Proximity to roadways and pregnancy outcomes
Adverse birth outcomes are associated with exposure to air pollution during pregnancy. Road proximity is a simple, widely available metric for capturing local variation in exposure to traffic-related air pollution. We characterized maternal exposure to traffic-related air pollution during pregnancy...
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Veröffentlicht in: | Journal of exposure science & environmental epidemiology 2013-01, Vol.23 (1), p.32-38 |
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description | Adverse birth outcomes are associated with exposure to air pollution during pregnancy. Road proximity is a simple, widely available metric for capturing local variation in exposure to traffic-related air pollution. We characterized maternal exposure to traffic-related air pollution during pregnancy using residential proximity to major roadways among 2004–2008 singleton births in NC. Controlling for maternal race, age, education, nativity, marital status, and tobacco use, and season of birth, parity, infant sex, and Census tract-level urbanization and income, we evaluated the association between road proximity and pregnancy outcomes using generalized linear mixed models with a random intercept for each Census tract. Birth weight, birth weight percentile for gestational age, gestational hypertension, and small-for-gestational age were not associated with road proximity; however, women residing within 250 m of a major roadway were at 3–5% increased odds of low birth weight, preterm birth, and late preterm birth compared with women residing beyond 250 m (
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doi_str_mv | 10.1038/jes.2012.78 |
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P
<0.05). Our analyses demonstrate an association between proximity to major roadways and pregnancy outcomes using a large sample. Road proximity may represent a relatively straightforward method for assessing maternal risk from exposure to traffic-related air pollution, with results offering guidance for studies that can more accurately characterize air pollution exposures.</description><identifier>ISSN: 1559-0631</identifier><identifier>EISSN: 1559-064X</identifier><identifier>DOI: 10.1038/jes.2012.78</identifier><identifier>PMID: 22805991</identifier><language>eng</language><publisher>New York: Nature Publishing Group US</publisher><subject>692/700/1750/1747 ; 704/172/169/895 ; Age ; Air pollution ; Birth size ; Birth weight ; Census ; Distances ; Education ; Environmental Exposure ; Epidemiology ; Exposure ; Female ; Gestational age ; Health aspects ; Highways ; Humans ; Hypertension ; Infants ; Low birth weight ; Measurement ; Medicine ; Medicine & Public Health ; North Carolina ; original-article ; Parity ; Pregnancy ; Pregnancy Outcome ; Pregnant women ; Premature birth ; Proximity ; Races ; Roads ; Roads & highways ; Sex ; Small for gestational age ; Statistical models ; Tobacco ; Traffic ; Transplantation ; Urbanization</subject><ispartof>Journal of exposure science & environmental epidemiology, 2013-01, Vol.23 (1), p.32-38</ispartof><rights>Nature America, Inc. 2013</rights><rights>COPYRIGHT 2013 Nature Publishing Group</rights><rights>Copyright Nature Publishing Group Jan 2013</rights><rights>Nature America, Inc. 2013.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c550t-ec0ff408c95032141063fcc14e21ed030d037326ffed15cf95b04cbb1b80ed673</citedby><cites>FETCH-LOGICAL-c550t-ec0ff408c95032141063fcc14e21ed030d037326ffed15cf95b04cbb1b80ed673</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1038/jes.2012.78$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1038/jes.2012.78$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/22805991$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Miranda, Marie Lynn</creatorcontrib><creatorcontrib>Edwards, Sharon E</creatorcontrib><creatorcontrib>Chang, Howard H</creatorcontrib><creatorcontrib>Auten, Richard L</creatorcontrib><title>Proximity to roadways and pregnancy outcomes</title><title>Journal of exposure science & environmental epidemiology</title><addtitle>J Expo Sci Environ Epidemiol</addtitle><addtitle>J Expo Sci Environ Epidemiol</addtitle><description>Adverse birth outcomes are associated with exposure to air pollution during pregnancy. Road proximity is a simple, widely available metric for capturing local variation in exposure to traffic-related air pollution. We characterized maternal exposure to traffic-related air pollution during pregnancy using residential proximity to major roadways among 2004–2008 singleton births in NC. Controlling for maternal race, age, education, nativity, marital status, and tobacco use, and season of birth, parity, infant sex, and Census tract-level urbanization and income, we evaluated the association between road proximity and pregnancy outcomes using generalized linear mixed models with a random intercept for each Census tract. Birth weight, birth weight percentile for gestational age, gestational hypertension, and small-for-gestational age were not associated with road proximity; however, women residing within 250 m of a major roadway were at 3–5% increased odds of low birth weight, preterm birth, and late preterm birth compared with women residing beyond 250 m (
P
<0.05). Our analyses demonstrate an association between proximity to major roadways and pregnancy outcomes using a large sample. Road proximity may represent a relatively straightforward method for assessing maternal risk from exposure to traffic-related air pollution, with results offering guidance for studies that can more accurately characterize air pollution exposures.</description><subject>692/700/1750/1747</subject><subject>704/172/169/895</subject><subject>Age</subject><subject>Air pollution</subject><subject>Birth size</subject><subject>Birth weight</subject><subject>Census</subject><subject>Distances</subject><subject>Education</subject><subject>Environmental Exposure</subject><subject>Epidemiology</subject><subject>Exposure</subject><subject>Female</subject><subject>Gestational age</subject><subject>Health aspects</subject><subject>Highways</subject><subject>Humans</subject><subject>Hypertension</subject><subject>Infants</subject><subject>Low birth weight</subject><subject>Measurement</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>North Carolina</subject><subject>original-article</subject><subject>Parity</subject><subject>Pregnancy</subject><subject>Pregnancy Outcome</subject><subject>Pregnant women</subject><subject>Premature birth</subject><subject>Proximity</subject><subject>Races</subject><subject>Roads</subject><subject>Roads & highways</subject><subject>Sex</subject><subject>Small for gestational age</subject><subject>Statistical 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Epidemiol</addtitle><date>2013-01-01</date><risdate>2013</risdate><volume>23</volume><issue>1</issue><spage>32</spage><epage>38</epage><pages>32-38</pages><issn>1559-0631</issn><eissn>1559-064X</eissn><abstract>Adverse birth outcomes are associated with exposure to air pollution during pregnancy. Road proximity is a simple, widely available metric for capturing local variation in exposure to traffic-related air pollution. We characterized maternal exposure to traffic-related air pollution during pregnancy using residential proximity to major roadways among 2004–2008 singleton births in NC. Controlling for maternal race, age, education, nativity, marital status, and tobacco use, and season of birth, parity, infant sex, and Census tract-level urbanization and income, we evaluated the association between road proximity and pregnancy outcomes using generalized linear mixed models with a random intercept for each Census tract. Birth weight, birth weight percentile for gestational age, gestational hypertension, and small-for-gestational age were not associated with road proximity; however, women residing within 250 m of a major roadway were at 3–5% increased odds of low birth weight, preterm birth, and late preterm birth compared with women residing beyond 250 m (
P
<0.05). Our analyses demonstrate an association between proximity to major roadways and pregnancy outcomes using a large sample. Road proximity may represent a relatively straightforward method for assessing maternal risk from exposure to traffic-related air pollution, with results offering guidance for studies that can more accurately characterize air pollution exposures.</abstract><cop>New York</cop><pub>Nature Publishing Group US</pub><pmid>22805991</pmid><doi>10.1038/jes.2012.78</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record> |
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subjects | 692/700/1750/1747 704/172/169/895 Age Air pollution Birth size Birth weight Census Distances Education Environmental Exposure Epidemiology Exposure Female Gestational age Health aspects Highways Humans Hypertension Infants Low birth weight Measurement Medicine Medicine & Public Health North Carolina original-article Parity Pregnancy Pregnancy Outcome Pregnant women Premature birth Proximity Races Roads Roads & highways Sex Small for gestational age Statistical models Tobacco Traffic Transplantation Urbanization |
title | Proximity to roadways and pregnancy outcomes |
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