The implementation of Bayesian structural additive regression models in multi-city time series air pollution and human health studies

In this study, a novel Bayesian semiparametric structural additive regression (STAR) model is introduced in multi-city time series air pollution and human health studies. This modeling approach can simultaneously take into account the fixed effects, random effects, nonlinear smoothing functions and spatial functions in an integrated model framework. This study focuses on examining the powerful functionalities of this approach in modeling air pollution and mortality data of 100 U.S. cities from 1987 to 2000. Compared with previous studies, the modeling approach used in this study yields consistent findings of nation-level and city-level PM10 (particulate matter less than 10 μm) effects on mortality. Notably, cities with significantly elevated mortality rates were concentrated in the Northeastern U.S. This modeling approach also emphasizes the important functionality of the spatial function in visualizing disease mapping. Model diagnostics were performed to confirm the availability of the STAR model. We also found consistent findings by using different hyperparameters in the sensitivity analysis. To sum up, the implementation of this modeling approach has achieved the goals of applying a spatial function and obtaining robust results in the multi-city time series air pollution and human health study.