Impact of National Ambient Air Quality Standards Nonattainment Designations on Particulate Pollution and Health

Epidemiology
Corwin M ZiglerFrancesca Dominici

Abstract

Despite dramatic air quality improvement in the United States over the past decades, recent years have brought renewed scrutiny and uncertainty surrounding the effectiveness of specific regulatory programs for continuing to improve air quality and public health outcomes. We employ causal inference methods and a spatial hierarchical regression model to characterize the extent to which a designation of "nonattainment" with the 1997 National Ambient Air Quality Standard for ambient fine particulate matter (PM2.5) in 2005 causally affected ambient PM2.5 and health outcomes among over 10 million Medicare beneficiaries in the Eastern United States in 2009-2012. We found that, on average across all retained study locations, reductions in ambient PM2.5 and Medicare health outcomes could not be conclusively attributed to the nonattainment designations against the backdrop of other regional strategies that impacted the entire Eastern United States. A more targeted principal stratification analysis indicates substantial health impacts of the nonattainment designations among the subset of areas where the designations are estimated to have actually reduced ambient PM2.5 beyond levels achieved by regional measures, with noteworthy reductions...Continue Reading

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Nov 17, 2014·American Journal of Epidemiology·Corwin Matthew Zigler, Francesca Dominici

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Citations

Dec 16, 2017·Environmental Science and Pollution Research International·Pawan KumarSudesh Yadav
Jan 12, 2019·Annual Review of Public Health·Marie-Abèle Bind
Dec 14, 2019·Epidemiology·Nicholas J SandersMatthew J Neidell
Oct 24, 2019·American Journal of Respiratory and Critical Care Medicine·Robert UrmanFrank Gilliland
Feb 2, 2019·International Journal of Environmental Research and Public Health·Ying LiTai-Yu Lin
May 6, 2019·International Journal of Environmental Research and Public Health·Huaming ChenTai-Yu Lin
Jul 25, 2019·Proceedings of the National Academy of Sciences of the United States of America·Erika GarciaFrank Gilliland
Sep 19, 2020·Inquiry : a Journal of Medical Care Organization, Provision and Financing·Ying LiTzu-Han Chang
Sep 4, 2020·Statistics in Medicine·Ambarish ChattopadhyayJosé R Zubizarreta
Apr 17, 2021·Environmental Geochemistry and Health·Ching-Cheng LuTai-Yu Lin

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