RNCohortThe American journal of nursing2025

Perceived Stress, Residential Indoor PM2.5 Concentration, and Motor Vehicle Traffic Exposure Among Adults with Asthma: A Secondary Analysis.

Grant Colvin, Barbara J Polivka, Emily Cramer and 5 others

PMID 40702626

WHAT IT FOUND

In adults with asthma, higher indoor PM2.5 levels correlated with higher perceived stress scores.

Traffic exposure did not significantly increase stress or indoor PM2.5 levels. Nurses should assess home air quality and stress together, as traffic alone did not explain the link.

Key findings

01Perceived stress scores were significantly correlated with average residential indoor PM2.5 levels.

02Self-reported motor vehicle traffic exposure was not significantly associated with higher perceived stress scores.

03Self-reported motor vehicle traffic exposure was not significantly associated with higher indoor PM2.5 levels.

STILL TO COME

How it was doneWhat they foundWhat it means for RNs

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What it does not show

The sample was small (40 participants), which limited the ability to detect significant differences. Participants were mostly white, college-educated, and English-speaking, which limits generalizability to more diverse populations. Traffic exposure was self-reported and subjective, potentially misclassifying actual pollution levels. Indoor PM2.5 was measured in only one room, which may not represent exposure throughout the home. The study design cannot determine whether stress causes higher PM2.5 exposure, PM2.5 causes stress, or if both are influenced by other factors.

Declared interests

The authors disclosed no potential conflicts of interest, financial or otherwise.

The easy way to misread this

Do not conclude that traffic exposure causes stress or worsens indoor air quality in this population. The study found no significant link between self-reported traffic exposure and either stress scores or indoor PM2.5 levels. The correlation between stress and PM2.5 does not prove that air pollution causes stress, as the study could not establish directionality or rule out other confounding factors.

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