2025
Cross-Sectional Association of Ground-Level Ozone and Nitrogen Dioxide With Cardiac Mechanics Using Speckle-Tracking Echocardiography in the Cardiovascular Health Study.
Chang AY, Kaufman JD, Shah SJ, Tan AX, Patel RB, Margolis HG, Psaty BM, Gardin JM, Al-Kindi S, Austin TR, Bell ML, Chen K, Odden MC. Cross-Sectional Association of Ground-Level Ozone and Nitrogen Dioxide With Cardiac Mechanics Using Speckle-Tracking Echocardiography in the Cardiovascular Health Study. Echocardiography 2025, 42: e70330. PMID: 41146536, DOI: 10.1111/echo.70330.Peer-Reviewed Original ResearchCritical windows of gestational exposure to fine particulate matter (PM2.5) and pregnancy loss in New Jersey, USA
Heo S, Leung M, Kioumourtzoglou M, Bell M. Critical windows of gestational exposure to fine particulate matter (PM2.5) and pregnancy loss in New Jersey, USA. 2025 DOI: 10.1093/ajeadv/uuaf009.Peer-Reviewed Original ResearchFine particulate matterAdverse health effectsParticulate matterConcentrations of fine particulate matterExposure to fine particulate matterHealth effects of air pollutionEffects of air pollutionAir pollution impactsAir quality dataPM2.5 levelsQuasi-Poisson regression modelPollution impactsAir pollutionPM2.5New JerseyMeteorological factorsCritical windowWeeks exposureRelative riskQuality dataExposure-response relationshipBirth certificate dataPublic health policiesGestational weeksCertificate dataGlobal Excess Deaths Associated with Heatwaves in 2023 and the Contribution of Human-Induced Climate Change
Hundessa S, Huang W, Xu R, Yang Z, Zhao Q, Gasparrini A, Armstrong B, Bell M, Huber V, Urban A, Coelho M, Sera F, Tong S, Royé D, Kyselý J, de'Donato F, Mistry M, Tobias A, Íñiguez C, Ragettli M, Hales S, Achilleos S, Klompmaker J, Li S, Guo Y, Network M. Global Excess Deaths Associated with Heatwaves in 2023 and the Contribution of Human-Induced Climate Change. The Innovation 2025, 101110. DOI: 10.1016/j.xinn.2025.101110.Peer-Reviewed Original ResearchHuman-induced climate changeExcess deathsWithin-week variationsQuasi-Poisson regression modelPublic health interventionsClimate changeHealth interventionsMortality dataMortality burdenDeath ratioClimate mitigation strategiesHigh-resolution climateAssociated with heatwavesMeta-RegressionHealth impactsDeath rateGlobal deathsRegression modelsHigher mortality rateSpatial heterogeneityClimate scenariosMortality rateHeatwavesMortalityComprehensive assessmentStatistical downscaling of coarse-resolution fine particulate matter predictions over the contiguous United States: model development, evaluation, and implication in health impact assessment
Farzad K, Zhang Y, Wang K, Chen X, Goldberg D, Lyapustin A, Wang Y, Bell M. Statistical downscaling of coarse-resolution fine particulate matter predictions over the contiguous United States: model development, evaluation, and implication in health impact assessment. The Science Of The Total Environment 2025, 999: 180302. PMID: 40865438, DOI: 10.1016/j.scitotenv.2025.180302.Peer-Reviewed Original ResearchAerosol optical depthContiguous United StatesWRF-ChemStatistical downscalingDownscaling approachHigh-resolution aerosol optical depthWeather Research and Forecasting modelGrid resolutionWRF-Chem outputStatistical downscaling approachAir quality modelsSpatial grid resolutionHealth impacts of air pollutionLand use dataImpact of air pollutionHigh-resolutionEnvironmental Benefits MappingFine particulate matterParticulate matter predictionHealth impactsOptical depthMulti-linear regressionQuality modelBenefits MappingHealth impact assessmentShort-term association between hot nights and mortality: a multicountry analysis in 178 locations considering hourly ambient temperature
Royé D, Sera F, Tobías A, Hashizume M, Honda Y, Kim H, Vicedo-Cabrera A, Tong S, Lavigne E, Kyselý J, Pascal M, de’Donato F, da Silva S, Madureira J, Huber V, Urban A, Schwartz J, Bell M, Armstrong B, Iñiguez C, Network M, Abrutzky R, de Sousa Zanotti Stagliorio Coelho M, Saldiva P, Correa P, Ortega N, Kan H, Osorio S, Gasparrini A, Achilleos S, Orru H, Indermitte E, Ryti N, Schneider A, Katsouyanni K, Analitis A, Mayvaneh F, Enteyari A, Raz R, Michelozzi P, Kim Y, Alahmad B, Cauchi J, Diaz M, Arellano E, Overcenco A, Klompmaker J, Carrasco G, Seposo X, Chua P, Holobaca I, Guo Y, Jaakkola J, Scovronick N, Acquaotta F, Lee W, Forsberg B, Ragettli M, Li S, Zanobetti A, Colistro V, Dang T, Van Dung. Short-term association between hot nights and mortality: a multicountry analysis in 178 locations considering hourly ambient temperature. Environment International 2025, 203: 109719. PMID: 40882422, DOI: 10.1016/j.envint.2025.109719.Peer-Reviewed Original ResearchConceptsPublic health strategiesHealth strategiesHot nightsMortality riskPreventive public health strategiesHourly ambient temperatureShort-term associationsHeat-related mortality riskMulticountry analysisDaily maximum temperatureDaily mortalityPooled resultsWarm seasonClimate changeMortalityAdaptation effortsAbsolute humidityMaximum temperatureRiskAssociationDecision-makingCritical window of gestational greenspace exposure for the risk of low birth weight
Heo S, Fong K, Son J, Bell M. Critical window of gestational greenspace exposure for the risk of low birth weight. Environmental Research Letters 2025, 20: 094028. PMID: 40822040, PMCID: PMC12355035, DOI: 10.1088/1748-9326/adf86b.Peer-Reviewed Original ResearchGreenspace exposureOdds ratioLow birthweightComplex exposure-response relationshipsInterquartile range increaseRisk of low birth weightWeeks 0Significant ORsGestational weeks 0Zip code levelCase-control studyLow birth weightCritical windowExposure-response relationshipRange increaseMaternal characteristicsBirth dataLogistic regressionBirth weightLate pregnancyPregnancyUS statesBirthweightExposure levelsRiskImpact of Ozone on Kidney Transplant Outcomes
Han S, You E, Ko A, Kwon S, Lee D, Kang E, Lee H, Kim D, Kim Y, Lim C, Al-Aly Z, Bell M, Lee W, Kim Y, Lee J. Impact of Ozone on Kidney Transplant Outcomes. American Journal Of Transplantation 2025 PMID: 40769423, DOI: 10.1016/j.ajt.2025.07.2487.Peer-Reviewed Original ResearchAir pollutionAdverse effects of air pollutionHealth consequences of air pollutionEffects of air pollutionLong-term O3 exposureImpact of ozoneFine particulate matterConsequences of air pollutionParticulate matterMultipollutant modelsTime-varying Cox proportional hazards modelsAssociated with elevated riskPollutionAdverse effectsHealth consequencesOzoneLongitudinal cohort studyRisk of death-censored graft failureAll-Cause MortalityCox proportional hazards modelsMultipollutantExposureConcentrationProportional hazards modelPotential confoundersRainfall variability and under-five child mortality in 59 low- and middle-income countries
He C, Zhu Y, Guo Y, Bell M, Filippi V, Brimicombe C, Chen R, Kan H. Rainfall variability and under-five child mortality in 59 low- and middle-income countries. Nature Water 2025, 3: 881-889. DOI: 10.1038/s44221-025-00478-9.Peer-Reviewed Original ResearchUnder-five child mortalityWet daysMiddle-income countriesChild mortalityDaily rainfall eventsEarth's hydrological cycleRainfall pattern changesChild healthHealth consequencesUnder-five child deathsRainfall surplusHydrological cycleRainfall amountRainfall eventsRainfall variabilityRainfall variationsSeasonal rainfallUnder-five mortalityAnnual rainfallLower educational attainmentRainfallRainfall scarcityClimate changeWater sourcesChild deathsDoes greenspace influence the associations between ambient temperature and violent crime? An observational study
Heo S, Choi H, Delaney S, James P, Bell M. Does greenspace influence the associations between ambient temperature and violent crime? An observational study. Environmental Research Letters 2025, 20: 084064. PMID: 40717740, PMCID: PMC12288829, DOI: 10.1088/1748-9326/adef6a.Peer-Reviewed Original ResearchViolent crimeViolent crime incidentsZip code levelCrime incidentsCrimeGreenspace indicatorsGreenspaceVegetation densityTree coverageZip codesLack of researchPercentage of vegetation areaDaily countsUrban greenery planningHigher vegetation densityLow vegetation densityZIPParking areaMean temperatureDaily mean temperaturePolicyTime series analysisParkRelative riskChicagoAssociation between fine particulate matter (PM2.5) and severity of acute respiratory infections among young US children in the major cities in the United States: a claims-based cohort study
Foo D, Regan A, Heo S, Schneider E, Canner J, Song Y, Bell M. Association between fine particulate matter (PM2.5) and severity of acute respiratory infections among young US children in the major cities in the United States: a claims-based cohort study. Open Forum Infectious Diseases 2025, ofaf442. DOI: 10.1093/ofid/ofaf442.Peer-Reviewed Original ResearchShort-term PM2.5 exposurePM2.5 exposureShort-term exposure to fine particulate matterIntensive care unitPrescription claimsClaims-based cohort studyExposure to fine particulate matterInterquartile range increaseAcute respiratory infectionsYoung US childrenChildren aged <5 yearsHealth insurance plansRisk of ICU admissionHospital-admittedLength of stayUS childrenInfluenza vaccination statusRange increasePrivate health insurance plansArea levelSeverity of acute respiratory infectionsHospital admissionCohort studyGeneralized linear modelInsurance plansHuman Health Impacts of Energy Transitions across the United States among Sociodemographic Subpopulations for the Year 2050
Stewart R, Kim H, Choi H, Song Y, Zhang Y, Gillingham K, Esty D, Hobbs B, Bell M. Human Health Impacts of Energy Transitions across the United States among Sociodemographic Subpopulations for the Year 2050. Environmental Science And Technology 2025, 59: 11995-12007. PMID: 40498102, PMCID: PMC12288885, DOI: 10.1021/acs.est.4c14326.Peer-Reviewed Original ResearchConceptsHuman health impactsConcentration-response functionsAmbient fine particlesImprove air qualityMonetized health benefitsGreenhouse gas emissionsEnvironmental health inequalitiesBaseline incidence ratePollution levelsAir qualityContiguous United StatesFine particlesHealth impactsGas emissionsMitigation strategiesSensitive to assumptionsFossil fuel productionPopulation projectionsFuel productionEconomic benefitsCobenefitsEnergy scenariosPollutionHealth benefitsEnergy transition policiesEffects of ambient temperature on hospital admissions and mortality among older adults with and without dementia in South Korea
Byun G, Kim S, Festa N, Choi Y, Lee W, Lee J, Gill T, Bell M. Effects of ambient temperature on hospital admissions and mortality among older adults with and without dementia in South Korea. International Journal Of Epidemiology 2025, 54: dyaf142. PMID: 40795076, PMCID: PMC12342165, DOI: 10.1093/ije/dyaf142.Peer-Reviewed Original ResearchConceptsRisk of hospital admissionOlder adultsHospital admissionDementia admissionsNational Health Insurance Service-Senior cohortRelative riskCase-crossover designAll-cause hospital admissionsGlobal population agesPercentile temperatureHealth outcomesDementiaElevated riskMedical claimsHealth problemsHealth impactsPopulation agingHealthAdmissionAdultsHospitalAssociationSouth KoreaMortalityRiskDisparities in exposure to concentrated animal feeding operations (CAFOs) and other animal feeding operations across multiple states in USA
Son J, Lewis B, Bell M. Disparities in exposure to concentrated animal feeding operations (CAFOs) and other animal feeding operations across multiple states in USA. Journal Of Exposure Science & Environmental Epidemiology 2025, 1-8. PMID: 40481211, PMCID: PMC12413751, DOI: 10.1038/s41370-025-00783-1.Peer-Reviewed Original ResearchAt-risk populationsDisadvantaged communitiesNon-Hispanic blacksStudy investigated disparitiesLow educational levelLow socioeconomic statusAnimal feeding operationsUS statesSocioeconomic statusFeeding operationsCensus variablesHispanic populationEducation levelExposure groupExposure metricsMinority personsDisparitiesEnvironmental justiceExposure disparitiesAssess exposureIncome levelRacial/ethnic minority personsPolicy developmentHealth risksExposure intensityEffect modification by cardiovascular and metabolic disease onset on long-term PM2.5 exposure and mortality: a nationwide cohort study
Jang H, Park J, Lee E, Kang D, Moon J, Song I, Ahn S, Kim A, Kang C, Oh J, Kwon D, Min J, Kim E, Bell M, Kim H, Lee W. Effect modification by cardiovascular and metabolic disease onset on long-term PM2.5 exposure and mortality: a nationwide cohort study. Scientific Reports 2025, 15: 19570. PMID: 40467860, PMCID: PMC12137577, DOI: 10.1038/s41598-025-04498-z.Peer-Reviewed Original ResearchConceptsLong-term PM2.5 exposureEffect modificationPM2.5 exposureEstimate effect modificationPM2.5-mortality associationsPopulation-representative cohortTarget specific interventionsMyocardial infarctionNationwide cohort studyNon-accidental deathsEffects of PM2.5PM2.5-mortalityRisk of PM2.5Preemptive careCox regression modelsHTN/DMCohort studyHazard ratioDisease onsetCerebrovascular diseaseRegression modelsMetabolic disease onsetCohortRenal diseaseMortalityEstimating the urban heat-related mortality burden due to greenness: a global modelling study
Wu Y, Wen B, Ye T, Huang W, Liu Y, Gasparrini A, Sera F, Tong S, Lavigne E, Roye D, Achilleos S, Ryti N, Pascal M, Zeka A, de'Donato F, da Silva S, Madureira J, Mistry M, Armstrong B, Bell M, Schwartz J, Guo Y, Li S, Network M. Estimating the urban heat-related mortality burden due to greenness: a global modelling study. The Lancet Planetary Health 2025, 9: 101235. PMID: 40318693, DOI: 10.1016/s2542-5196(25)00062-2.Peer-Reviewed Original ResearchHeat-mortality associationsEnhanced Vegetation IndexHeat-related deathsMortality burdenIncreased greennessMeta-regression modelsGlobal model studiesUrban areasCollaborative research networksModeling studiesHeat-related mortalityMeta-analytic approachDaily mortalityHealth impactsResearch NetworkHealth impacts of heat exposureRandom forest modelPublic health threatVegetation indexWarm seasonMulti-countryMean temperatureImpact of heat exposureDaily temperatureMitigation strategiesEffects of Prenatal Exposure to PM2.5 Chemical Components on Adverse Birth Outcomes and Under-5 Mortality in South Korea
Byun G, Choi Y, Lee J, Bell M. Effects of Prenatal Exposure to PM2.5 Chemical Components on Adverse Birth Outcomes and Under-5 Mortality in South Korea. Epidemiology 2025, 36: 531-540. PMID: 40257114, PMCID: PMC12118620, DOI: 10.1097/ede.0000000000001868.Peer-Reviewed Original ResearchMeSH KeywordsAdultAir PollutantsChild MortalityChild, PreschoolFemaleHumansInfantInfant MortalityInfant, Low Birth WeightInfant, NewbornInfant, Small for Gestational AgeLogistic ModelsMaleMaternal ExposureParticulate MatterPregnancyPregnancy OutcomePremature BirthPrenatal Exposure Delayed EffectsRepublic of KoreaConceptsAdverse birth outcomesAssociated with adverse birth outcomesBirth outcomesRisk of preterm birthExposure to PMPreterm birthLow birth weightAssociated with increased odds of PTBIncreased risk of PTBOdds of preterm birthAssociations of prenatal exposureUnder-5 MortalityExposure to fine particulate matterPopulation of South KoreaAssociated with increased oddsPrenatal exposureAge 5 yearsDeath recordsBirth weightBirth recordsUnder-5Pregnancy exposureEffects of prenatal exposureEffect estimatesLogistic regressionHealth disparities associated with exposure to animal feeding operations, including concentrated animal feeding operations (CAFOs), in North Carolina, Pennsylvania, and Virginia, USA
Son J, Bell M. Health disparities associated with exposure to animal feeding operations, including concentrated animal feeding operations (CAFOs), in North Carolina, Pennsylvania, and Virginia, USA. Environmental Research Letters 2025, 20: 10.1088/1748-9326/adc291. PMID: 40837118, PMCID: PMC12364031, DOI: 10.1088/1748-9326/adc291.Peer-Reviewed Original ResearchDisproportionate health burdenInvestigate health disparitiesHealth burdenExposure and mortalityCause-specific mortalityCerebrovascular diseaseNorth CarolinaHigher mortality riskAssociated with higher riskHealth disparitiesBinary exposureMortality riskIndividual-levelCommunity-levelInvestigate riskEvidence of health risksLogistic regressionExposure metricsZip-codeHigh riskDiabetes mellitusDisparitiesHealth risksExposure intensityZIPThe Health Impacts of Transitioning Away from Fossil Fuel Toward Cleaner Energy
Bell M, Gillingham K. The Health Impacts of Transitioning Away from Fossil Fuel Toward Cleaner Energy. Annual Review Of Public Health 2025, 46: 315-330. PMID: 40215137, DOI: 10.1146/annurev-publhealth-071723-024649.Peer-Reviewed Original ResearchConceptsIncreasing public transportationGreenhouse gasesEnergy efficiency measuresElectric vehiclesPublic transportWalkable cityPedestrian pathwaysEmissions of greenhouse gasesEnergy transitionCleaner environmentFossil fuelsEfficiency measuresPublic healthWin-win strategyEnvironmental justiceEnergy systemsSlow climate changeBrake wearHealthy societyIncreased emissionsSustainable energy sourcesExtreme Heat and Hospitalization Among Older Persons With Alzheimer Disease and Related Dementias
Delaney S, Stegmuller A, Mork D, Mock L, Bell M, Gill T, Braun D, Zanobetti A. Extreme Heat and Hospitalization Among Older Persons With Alzheimer Disease and Related Dementias. JAMA Internal Medicine 2025, 185: 412-421. PMID: 39899291, PMCID: PMC11791774, DOI: 10.1001/jamainternmed.2024.7719.Peer-Reviewed Original ResearchCase-crossover designOdds ratioPopulation-based cohort studyMedicare fee-for-serviceBurden of Alzheimer's diseaseConditional logistic regressionFee-for-serviceOR point estimatesRisk of hospitalizationADRDOlder personsOlder adultsMain OutcomesPopulation subgroupsWhite beneficiariesDiagnosis codesCohort studyEffect estimatesHealth burdenLogistic regressionCounseling patientsCumulative ORAlzheimer's diseaseIncreased hospitalizationOutdoor heatTemporal trends in the association between temperature and firearm mortality
Choi H, Heo S, Bell M. Temporal trends in the association between temperature and firearm mortality. Environmental Research 2025, 275: 121384. PMID: 40081650, DOI: 10.1016/j.envres.2025.121384.Peer-Reviewed Original ResearchFirearm mortalityPublic health initiativesLow socioeconomic statusConditional logistic regressionFirearm mortality dataFirearm death ratesHealth inequalitiesMortality trendsAttributable fractionHealth initiativesCase-crossoverMortality dataSocioeconomic statusRacial/ethnic groupsTargeted interventionsBlack/African AmericanStratified analysisVulnerable populationsLogistic regressionWhite populationHealth impactsDeath rateFirearm deathsRace/ethnicityTemporal trends
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