HypertensionCohort study

Low-Level Airborne Particulate Matter and Risk of Hypertension Hospitalization in Older U.S. Adults

J Am Coll CardiolPublished

  • Retrospective cohort study
  • national cohort
  • double-negative control approach
  • causal inference approach

Authors' conclusion

These findings suggest that even PM2.5 exposures below current regulatory thresholds in the United States may contribute to increased hypertension risk

Study context

Population
Medicare beneficiaries aged ≥65 years in ZIP codes with annual PM2.5 consistently below 9 μg/m3, contiguous US, 2017–2022more than 26 million
Exposure
Per 1-μg/m3 increase in annual PM2.5 below 9 μg/m3

Main finding

As reported in the abstract

Hypertension-related hospitalization per 1-μg/m3 increase in annual PM2.5

Increase in hypertension-related hospitalization per 1-μg/m3 increase in PM2.5

2.8% (95% CI 2.5-3.2)

Observational data: associations, not effects.

Further findings

Conventional quasi-Poisson regression models

Comparable with main estimate

Effect modification by subgroups

Greater vulnerability among women, residents of the Midwest and Northeast, rural or suburban residents, and more socioeconomically deprived neighborhoods

Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.

Original publication

Low-Level Airborne Particulate Matter and Risk of Hypertension Hospitalization in Older U.S. Adults. J Am Coll Cardiol. Published 15 April 2026. doi:10.1016/j.jacc.2026.02.5112

Summarised from the published abstract; every number is checked against it