Exposure to chemical mixtures is the rule rather than the exception. Examples include diet, pharmaceutical agents and air pollution. In public health, is deemed important to develop statistical methods for estimating the toxicity of a complex mixture. By identifying the toxicity of some specific agents in the mixture, we will guide the development of hypotheses on biological mechanisms of action that can be tested in experimental models and we will better inform public policy. We have assembled national datasets on health outcomes, chemical components of PM10 (particulate matter 10m) and confounders. PM10 can be viewed as a mixture represented by a hierarchically structured predictor characterized by two PM sizes (PM2:5 and PM102:5), more than fifty chemical constituents of PM2:5, and groups of chemical constituents that have the same chemical characteristics (see Figure 1 left and center panels). Motivated by this scientific problem, we propose to develop: A.1) a novel class of Bayesian hierarchical models with an imprecise hierarchically structured predictor;A.2) innovative Bayesian methods to account for adjustment uncertainty in effect estimation;A.3)new methods for checking regression models for data in space and time by decomposing exposure effect estimates into components associated with distinct spatio-temporal scales of variation that should be the same when the model specification is correct. We will apply methods to national databases of air pollution, weather, and health for estimating the toxicity of the PM mixture on a national scale (A.4). The ability to make scientific findings reproducible is increasingly important in areas where substantive results are the product of complex statistical computations. In A.5, we will develop computational tools for disseminating data, statistical methods, and scientific results. Our methods and associated computational tools will advance statistical and computational methods for population health studies of exposure to chemical mixtures. The methods developed here will provide a general platform for dealing with complex mixtures and can be applied to other biological questions, for example, to identify putative disease genes that are organized by functional pathways or other prior hypotheses.
Exposure to chemical mixtures is the rule rather than the exception, diet, pharmaceutical agents and air pollution are common examples. In this proposal we will develop a novel class of statistical models for estimating adverse health effects associated with exposure to chemical mixtures. By identifying the toxicity of some specific agents in the mixture, we will guide the development of hypotheses on biological mechanisms of action that can be tested in experimental models and we will better inform public policy.
| Cefalu, Matthew; Dominici, Francesca; Arvold, Nils et al. (2017) Model averaged double robust estimation. Biometrics 73:410-421 |
| Wasfy, Jason H; Zigler, Corwin Matthew; Choirat, Christine et al. (2017) Readmission Rates After Passage of the Hospital Readmissions Reduction Program: A Pre-Post Analysis. Ann Intern Med 166:324-331 |
| Di, Qian; Wang, Yan; Zanobetti, Antonella et al. (2017) Air Pollution and Mortality in the Medicare Population. N Engl J Med 376:2513-2522 |
| Dominici, Francesca; Cefalu, Matthew (2015) Confounding adjustment and exposure prediction in environmental epidemiology: additional insights. Epidemiology 26:e28 |
| Dominici, Francesca; Wang, Yun; Correia, Andrew W et al. (2015) Chemical Composition of Fine Particulate Matter and Life Expectancy: In 95 US Counties Between 2002 and 2007. Epidemiology 26:556-64 |
| Kioumourtzoglou, Marianthi-Anna; Austin, Elena; Koutrakis, Petros et al. (2015) PM2.5 and survival among older adults: effect modification by particulate composition. Epidemiology 26:321-7 |
| Bell, Michelle L; Son, Ji-Young; Peng, Roger D et al. (2015) Ambient PM2.5 and Risk of Hospital Admissions: Do Risks Differ for Men and Women? Epidemiology 26:575-9 |
| Bobb, Jennifer F; Peng, Roger D; Bell, Michelle L et al. (2014) Heat-related mortality and adaptation to heat in the United States. Environ Health Perspect 122:811-6 |
| Dominici, Francesca; Greenstone, Michael; Sunstein, Cass R (2014) Science and regulation. Particulate matter matters. Science 344:257-9 |
| Kioumourtzoglou, Marianthi-Anna; Coull, Brent A; Dominici, Francesca et al. (2014) The impact of source contribution uncertainty on the effects of source-specific PM2.5 on hospital admissions: a case study in Boston, MA. J Expo Sci Environ Epidemiol 24:365-71 |
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