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DOI | 10.1186/1476-069X-13-4 |
Assessing the impact of race, social factors and air pollution on birth outcomes: a population-based study | |
Gray, Simone C.1; Edwards, Sharon E.2; Schultz, Bradley D.1; Miranda, Marie Lynn2,3 | |
发表日期 | 2014-01-29 |
ISSN | 1476-069X |
卷号 | 13 |
英文摘要 | Background: Both air pollution exposure and socioeconomic status (SES) are important indicators of children's health. Using highly resolved modeled predictive surfaces, we examine the joint effects of air pollution exposure and measures of SES in a population level analysis of pregnancy outcomes in North Carolina (NC). Methods: Daily measurements of particulate matter <2.5 mu m in aerodynamic diameter (PM2.5) and ozone (O-3) were calculated through a spatial hierarchical Bayesian model which produces census-tract level point predictions. Using multilevel models and NC birth data from 2002-2006, we examine the association between pregnancy averaged PM2.5 and O-3, individual and area-based SES indicators, and birth outcomes. Results: Maternal race and education, and neighborhood household income were associated with adverse birth outcomes. Predicted concentrations of PM2.5 and O-3 were also associated with an additional effect on reductions in birth weight and increased risks of being born low birth weight and small for gestational age. Conclusions: This paper builds on and complements previous work on the relationship between pregnancy outcomes and air pollution exposure by using 1) highly resolved air pollution exposure data; 2) a five year population level sample of pregnancies; and 3) including personal and areal level measures of social determinants of pregnancy outcomes. Results show a stable and negative association between air pollution exposure and adverse birth outcomes. Additionally, the more socially disadvantaged populations are at a greater risk; controlling for both SES and environmental stressors provides a better understanding of the contributing factors to poor children's health outcomes. |
英文关键词 | Air pollution;Exposure predictions;Pregnancy outcomes;Socioeconomic status |
语种 | 英语 |
WOS记录号 | WOS:000334539600001 |
来源期刊 | ENVIRONMENTAL HEALTH |
来源机构 | 美国环保署 |
文献类型 | 期刊论文 |
条目标识符 | http://gcip.llas.ac.cn/handle/2XKMVOVA/58529 |
作者单位 | 1.US EPA, Res Triangle Pk, NC 27711 USA; 2.Univ Michigan, Sch Nat Resources & Environm, Childrens Environm Hlth Initiat, Ann Arbor, MI 48109 USA; 3.Univ Michigan, Dept Pediat, Ann Arbor, MI 48109 USA |
推荐引用方式 GB/T 7714 | Gray, Simone C.,Edwards, Sharon E.,Schultz, Bradley D.,et al. Assessing the impact of race, social factors and air pollution on birth outcomes: a population-based study[J]. 美国环保署,2014,13. |
APA | Gray, Simone C.,Edwards, Sharon E.,Schultz, Bradley D.,&Miranda, Marie Lynn.(2014).Assessing the impact of race, social factors and air pollution on birth outcomes: a population-based study.ENVIRONMENTAL HEALTH,13. |
MLA | Gray, Simone C.,et al."Assessing the impact of race, social factors and air pollution on birth outcomes: a population-based study".ENVIRONMENTAL HEALTH 13(2014). |
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