Startseite Effects of ambient air pollution on psychological stress and anxiety disorder: a systematic review and meta-analysis of epidemiological evidence
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Effects of ambient air pollution on psychological stress and anxiety disorder: a systematic review and meta-analysis of epidemiological evidence

  • Tanwi Trushna ORCID logo EMAIL logo , Vikas Dhiman , Dharma Raj und Rajnarayan R. Tiwari
Veröffentlicht/Copyright: 18. Dezember 2020
Reviews on Environmental Health
Aus der Zeitschrift Reviews on Environmental Health Band 36 Heft 4

Abstract

Objectives

Ambient air pollution (AAP) is an important risk factor for increased mental health morbidity. Studies have highlighted the effect of AAP on psychological stress and anxiety disorder. However, existing evidence regarding this is largely equivocal. This systematic review with meta-analysis aims to synthesize published evidence to calculate the pooled estimate of the effect of AAP on psychological stress and anxiety disorder.

Content

A systematic bibliographic search was undertaken using PubMed, JGateplus, Google Scholar, and Cochrane Library for observational human studies published in English till 31st March 2020 reporting the effect of AAP on psychological stress and anxiety disorder. Study quality was assessed using the Joanna Briggs Institute critical appraisal tools. Meta-analysis was performed adopting a random-effects model using Meta-XL. Of 412 articles retrieved, a total of 30 articles [AAP and anxiety disorders, (n=17, 57%); AAP and psychological stress, (n=9, 30%) and AAP and both psychological stress and anxiety disorders, (n=4, 13%)] fulfilled the inclusion criteria covering a total population of 973,725 individuals. The pooled estimate (OR) of the effects of PM10 on psychological stress was 1.03 [(95% CI: 1.00, 1.05) (p=0.17, I 2=41%)]. The pooled estimate of the effects of NO2 and PM10 on anxiety disorder was 0.93 [(95% CI: 0.89, 0.97) (p=0.91, I 2=0%)] and 0.88 [(95% CI: 0.78, 0.98) (p=0.01, I 2=59%)] respectively. The pooled estimate of the effects of PM2.5 on anxiety Disorder was 0.88 [(95% CI: 0.72, 1.06) (p=0.00, I 2=80%)].

Summary and Outlook

The present study provides the most updated pooled estimate of the effect of AAP on psychological stress and anxiety disorder. Future studies should focus on longitudinal studies conducted in LIC and LMIC countries using uniform and standardized criteria for exposure and outcome assessment as well as robust adjustment for confounders to minimize methodological heterogeneity resulting in reliable and comparable estimation of environmental mental health burden.

Keywords: ambient air pollution; anxiety disorder; meta-analysis; psychological stress; systematic review
Corresponding author: Tanwi Trushna, Department of Environmental Health and Epidemiology, ICMR-National Institute for Research in Environmental Health (NIREH), Room F9-3, Bhopal Bypass Road, Bhauri, Bhopal, 462030, Madhya Pradesh, India, Email:

Acknowledgments

We thank Mrs Monali Sahu Pathange (The English and Foreign Languages University, Hyderabad) for assistance in language (English) proofreading of the manuscript.

  1. Research funding: This research did not receive any specific grant from funding agencies in the public, commercial, or not-for-profit sectors.

  2. Author contributions: All authors met the authorship criteria set forth by the International Committee for Medical Journal Editors and retained full control of the manuscript content. CRediT statement: Tanwi Trushna: Conceptualization, Methodology, Investigation, Data curation, Writing- Original draft preparation; Vikas Dhiman: Methodology, Investigation, Writing - Review & Editing; Dharma Raj: Data curation, Formal analysis; Rajnarayan R. Tiwari: Writing- Reviewing and Editing, Supervision.

  3. Competing interests: The authors declare no conflict of interest.

  4. Informed consent: Informed consent is not applicable.

  5. Ethical approval: The conducted research is not related to either human or animal use.

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Supplementary Material

The online version of this article offers supplementary material (https://doi.org/10.1515/reveh-2020-0125).

Received: 2020-09-16
Accepted: 2020-11-22
Published Online: 2020-12-18
Published in Print: 2021-12-20

© 2020 Walter de Gruyter GmbH, Berlin/Boston

Artikel in diesem Heft

  1. Frontmatter
  2. Short Communication
  3. Greater than the sum of its parts: focusing SRP research through a systems approach lens
  4. Review Articles
  5. Association of bisphenol A with puberty timing: a meta-analysis
  6. Pesticide applicators and cancer: a systematic review
  7. Current knowledge on urease and nitrification inhibitors technology and their safety
  8. Environment as the risk factor for tuberculosis in Malaysia: a systematic review of the literature
  9. Effects of ambient air pollution on psychological stress and anxiety disorder: a systematic review and meta-analysis of epidemiological evidence
  10. The possible role of arsenic and gene-arsenic interactions in susceptibility to breast cancer: a systematic review
  11. Ambient air pollution and multiple sclerosis: a systematic review
  12. Mitochondria and traffic-related air pollution linked coronary artery calcification: exploring the missing link
  13. Air pollutants and impairments of male reproductive health-an overview
  14. Exposure to cadmium and head and neck cancers: a meta-analysis of observational studies
  15. Lost opportunities for cancer prevention: historical evidence on early warnings with emphasis on radiofrequency radiation
  16. Health protection messaging for populations susceptible to air pollution during landscape fire smoke events: an integrative review
https://doi.org/10.1515/reveh-2020-0125
Schlagwörter für diesen Artikel
ambient air pollution; anxiety disorder; meta-analysis; psychological stress; systematic review

Artikel in diesem Heft

  1. Frontmatter
  2. Short Communication
  3. Greater than the sum of its parts: focusing SRP research through a systems approach lens
  4. Review Articles
  5. Association of bisphenol A with puberty timing: a meta-analysis
  6. Pesticide applicators and cancer: a systematic review
  7. Current knowledge on urease and nitrification inhibitors technology and their safety
  8. Environment as the risk factor for tuberculosis in Malaysia: a systematic review of the literature
  9. Effects of ambient air pollution on psychological stress and anxiety disorder: a systematic review and meta-analysis of epidemiological evidence
  10. The possible role of arsenic and gene-arsenic interactions in susceptibility to breast cancer: a systematic review
  11. Ambient air pollution and multiple sclerosis: a systematic review
  12. Mitochondria and traffic-related air pollution linked coronary artery calcification: exploring the missing link
  13. Air pollutants and impairments of male reproductive health-an overview
  14. Exposure to cadmium and head and neck cancers: a meta-analysis of observational studies
  15. Lost opportunities for cancer prevention: historical evidence on early warnings with emphasis on radiofrequency radiation
  16. Health protection messaging for populations susceptible to air pollution during landscape fire smoke events: an integrative review
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