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  • Koch, SarahBarcelona Inst Global Hlth ISGlobal, Barcelona, Spain.;Univ Pompeu Fabra UPF, Barcelona, Spain.;Barcelona Inst Global Hlth ISGlobal, Doctor Aiguader 88, Barcelona 08003, Spain. (author)

Impacts 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

  • Article/chapterEnglish2022

Publisher, publication year, extent ...

  • Elsevier BV,2022
  • printrdacarrier

Numbers

  • LIBRIS-ID:oai:DiVA.org:kth-313761
  • https://urn.kb.se/resolve?urn=urn:nbn:se:kth:diva-313761URI
  • https://doi.org/10.1016/j.envpol.2022.119124DOI
  • https://urn.kb.se/resolve?urn=urn:nbn:se:su:diva-206187URI
  • http://kipublications.ki.se/Default.aspx?queryparsed=id:149727251URI

Supplementary language notes

  • Language:English
  • Summary in:English

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  • Subject category:ref swepub-contenttype
  • Subject category:art swepub-publicationtype

Notes

  • QC 20220610
  • Responses to COVID-19 altered environmental exposures and health behaviours associated with noncommunicable 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 mu g/m3 to -1.1 mu g/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 mu g/m3 to -3.1 mu g/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.

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Added entries (persons, corporate bodies, meetings, titles ...)

  • Khomenko, SashaBarcelona Inst Global Hlth ISGlobal, Barcelona, Spain.;Univ Pompeu Fabra UPF, Barcelona, Spain. (author)
  • Cirach, MartaBarcelona Inst Global Hlth ISGlobal, Barcelona, Spain.;Univ Pompeu Fabra UPF, Barcelona, Spain. (author)
  • Ubalde-Lopez, MonicaBarcelona Inst Global Hlth ISGlobal, Barcelona, Spain.;Univ Pompeu Fabra UPF, Barcelona, Spain. (author)
  • Baclet, SachaKTH,Marcus Wallenberg Laboratoriet MWL(Swepub:kth)u1xva9zy (author)
  • Daher, CarolynBarcelona Inst Global Hlth ISGlobal, Barcelona, Spain.;Univ Pompeu Fabra UPF, Barcelona, Spain. (author)
  • Hidalgo, LauraBarcelona Inst Global Hlth ISGlobal, Barcelona, Spain.;Univ Pompeu Fabra UPF, Barcelona, Spain. (author)
  • Lohmus, MareKarolinska Institutet (author)
  • Rizzuto, DeboraKarolinska Institutet,Stockholms universitet,Centrum för forskning om äldre och åldrande (ARC), (tills m KI) (author)
  • Rumpler, Romain,1983-KTH,Marcus Wallenberg Laboratoriet MWL,VinnExcellence Center for ECO2 Vehicle design(Swepub:kth)u1ei3hdg (author)
  • Susilo, YusakUniv Nat Resources & Life Sci, Inst Transport Studies, Vienna, Austria. (author)
  • Venkataraman, SiddharthKTH,Marcus Wallenberg Laboratoriet MWL,VinnExcellence Center for ECO2 Vehicle design(Swepub:kth)u1chu2cu (author)
  • Wegener, SandraUniv Nat Resources & Life Sci, Inst Transport Studies, Vienna, Austria. (author)
  • Wellenius, Gregory A.Boston Univ, Dept Environm Hlth, Boston, MA USA. (author)
  • Woodcock, JamesBarcelona Inst Global Hlth ISGlobal, Barcelona, Spain.;Univ Cambridge, MRC Epidemiol Unit, Sch Clin Med, Cambridge, England. (author)
  • Nieuwenhuijsen, MarkBarcelona Inst Global Hlth ISGlobal, Barcelona, Spain.;Univ Pompeu Fabra UPF, Barcelona, Spain. (author)
  • Barcelona Inst Global Hlth ISGlobal, Barcelona, Spain.;Univ Pompeu Fabra UPF, Barcelona, Spain.;Barcelona Inst Global Hlth ISGlobal, Doctor Aiguader 88, Barcelona 08003, Spain.Barcelona Inst Global Hlth ISGlobal, Barcelona, Spain.;Univ Pompeu Fabra UPF, Barcelona, Spain. (creator_code:org_t)

Related titles

  • In:Environmental Pollution: Elsevier BV3040269-74911873-6424

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