{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,23]],"date-time":"2026-09-23T04:56:59Z","timestamp":1790139419519,"version":"4.0.1"},"reference-count":27,"publisher":"American Chemical Society (ACS)","issue":"9","license":[{"start":{"date-parts":[[2017,12,29]],"date-time":"2017-12-29T00:00:00Z","timestamp":1514505600000},"content-version":"vor","delay-in-days":1323,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2014,9,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Background: Few studies have investigated effects of air pollution on the incidence of cerebrovascular events.<\/jats:p>\n                  <jats:p>Objectives: We assessed the association between long-term exposure to multiple air pollutants and the incidence of stroke in European cohorts.<\/jats:p>\n                  <jats:p>Methods: Data from 11 cohorts were collected, and occurrence of a first stroke was evaluated. Individual air pollution exposures were predicted from land-use regression models developed within the European Study of Cohorts for Air Pollution Effects (ESCAPE). The exposures were: PM2.5 [particulate matter (PM) \u2264 2.5 \u03bcm in diameter], coarse PM (PM between 2.5 and 10 \u03bcm), PM10 (PM \u2264 10 \u03bcm), PM2.5 absorbance, nitrogen oxides, and two traffic indicators. Cohort-specific analyses were conducted using Cox proportional hazards models. Random-effects meta-analysis was used for pooled effect estimation.<\/jats:p>\n                  <jats:p>Results: A total of 99,446 study participants were included, 3,086 of whom developed stroke. A 5-\u03bcg\/m3 increase in annual PM2.5 exposure was associated with 19% increased risk of incident stroke [hazard ratio (HR) = 1.19, 95% CI: 0.88, 1.62]. Similar findings were obtained for PM10. The results were robust to adjustment for an extensive list of cardiovascular risk factors and noise coexposure. The association with PM2.5 was apparent among those \u2265 60 years of age (HR = 1.40, 95% CI: 1.05, 1.87), among never-smokers (HR = 1.74, 95% CI: 1.06, 2.88), and among participants with PM2.5 exposure &amp;lt; 25 \u03bcg\/m3 (HR = 1.33, 95% CI: 1.01, 1.77).<\/jats:p>\n                  <jats:p>Conclusions: We found suggestive evidence of an association between fine particles and incidence of cerebrovascular events in Europe, even at lower concentrations than set by the current air quality limit value.<\/jats:p>\n                  <jats:p>Citation: Stafoggia M, Cesaroni G, Peters A, Andersen ZJ, Badaloni C, Beelen R, Caracciolo B, Cyrys J, de Faire U, de Hoogh K, Eriksen KT, Fratiglioni L, Galassi C, Gigante B, Havulinna AS, Hennig F, Hilding A, Hoek G, Hoffmann B, Houthuijs D, Korek M, Lanki T, Leander K, Magnusson PK, Meisinger C, Migliore E, Overvad K, \u00d6stenson CG, Pedersen NL, Pekkanen J, Penell J, Pershagen G, Pundt N, Pyko A, Raaschou-Nielsen O, Ranzi A, Ricceri F, Sacerdote C, Swart WJ, Turunen AW, Vineis P, Weimar C, Weinmayr G, Wolf K, Brunekreef B, Forastiere F. 2014. Long-term exposure to ambient air pollution and incidence of cerebrovascular events: results from 11 European cohorts within the ESCAPE project. Environ Health Perspect 122:919\u2013925;\u2002http:\/\/dx.doi.org\/10.1289\/ehp.1307301<\/jats:p>","DOI":"10.1289\/ehp.1307301","type":"journal-article","created":{"date-parts":[[2014,5,16]],"date-time":"2014-05-16T14:14:23Z","timestamp":1400249663000},"page":"919-925","source":"Crossref","is-referenced-by-count":321,"title":["Long-Term Exposure to Ambient Air Pollution and Incidence of Cerebrovascular Events: Results from 11 European Cohorts within the ESCAPE Project"],"prefix":"10.1021","volume":"122","author":[{"given":"Massimo","family":"Stafoggia","sequence":"first","affiliation":[{"name":"Department of Epidemiology, Lazio Regional Health Service, Rome, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giulia","family":"Cesaroni","sequence":"additional","affiliation":[{"name":"Department of Epidemiology, Lazio Regional Health Service, Rome, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Annette","family":"Peters","sequence":"additional","affiliation":[{"name":"Institute of Epidemiology II, Helmholtz Zentrum M\u00fcnchen, German Research Center for Environmental Health, Neuherberg, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zorana J.","family":"Andersen","sequence":"additional","affiliation":[{"name":"Danish Cancer Society Research Center, Danish Cancer Society, Copenhagen, Denmark"},{"name":"Center for Epidemiology and Screening, Department of Public Health, University of Copenhagen, Copenhagen, Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chiara","family":"Badaloni","sequence":"additional","affiliation":[{"name":"Department of Epidemiology, Lazio Regional Health Service, Rome, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rob","family":"Beelen","sequence":"additional","affiliation":[{"name":"Institute for Risk Assessment Sciences, Utrecht University, Utrecht, the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Barbara","family":"Caracciolo","sequence":"additional","affiliation":[{"name":"Department of Neurobiology, Care Sciences and Society, Aging Research Center, Karolinska Institutet, Stockholm, Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Josef","family":"Cyrys","sequence":"additional","affiliation":[{"name":"Institute of Epidemiology II, Helmholtz Zentrum M\u00fcnchen, German Research Center for Environmental Health, Neuherberg, Germany"},{"name":"Environment Science Center, University of Augsburg, Augsburg, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ulf","family":"de Faire","sequence":"additional","affiliation":[{"name":"Institute of Environmental Medicine, Karolinska Institutet, Stockholm, Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kees","family":"de 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