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dc.contributor.authorKoch, Sarah
dc.contributor.authorKhomenko, Sasha
dc.contributor.authorCirach, Marta
dc.contributor.authorUbalde-Lopez, Mònica
dc.contributor.authorBaclet, Sacha
dc.contributor.authorDaher, Carolyn
dc.contributor.authorHidalgo, Laura
dc.contributor.authorLõhmus, Mare
dc.contributor.authorRizzuto, Debora
dc.contributor.authorRumpler, Romain
dc.contributor.authorSusilo, Yusak
dc.contributor.authorVenkataraman, Siddharth
dc.contributor.authorWegener, Sandra
dc.contributor.authorWellenius, Gregory A
dc.contributor.authorWoodcock, James
dc.contributor.authorNieuwenhuijsen, Mark
dc.date.accessioned2022-05-09T09:14:49Z
dc.date.available2022-05-09T09:14:49Z
dc.date.issued2022-03-29
dc.identifier.citationEnvironmental pollution (Barking, Essex : 1987), volume 304, page 119124
dc.identifier.issn0269-7491
dc.identifier.other35367103
dc.identifier.otherPMC8967404
dc.identifier.urihttps://www.repository.cam.ac.uk/handle/1810/336868
dc.description.abstractResponses to COVID-19 altered environmental exposures and health behaviours associated with non-communicable diseases. We aimed to (1) quantify changes in nitrogen dioxide (NO2), noise, physical activity, and greenspace visits associated with COVID-19 policies in the spring of 2020 in Barcelona (Spain), Vienna (Austria), and Stockholm (Sweden), and (2) estimated the number of additional and prevented diagnoses of myocardial infarction (MI), stroke, depression, and anxiety based on these changes. We calculated differences in NO2, noise, physical activity, and greenspace visits between pre-pandemic (baseline) and pandemic (counterfactual) levels. With two counterfactual scenarios, we distinguished between Acute Period (March 15th - April 26th, 2020) and Deconfinement Period (May 2nd - June 30th, 2020) assuming counterfactual scenarios were extended for 12 months. Relative risks for each exposure difference were estimated with exposure-risk functions. In the Acute Period, reductions in NO2 (range of change from -16.9 μg/m3 to -1.1 μg/m3), noise (from -5 dB(A) to -2 dB(A)), physical activity (from -659 MET*min/wk to -183 MET*min/wk) and greenspace visits (from -20.2 h/m to 1.1 h/m) were largest in Barcelona and smallest in Stockholm. In the Deconfinement Period, NO2 (from -13.9 μg/m3 to -3.1 μg/m3), noise (from -3 dB(A) to -1 dB(A)), and physical activity levels (from -524 MET*min/wk to -83 MET*min/wk) remained below pre-pandemic levels in all cities. Greatest impacts were caused by physical activity reductions. If physical activity levels in Barcelona remained at Acute Period levels, increases in annual diagnoses for MI (mean: 572 (95% CI: 224, 943)), stroke (585 (6, 1156)), depression (7903 (5202, 10,936)), and anxiety (16,677 (926, 27,002)) would be anticipated. To decrease cardiovascular and mental health impacts, reductions in NO2 and noise from the first COVID-19 surge should be sustained, but without reducing physical activity. Focusing on cities' connectivity that promotes active transportation and reduces motor vehicle use assists in achieving this goal.
dc.languageeng
dc.publisherElsevier
dc.sourcenlmid: 8804476
dc.sourceessn: 1873-6424
dc.subjectNoise
dc.subjectAir pollution
dc.subjectCardiovascular disease
dc.subjectMental disorders
dc.subjectPhysical Activity
dc.subjectGreenspace
dc.subjectHumans
dc.subjectNitrogen Dioxide
dc.subjectAir Pollutants
dc.subjectHealth Behavior
dc.subjectMental Health
dc.subjectCities
dc.subjectAir Pollution
dc.subjectEnvironmental Exposure
dc.subjectParticulate Matter
dc.subjectStroke
dc.subjectPandemics
dc.subjectCOVID-19
dc.titleImpacts of changes in environmental exposures and health behaviours due to the COVID-19 pandemic on cardiovascular and mental health: A comparison of Barcelona, Vienna, and Stockholm.
dc.typeArticle
dc.date.updated2022-05-09T09:14:48Z
prism.publicationNameEnvironmental Pollution
dc.identifier.doi10.17863/CAM.84287
dcterms.dateAccepted2022-03-08
rioxxterms.versionofrecord10.1016/j.envpol.2022.119124
rioxxterms.versionVoR
dc.contributor.orcidWoodcock, James [0000-0003-4769-5375]
dc.identifier.eissn1873-6424
pubs.funder-project-idEuropean Commission Horizon 2020 (H2020) ERC (817754)


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