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Synergistic Effects of Particle Radioactivity (Gross β Activity) and Particulate Matter ≤2.5 μm Aerodynamic Diameter on Cardiovascular Disease Mortality

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This repository is the data analysis part in the paper of "Long-term Exposure to Particle Radioactivity (Gross Beta Activity) and PM2.5 and Cardiovascular Diseases Mortality" (may update name later)

Data

Health outcome of interest

The annual death rate per ZCTA from 2001/01 to 2015/12 in MA (from MA the Department of Public Health) <-- death count per ZCTA/population count per ZCTA

  • 01convertMAdeath_ZCTA.R: convert MA death record from one-row-per-person to one-row-per-zcta
  • population count per ZCTA is from Joel's server from census data

PR and PM2.5

Annual average of PR and PM2.5: aggregate from daily 1km2 grid to annual ZCTA.

  • Annual averages of PR per ZCTA are from Longxiang
  • Annual averages of PM2.5 per ZIP code are from Joel's server

Meterological data: temperature

Daily temperature from Daymet

Other covariates

Socioeconomics status and general life habits covariates are from an existing dataset:

  • Census: "Median household income", "Median value of house", "Percentage of Hispanic", "Percentage of black", "Pencentage below poverty line", "Percentage without high school diploma", "Population density"
  • the Behavioral Risk Factor Surveillance System (BRFSS): "Mean BMI", "Smoking rate"

We use 03mergeDatasetsALL.R to construct the final dataset for analysis.

Statistics

Descriptive

04descriptiveStats.R

  • generate the correlation table among each variable
  • generate the distribution (mean, SD, quartiles) for all covariates

Models

05modelling.R

DID

Differences-in-difference:

mod <- gam(deathcount ~ Beta + pm25 + summer_tmean + winter_tmean + as.factor(year) + as.factor(ZCTA5CE10) + offset(log(pcount)),
               data = dt,
               family = quasipoisson(link = "log"))
tb <- summary(mod)$p.table

GLMM

Generalized linear mix-effect model:

mod <- gamm(deathcount ~ Beta + pm25 + summer_tmean + winter_tmean + medhouseholdincome + medianhousevalue + hispanic + pct_blk + poverty + education + popdensity + mean_bmi + smoke_rate + as.factor(year) + offset(log(pcount)),
              data = dt,
              random = list(ZCTA5CE10=~1),
              family = quasipoisson(link = "log"))

The results for each pollutant were plotted via 06plotting.R

Model: Interaction between PR and PM

 mod <- gam(deathcount ~ pm25 + Beta + I(pm25*Beta) + 
               summer_tmean + winter_tmean + as.factor(year) + as.factor(ZCTA5CE10) + offset(log(pcount)),
             data = dt,
             family = quasipoisson(link = "log"))

mod <- gamm(deathcount ~pm25 + Beta + I(pm25*Beta) + 
                summer_tmean + winter_tmean + medhouseholdincome + medianhousevalue + hispanic + pct_blk + poverty + education + popdensity + mean_bmi + smoke_rate + as.factor(year) + offset(log(pcount)),
              data = dt,
              random = list(ZCTA5CE10=~1),
              family = quasipoisson(link = "log"))

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Synergistic Effects of Particle Radioactivity (Gross β Activity) and Particulate Matter ≤2.5 μm Aerodynamic Diameter on Cardiovascular Disease Mortality

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