Exposure to Fine Particulate Air Pollution Is Associated with AnxietyAbstract Number:1959 Melinda C. Power*, Marianthi-Anna Kioumourtzoglou, Jaime E. Hart, Olivia I. Okereke, Francine Laden, and Marc G. Weisskopf Melinda C. Power* Johns Hopkins Bloomberg School of Public Health and Harvard School of Public Health, United States, E-mail Address: [email protected] Search for more papers by this author , Marianthi-Anna Kioumourtzoglou Harvard School of Public Health, United States, E-mail Address: [email protected] Search for more papers by this author , Jaime E. Hart Harvard School of Public Health and Channing Division of Network Medicine, United States, E-mail Address: [email protected] Search for more papers by this author , Olivia I. Okereke Harvard School of Public Health, Harvard Medical School, and Channing Division of Network Medicine, United States, E-mail Address: [email protected] Search for more papers by this author , Francine Laden Harvard School of Public Health and Channing Division of Network Medicine, United States, E-mail Address: [email protected] Search for more papers by this author , and Marc G. Weisskopf Harvard School of Public Health, United States, E-mail Address: [email protected]rvard.edu Search for more papers by this author AbstractBackground andObjectives: Exposure to air pollution may induce or exacerbate symptoms of anxiety. Our objective was to determine whether higher exposure to particulate air pollution is associated with elevated anxiety symptoms.Methods: We conducted a prospective cohort study of women throughout the continental United States who were part of the Nurses’ Health Study. We defined elevated anxiety symptoms as a score of 6 points or greater on the Phobic Anxiety subscale of the Crown Crisp Index (CCI), which was completed as part of a self-report questionnaire in 2004. We estimated average exposure to particulate matter (PM) <2.5 μm (PM2.5 ) and from 2.5 to 10 μm (PM2.5-10 ) in diameter in the 1 month, 3 months, 6 months, 1 year, and 15 years (1988-2003) prior to anxiety symptom assessment using spatiotemporal prediction models. We also computed residential distance to the nearest major road at two years prior to anxiety symptom assessment. We used logistic regression to estimate the association between each of our exposures and elevated anxiety symptoms as well as models examining the impact of multiple exposure time windows simultaneously.Results: Among 71,271 women (mean age: 70y, range: 57-85y), the prevalence of elevated anxiety symptoms was 15%. Increased odds of elevated anxiety symptoms were observed with higher PM2.5 exposure over several averaging periods (e.g., OR comparing highest to lowest quintile for 1 month average PM2.5 exposure: 1.12, 95% confidence interval (CI): 1.04 to 1.21; for 15 year average PM2.5 exposure: 1.06, 95%CI: 0.98, 1.14). Models including multiple exposure windows suggested short-term averaging periods were more relevant than long-term averaging periods. There was no association between anxiety and exposure to PM2.5-10. Residential proximity to major road was not related to anxiety symptoms in a dose-dependent manner.Conclusions: Higher PM2.5 exposure was related to elevated symptoms of phobic anxiety.