PT - JOURNAL ARTICLE AU - Xiang Qian Lao AU - Zilong Zhang AU - Alexis K H Lau AU - Ta-Chien Chan AU - Yuan Chieh Chuang AU - Jimmy Chan AU - Changqing Lin AU - Cui Guo AU - Wun Kai Jiang AU - Tony Tam AU - Gerard Hoek AU - Haidong Kan AU - Eng-kiong Yeoh AU - Ly-yun Chang TI - Exposure to ambient fine particulate matter and semen quality in Taiwan AID - 10.1136/oemed-2017-104529 DP - 2018 Feb 01 TA - Occupational and Environmental Medicine PG - 148--154 VI - 75 IP - 2 4099 - http://oem.bmj.com/content/75/2/148.short 4100 - http://oem.bmj.com/content/75/2/148.full SO - Occup Environ Med2018 Feb 01; 75 AB - Objectives Environmental exposure to chemicals has been considered a potential factor contributing to deteriorated semen quality. However, previous literature on exposure to air pollution and semen quality is inconsistent. We therefore investigated the health effects of short-term and long-term exposure to fine particulate matter (PM2.5) on semen quality in Taiwanese men from the general population.Methods A cross-sectional study was conducted among 6475 male participants aged 15–49 years who participated in a standard medical examination programme in Taiwan between 2001 and 2014. Semen quality was assessed according to the WHO 1999 guidelines, including sperm concentration, total motility, progressive motility and morphology. Three-month and 2-year average PM2.5 concentrations were estimated at each participant’s address using a spatiotemporal model based on satellite-derived aerosol optical depth data. Multivariable linear and logistic regressions were used to examine the associations between PM2.5 and semen quality.Results A robust association was observed between exposure to PM2.5 and decreased normal morphology. Every increment of 5 µg/m3 in 2-year average PM2.5 was significantly associated with a decrease of 1.29% in sperm normal morphology and a 26% increased risk of having the bottom 10% of sperm normal morphology, after adjusting for a wide range of potential confounders (p<0.001). On the other hand, an increment of 5 µg/m3 in 2-year average PM2.5 was associated with an increase of 1.03×106/mL in sperm concentration and a 10% decreased risk of being the bottom 10% of sperm concentration (both p<0.001). Similar results were found for 3-month PM2.5.Conclusions Exposure to ambient PM2.5 air pollution is associated with a lower level of sperm normal morphology and a higher level of sperm concentration.