Lupus & antiphospholipid syndrome

Higher PM2.5 exposure increases the risk of incident systemic lupus erythematosus: a prospective cohort study in Taiwan

Lupus Sci MedPublished Prospective cohort study

Main finding · Incident SLE per 5 μg/m³ increase in PM2.5Result — go to the resultAdjusted hazard ratio 3.35 95% CI 2.94–3.82

Authors' conclusion

PM2.5 exposure emerged as a risk factor for incident SLE.

Study context

Population
Taiwanese adults from the Taiwan MJ cohort (2005–2017)
Participants
268,254 adults2,628,889 person-years
Exposure
Higher vs lower PM2.5 exposure
Outcome
Incident SLE
Methodological detailslongitudinal, time-dependent Cox regression, death as competing risk, Follow-up 9.8 years, Residential address-specific annual PM2.5 from Taiwan Air Quality-Monitoring sites
  • Longitudinal
  • Time-dependent Cox regression
  • Death as competing risk
  • Follow-up 9.8 years
  • Residential address-specific annual PM2.5 from Taiwan Air Quality-Monitoring sites

Main finding

Incident SLE per 5 μg/m³ increase in PM2.5

Adjusted hazard ratio

3.35

95% CI 2.94–3.82

PM2.5 per 5 μg/m³ increase
aHR 3.35 (95% CI 2.94–3.82)

Per 5 μg/m³ increase, as printed

As reported in the abstract

Incident SLE cases
151 (0.1%)

Observational data: associations, not effects.

Further findings

Linear relation of PM2.5 exposure with incident SLE, subgroups by age and sex

Significant positive linear relation in all subgroups
P < 0.001

Original publication

Higher PM2.5 exposure increases the risk of incident systemic lupus erythematosus: a prospective cohort study in Taiwan. Lupus Sci Med. Published 20 July 2025. doi:10.1136/lupus-2024-001385

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