A marginally increased risk for PD is observed after higher levels of exposure to O 3 (OR 1.03, 95% CI 1.00-1.06 per IQR) for exposure 6–16 years before the index date, suggesting a possible role of ozone in PD development even at low exposure levels, which requires further studies.
Abstract
This Finnish population-nested case-control (FINPARK) study investigates the association between long-term exposure to six gaseous air pollutants and PD risk. Incident PD cases (
n
= 22,189) between 1996 and 2015 were identified from the Finnish medical reimbursement register maintained by the Finnish Social Security Institution. Age-, sex- and region-matched cases (
n
= 148,009) were identified from the Finnish population register. Time-weighted average air pollution exposure was modelled at the residential address for 16 years preceding the PD diagnosis. We observed a marginally increased risk for PD after higher levels of exposure to O
3
(OR 1.03, 95% CI 1.00-1.06 per IQR) for exposure 6–16 years before the index date. Inverse associations were observed for NO
X
, NO
2
, CO and SO
2
, potentially due to the strong negative correlation with O
3
. No association with NH
3
was observed. This may suggest a possible role of ozone in PD development even at low exposure levels, which requires further studies.
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