OPS 04: Environmental justice, Room 117, Floor 1, August 27, 2019, 1:30 PM - 3:00 PM Aim: A limited number of studies have addressed environmental inequality in relation to air pollution, using various study designs and methodologies and often reaching contradictory results. We conducted an ecological study to investigate the spatial association between nitrogen dioxide (NO2), as a surrogate for traffic related air pollution, and ten socioeconomic status indicators (SES). Methods: Following a standardized multi-city process within the European project EURO-HEALTHY we collected SES data at local administrative unit level in nine European Metropolitan Areas for the period 2001-14: Athens, Greece; Barcelona, Spain; Berlin-Brandenburg, Germany; Brussels, Belgium; Lisbon, Portugal; London, UK; Paris, France; Stockholm, Sweden and Turin, Italy. We applied mixed models for the associations under investigation with random intercepts per MA, also accounting for the spatial correlation. Results: The stronger associations were observed between NO2 levels and population density, population born outside the European Union (EU28), total crimes per 100,000 inhabitants and unemployment rate that displayed a highly statistically significant trend of rising concentrations with increasing levels of these indicators. Specifically, the highest vs the lowest quartile of each of the above indicators was associated with 48.7% (95% confidence interval (CI): 42.9%, 54.8%), 30.9% (95%CI: 22.1%, 40.2%), 19.8% (95%CI: 13.4%, 26.6%) and 15.8% (95%CI: 9.9%, 22.1%) increase in NO2 respectively. Conclusions: Higher pollution levels in areas with higher percentages of people born outside EU28, crime or unemployment rates indicate that worse air quality is typically encountered in deprived European urban areas. The association with population density most probably reflects the higher volume of vehicular traffic, which is the main source of NO2 in urban areas. Policy makers should consider spatial environmental inequalities to better inform actions aiming to lower urban air pollution levels that will subsequently lead to improved quality of life, public health and health equity across the population.
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