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| DOI | 10.1186/s12940-024-01062-6 |
| Disparities in the association between ambient temperature and preterm birth according to individual and regional characteristics: a nationwide time-stratified case-crossover study | |
| 发表日期 | 2024 |
| EISSN | 1476-069X |
| 起始页码 | 23 |
| 结束页码 | 1 |
| 卷号 | 23期号:1 |
| 英文摘要 | BackgroundSeveral studies have reported that climate change elevates heat exposure in pregnant women and high temperatures during pregnancy are associated with preterm births (PTBs). Although the association might be disproportionate, related evidence remains sparse. We evaluated the disproportionate risk of PTB associated with ambient temperature during pregnancy by individual and regional characteristics in South Korea.MethodsWe collected data on birth certificates and daily mean temperatures during the period from 2011 to 2019. A time-stratified case-crossover design was used to investigate the association between temperature and PTB and stratified analyses were conducted to examine the effect modification of individual and regional characteristics.ResultsA total of 160,067 singleton PTBs were recorded in Korea from 2011 to 2019. A 5celcius increase in the mean temperature during the last four weeks before delivery was associated with an increased risk of PTB with an odds ratio (OR) of 1.03 (95% confidence interval [CI]: 1.02, 1.05), and the association was more evident in mothers aged >= 35 years (OR: 1.06 [95% CI: 1.03, 1.10]) and with low education levels (OR: 1.04 [95% CI: 1.02, 1.05]). Additionally, the estimated risk was evident in districts with lower medical resources and more prominent disparities were shown by individual and regional characteristics in rural areas than in urban areas.ConclusionsThis study provides evidence that the risk of PTB related to ambient temperature is disproportionate by individual and regional characteristics and suggests the need for public health policies to alleviate the disparities, especially in rural areas. |
| 英文关键词 | Ambient temperature; Preterm birth; Disparity; Urbanicity; Greenness; Medical resources |
| 语种 | 英语 |
| WOS研究方向 | Environmental Sciences & Ecology ; Public, Environmental & Occupational Health |
| WOS类目 | Environmental Sciences ; Public, Environmental & Occupational Health |
| WOS记录号 | WOS:001169835500001 |
| 来源期刊 | ENVIRONMENTAL HEALTH
 |
| 文献类型 | 期刊论文 |
| 条目标识符 | http://gcip.llas.ac.cn/handle/2XKMVOVA/300364 |
| 作者单位 | Ewha Womans University; Ewha Womans University; Pusan National University; Ewha Womans University; Seoul National University (SNU); Ewha Womans University; Ewha Womans University; Ewha Womans University |
| 推荐引用方式 GB/T 7714 | . Disparities in the association between ambient temperature and preterm birth according to individual and regional characteristics: a nationwide time-stratified case-crossover study[J],2024,23(1). |
| APA | (2024).Disparities in the association between ambient temperature and preterm birth according to individual and regional characteristics: a nationwide time-stratified case-crossover study.ENVIRONMENTAL HEALTH,23(1). |
| MLA | "Disparities in the association between ambient temperature and preterm birth according to individual and regional characteristics: a nationwide time-stratified case-crossover study".ENVIRONMENTAL HEALTH 23.1(2024). |
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