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Long-term exposure to low concentrations of ambient benzene and mortality in a national English cohort

Abstract:
Background: Benzene affects human health through environmental exposure in addition to occupational contact. However, few studies have examined the associations between long-term exposure to low concentrations of ambient benzene and mortality risks in nonoccupational settings.
 
Methods: This prospective cohort study consists of 393,042 participants without stroke, myocardial infarction, or cancer at baseline from the UK Biobank. Annual average concentrations of benzene for each year during follow-up were measured using air dispersion models. The main outcomes were all-cause mortality and mortality from specific causes. Cox proportional-hazards models with time-varying exposure measurements were used to estimate the hazard ratios and 95% confidence intervals (CIs) for mortality risks. Restricted cubic spline models were used to estimate exposure–response relationships.
 
Measurements and Main Results: With each interquartile range increase in the average annual concentration of benzene, the adjusted hazard ratios of mortality risk from all causes, cardiovascular disease, cancer, and respiratory disease were 1.26 (95% CI, 1.24–1.27), 1.24 (95% CI, 1.21–1.28), 1.27 (95% CI, 1.25–1.29), and 1.25 (95% CI, 1.20–1.30), respectively. The monotonically increasing exposure–response curves showed no threshold and plateau within the observed concentration range. Furthermore, the effect of benzene exposure on mortality persisted across different subgroups and was somewhat stronger in younger and White people (P for interaction < 0.05).
 
Conclusions: Long-term exposure to low concentrations of ambient benzene significantly increases mortality risk in the general population. Ambient benzene represents a potential threat to public health, and further investigations are needed to support timely pollution regulation and health protection.
Publication status:
Published
Peer review status:
Peer reviewed

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Publisher copy:
10.1164/rccm.202308-1440oc

Authors

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Institution:
University of Oxford
Division:
MSD
Department:
NDORMS
Sub department:
Centre for Statistics in Medicine
Oxford college:
Queen's College
Role:
Author
ORCID:
0000-0002-0040-0042


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Funder identifier:
https://ror.org/01h0zpd94


Publisher:
American Thoracic Society
Journal:
American Journal of Respiratory and Critical Care Medicine More from this journal
Volume:
209
Issue:
8
Pages:
987-994
Publication date:
2024-04-15
Acceptance date:
2023-12-21
DOI:
EISSN:
1535-4970
ISSN:
1073-449X
Pmid:
38128545


Language:
English
Keywords:
Pubs id:
1586392
Local pid:
pubs:1586392
Deposit date:
2025-10-17
ARK identifier:

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