NO2] and ozone [O3]) were simulated to include spatio-temporal variation and spatial covariance. All-cause mortality and cardiovascular hospital admissions were simulated from "true" pollution data using prespecified effect parameters for short and long-term exposure within a multilevel Poisson model. We compared: land use regression (LUR) models, dispersion models, LUR models including dispersion output as a spline (hybrid1), and generalized additive models combining splines in LUR and dispersion outputs (hybrid2). Validation datasets (model versus fixed-site monitor) were used to define simulation scenarios. Results: For the LUR models, bias estimates ranged from -56% to +7% for short-term exposure and -98% to -68% for long-term exposure and for the dispersion models from -33% to -15% and -52% to +0.5%, respectively. Hybrid1 provided little if any additional benefit, but hybrid2 appeared optimal in terms of bias estimates for short-term (-17% to +11%) and long-term (-28% to +11%) exposure and in preserving coverage probability and statistical power. Conclusions: Although exposure error can produce substantial negative bias (i.e., towards the null), combining outputs from different air pollution modeling approaches may reduce bias in health effect estimation leading to improved impact evaluation of abatement policies.
UR - http://www.scopus.com/inward/record.url?scp=85095846664&partnerID=8YFLogxK
U2 - 10.1097/EE9.0000000000000093
DO - 10.1097/EE9.0000000000000093
M3 - Article
AN - SCOPUS:85095846664
SN - 2474-7882
VL - 4
JO - Environmental Epidemiology
JF - Environmental Epidemiology
IS - 3
M1 - e093
ER -