Lupus & antiphospholipid syndrome

Fine Particulate Matter Constituents, Ozone, and Systemic Lupus Erythematosus: A Large General‐Population Cohort Analysis With Extended Quantile g‐Computation

Arthritis RheumatolPublished Case-cohort study

Authors' conclusion

This study demonstrated how PM2.5 constituents (especially mineral dust) and ozone are associated with SLE incidence.

Study context

Population
Adults with ≥2 years' insurance coverage and no prior systemic lupus erythematosus (SLE) diagnosis (MarketScan claims data)21,485 incident SLE
Participants
8.3 million adults
Exposure
Per-quartile increase in PM2.5 constituent mixture and per 1 ppb ozone
Outcome
Incident SLE
Methodological detailsclaims-based (MarketScan), 20% random sample case-cohort, extended quantile g-computation, adjusted for sex, age, COPD, geographic region and calendar year
  • Claims-based (MarketScan)
  • 20% random sample case-cohort
  • Extended quantile g-computation
  • Adjusted for sex, age, COPD, geographic region and calendar year

Main finding

As reported in the abstract

Incident SLE per quartile increase of PM2.5 mixture, at median ozone (36.15 ppb)

HR per quartile increase of PM2.5 mixture

1.14

95% CI 1.11–1.18

Observational data: associations, not effects.

Further findings

Incident SLE per 1 ppb ozone

HR per 1 ppb ozone
1.009 (95% CI 1.001-1.017)

PM2.5 effect by ozone level

PM2.5's effect particularly strong in settings of low ozone

Original publication

Fine Particulate Matter Constituents, Ozone, and Systemic Lupus Erythematosus: A Large General‐Population Cohort Analysis With Extended Quantile g‐Computation. Arthritis Rheumatol. Published 3 June 2026. doi:10.1002/art.70234

Composed by AI from the published abstract and checked against it. How Briefs are made →

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