The Health Impacts of Long-Run Exposure to Pollution in Adulthood and Later Life: Evidence from the US Army

成年期和晚年长期接触污染对健康的影响：来自美国陆军的证据

基本信息

批准号：
10493393
负责人：
Adriana Lleras-Muney
金额：
$ 18.24万
依托单位：
NATIONAL BUREAU OF ECONOMIC RESEARCH
依托单位国家：
美国
项目类别：
财政年份：
2021
资助国家：
美国
起止时间：
2021-09-30 至 2024-05-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/10493393
关键词：
Accounting Address Administrative Personnel Adult Affect Air Pollution Army Personnel Attention Cardiovascular Diseases Caring Characteristics Cities Consumption Data Databases Development Disease Drug Prescriptions Elderly Exposure to Future Health Health Insurance Health Services Accessibility Health Status Healthcare Hospitalization Human Resources Individual Life Cycle Stages Link Location Long-Term Effects Malignant neoplasm of lung Measurement Measures Medical Methodology Military Personnel Modification Morbidity - disease rate Observational Study Occupations Outcome Outcome Study Participant Persons Physicians Policy Making Pollution Records Resources Running Source Statistical Models Time United States Department of Veterans Affairs Variant Veterans Visit Workplace base cardiorespiratory fitness disability experience fine particles health care availability improved insurance claims interest middle age mortality multiple data sources young adult

Accounting Address Administrative Personnel Adult Affect Air Pollution Army Personnel Attention Cardiovascular Diseases Caring Characteristics Cities Consumption Data Databases Development Disease Drug Prescriptions Elderly Exposure to Future Health Health Insurance Health Services Accessibility Health Status Healthcare Hospitalization Human Resources Individual Life Cycle Stages Link Location Long-Term Effects Malignant neoplasm of lung Measurement Measures Medical Methodology Military Personnel Modification Morbidity - disease rate Observational Study Occupations Outcome Outcome Study Participant Persons Physicians Policy Making Pollution Records Resources Running Source Statistical Models Time United States Department of Veterans Affairs Variant Veterans Visit Workplace base cardiorespiratory fitness disability experience fine particles health care availability improved insurance claims interest middle age mortality multiple data sources young adult

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项目摘要

OTHER PROJECT INFORMATION – Project Summary/Abstract The Health Impacts of Long-Run Exposure to Pollution in Adulthood and Later Life: Evidence from the US Army A large body of observational studies link long-term pollution exposure to health harms, most notably mortality from cardiovascular disease and lung cancer (Dockery et al. 1993; Pope et al. 2004; Laden et al. 2006; Miller et al. 2007; Brook et al. 2010; Cerza et al. 2019; Lim et al. 2018; Qiu et al. 2018; Lipsett et al. 2011; Hoek et al. 2013, Beelen et al. 2014, Kaufman et al. 2016; Crouse et al. 2019). Since the original “Six Cities” study, many methodological advances have been made to better isolate a causal relationship between long-term pollution exposure and health. One factor that has received considerably less attention is the potential for confounding due to people’s ability to choose where they live. People can move to particular locations based on, at least in part, air pollution levels in that location. If people with more information and greater resources are more likely to move to locations with lower pollution (Banzhaf and Walsh, 2008; Gamper-Rabindran and Timmins, 2011, Finney, Goetzke and Yoon, 2011), it makes it challenging to distinguish whether poor health is caused by long- term exposure to pollution or by the myriad of other factors correlated with pollution. In this project, we aim to address these issues of residential confounding by focusing on military personnel. Military personnel are an ideal group for this purpose because they are constrained in their ability to choose residential locations to avoid pollution—their moves are determined by the needs of the Army. Therefore, pollution exposures for this group are likely to be independent from the multitude of other factors that affect health. Moreover, military personnel have uniform access to health care, such that the outcomes we study are unlikely to reflect access to care or ability to pay, but instead reflect underlying demand for medical care due to disease. Additionally, rich administrative data enables us to track the location and health care usage of personnel over long periods of time. We can integrate administrative data from multiple sources, including the Total Army Personnel Database, Tricare health care claims, and annual snapshots from the Veterans Health Agency in the Department of Veteran’s Affairs.

其他项目信息 - 项目摘要/摘要长期暴露于成年和以后的生活的健康影响：来自美国陆军大量的观察性研究将长期污染的暴露与健康危害联系起来，最著名的是死亡率来自心血管疾病和肺癌（Dockery等，1993； Pope等，2004； Laden等，2006； Miller等 al。 2007; Brook等。 2010; Cerza等。 2019; Lim等。 2018; Qiu等。 2018; Lipsett等。 2011; Hoek等。 2013年，Beelen等。 2014年，Kaufman等。 2016; Crouse等。 2019）。由于最初的“六个城市”研究，许多方法学的进步已经得到了更好的隔离，以更好地隔离长期污染之间的因果关系暴露与健康。谨慎关注的一个因素是混淆的潜力由于人们选择自己的住所的能力。人们可以基于一部分，该位置的空气污染水平。如果有更多信息和更多资源的人更有可能转移到污染较低的地点（Banzhaf和Walsh，2008； Gamper-Rabindran和Timmins，2011年， Finney，Goetzke和Yoon，2011年），这使得区分健康状况是否持续很长，这是挑战期限暴露于污染或通过无数其他因素与污染相关。在这个项目中，我们旨在解决通过专注于军事人员混淆的居民的这些问题。军事人员是为此目的的理想群体，因为他们的选择能力受到限制避免污染的住宅地点 - 他们的举动取决于军队的需求。所以，该组的污染暴露可能独立于影响影响的其他因素健康。此外，军事人员可以统一获得医疗保健，因此我们研究的结果是不太可能反映获得护理或付款能力的机会，而是反映了由于疾病。此外，丰富的行政数据使我们能够跟踪人员的位置和医疗保健使用情况长时间。我们可以整合来自多个来源的行政数据，包括总陆军人事数据库，Tricare Health Care索赔和退伍军人卫生局的年度快照退伍军人事务部。