Effectiveness of a Federal Healthy Start Program in Reducing the Impact of Particulate Air Pollutants on Feto-Infant Morbidity Outcomes
We sought to assess (1) the relationship between air particulate pollutants and feto-infant morbidity outcomes and (2) the impact of a Federal Healthy Start program on this relationship. This is a retrospective cohort study using de-identified hospital discharge information linked to vital records,...
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| Veröffentlicht in: | Maternal and child health journal 2012-11, Vol.16 (8), p.1602-1611 |
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| creator | Salihu, Hamisu M. August, Euna M. Mbah, Alfred K. Alio, Amina P. de Cuba, Raymond Jaward, Foday M. Berry, Estrellita Lo |
| description | We sought to assess (1) the relationship between air particulate pollutants and feto-infant morbidity outcomes and (2) the impact of a Federal Healthy Start program on this relationship. This is a retrospective cohort study using de-identified hospital discharge information linked to vital records, and air pollution data from 2000 through 2007 for the zip codes served by the Central Hillsborough Federal Healthy Start Project in Tampa, Florida. Mathematical modeling was employed to compute minimal Euclidean distances to capture exposure to ambient air particulate matter. The outcomes of interest were low birth weight (LBW), very low birth weight (VLBW), small for gestational age, preterm (PTB), and very preterm birth. We used odds ratios to approximate relative risks. A total of 12,356 live births were analyzed. Overall, women exposed to air particulate pollutants were at elevated risk for LBW (AOR = 1.24; 95% CI = 1.07–1.43), VLBW (AOR = 1.58; 95% CI = 1.09–2.29) and PTB (AOR = 1.18; 95% CI = 1.03–1.34). Analysis by race/ethnicity revealed that the adverse effects of air particulate pollutants were most profound among black infants. Infants of women who received services provided by the Central Hillsborough Federal Healthy Start Project experienced improved feto-infant morbidity outcomes despite exposure to air particulate pollutants. Environmental air pollutants represent important risk factors for adverse birth outcomes, particularly among black women. Multi-level interventional approaches implemented by the Central Hillsborough Federal Healthy Start were found to be associated with reduced likelihood for feto-infant morbidities triggered by exposure to ambient air particulate pollutants. |
| doi_str_mv | 10.1007/s10995-011-0854-1 |
| format | Article |
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This is a retrospective cohort study using de-identified hospital discharge information linked to vital records, and air pollution data from 2000 through 2007 for the zip codes served by the Central Hillsborough Federal Healthy Start Project in Tampa, Florida. Mathematical modeling was employed to compute minimal Euclidean distances to capture exposure to ambient air particulate matter. The outcomes of interest were low birth weight (LBW), very low birth weight (VLBW), small for gestational age, preterm (PTB), and very preterm birth. We used odds ratios to approximate relative risks. A total of 12,356 live births were analyzed. Overall, women exposed to air particulate pollutants were at elevated risk for LBW (AOR = 1.24; 95% CI = 1.07–1.43), VLBW (AOR = 1.58; 95% CI = 1.09–2.29) and PTB (AOR = 1.18; 95% CI = 1.03–1.34). Analysis by race/ethnicity revealed that the adverse effects of air particulate pollutants were most profound among black infants. Infants of women who received services provided by the Central Hillsborough Federal Healthy Start Project experienced improved feto-infant morbidity outcomes despite exposure to air particulate pollutants. Environmental air pollutants represent important risk factors for adverse birth outcomes, particularly among black women. Multi-level interventional approaches implemented by the Central Hillsborough Federal Healthy Start were found to be associated with reduced likelihood for feto-infant morbidities triggered by exposure to ambient air particulate pollutants.</description><identifier>ISSN: 1092-7875</identifier><identifier>EISSN: 1573-6628</identifier><identifier>DOI: 10.1007/s10995-011-0854-1</identifier><identifier>PMID: 21769586</identifier><language>eng</language><publisher>Boston: Springer US</publisher><subject>Adult ; Air Pollutants - adverse effects ; Air Pollutants - analysis ; Air pollution ; Air Pollution - legislation & jurisprudence ; Air Pollution - statistics & numerical data ; Air quality management ; Babies ; Birth weight ; Childrens health ; Confidence Intervals ; Environmental Exposure - statistics & numerical data ; Female ; Fetal Diseases - epidemiology ; Florida - epidemiology ; Gestational Age ; Government Programs ; Gynecology ; Health care ; Health Promotion ; Healthy People Programs ; Hospitals ; Humans ; Infant, Low Birth Weight ; Infant, Newborn ; Infant, Newborn, Diseases - epidemiology ; Infants ; Logistic Models ; Low-birth-weight ; Maternal and Child Health ; Maternal Exposure ; Medicine ; Medicine & Public Health ; Morbidity ; Nitrogen dioxide ; Outdoor air quality ; Particulate matter ; Particulate Matter - adverse effects ; Particulate Matter - analysis ; Particulates ; Pediatrics ; Pollutants ; Pollution effects ; Population Economics ; Pregnancy ; Pregnancy Outcome ; Premature birth ; Premature Birth - chemically induced ; Program Development ; Program Evaluation ; Public Health ; Retrospective Studies ; Risk Factors ; Side effects ; Socioeconomic Factors ; Sociology ; United States ; Vital statistics ; Womens health</subject><ispartof>Maternal and child health journal, 2012-11, Vol.16 (8), p.1602-1611</ispartof><rights>Springer Science+Business Media, LLC 2011</rights><rights>COPYRIGHT 2012 Springer</rights><rights>Springer Science+Business Media New York 2012</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c574t-31197b2305682a4b8290f21b992236b0108976ae5a34a2628ba1fb8f538dfa393</citedby><cites>FETCH-LOGICAL-c574t-31197b2305682a4b8290f21b992236b0108976ae5a34a2628ba1fb8f538dfa393</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s10995-011-0854-1$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s10995-011-0854-1$$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/21769586$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Salihu, Hamisu M.</creatorcontrib><creatorcontrib>August, Euna M.</creatorcontrib><creatorcontrib>Mbah, Alfred K.</creatorcontrib><creatorcontrib>Alio, Amina P.</creatorcontrib><creatorcontrib>de Cuba, Raymond</creatorcontrib><creatorcontrib>Jaward, Foday M.</creatorcontrib><creatorcontrib>Berry, Estrellita Lo</creatorcontrib><title>Effectiveness of a Federal Healthy Start Program in Reducing the Impact of Particulate Air Pollutants on Feto-Infant Morbidity Outcomes</title><title>Maternal and child health journal</title><addtitle>Matern Child Health J</addtitle><addtitle>Matern Child Health J</addtitle><description>We sought to assess (1) the relationship between air particulate pollutants and feto-infant morbidity outcomes and (2) the impact of a Federal Healthy Start program on this relationship. This is a retrospective cohort study using de-identified hospital discharge information linked to vital records, and air pollution data from 2000 through 2007 for the zip codes served by the Central Hillsborough Federal Healthy Start Project in Tampa, Florida. Mathematical modeling was employed to compute minimal Euclidean distances to capture exposure to ambient air particulate matter. The outcomes of interest were low birth weight (LBW), very low birth weight (VLBW), small for gestational age, preterm (PTB), and very preterm birth. We used odds ratios to approximate relative risks. A total of 12,356 live births were analyzed. Overall, women exposed to air particulate pollutants were at elevated risk for LBW (AOR = 1.24; 95% CI = 1.07–1.43), VLBW (AOR = 1.58; 95% CI = 1.09–2.29) and PTB (AOR = 1.18; 95% CI = 1.03–1.34). Analysis by race/ethnicity revealed that the adverse effects of air particulate pollutants were most profound among black infants. Infants of women who received services provided by the Central Hillsborough Federal Healthy Start Project experienced improved feto-infant morbidity outcomes despite exposure to air particulate pollutants. Environmental air pollutants represent important risk factors for adverse birth outcomes, particularly among black women. Multi-level interventional approaches implemented by the Central Hillsborough Federal Healthy Start were found to be associated with reduced likelihood for feto-infant morbidities triggered by exposure to ambient air particulate pollutants.</description><subject>Adult</subject><subject>Air Pollutants - adverse effects</subject><subject>Air Pollutants - analysis</subject><subject>Air pollution</subject><subject>Air Pollution - legislation & jurisprudence</subject><subject>Air Pollution - statistics & numerical data</subject><subject>Air quality management</subject><subject>Babies</subject><subject>Birth weight</subject><subject>Childrens health</subject><subject>Confidence Intervals</subject><subject>Environmental Exposure - statistics & numerical data</subject><subject>Female</subject><subject>Fetal Diseases - epidemiology</subject><subject>Florida - epidemiology</subject><subject>Gestational Age</subject><subject>Government Programs</subject><subject>Gynecology</subject><subject>Health care</subject><subject>Health Promotion</subject><subject>Healthy People Programs</subject><subject>Hospitals</subject><subject>Humans</subject><subject>Infant, Low Birth Weight</subject><subject>Infant, Newborn</subject><subject>Infant, Newborn, Diseases - epidemiology</subject><subject>Infants</subject><subject>Logistic Models</subject><subject>Low-birth-weight</subject><subject>Maternal and Child Health</subject><subject>Maternal Exposure</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Morbidity</subject><subject>Nitrogen dioxide</subject><subject>Outdoor air quality</subject><subject>Particulate matter</subject><subject>Particulate Matter - adverse effects</subject><subject>Particulate Matter - analysis</subject><subject>Particulates</subject><subject>Pediatrics</subject><subject>Pollutants</subject><subject>Pollution effects</subject><subject>Population Economics</subject><subject>Pregnancy</subject><subject>Pregnancy Outcome</subject><subject>Premature birth</subject><subject>Premature Birth - chemically induced</subject><subject>Program Development</subject><subject>Program Evaluation</subject><subject>Public Health</subject><subject>Retrospective Studies</subject><subject>Risk Factors</subject><subject>Side effects</subject><subject>Socioeconomic Factors</subject><subject>Sociology</subject><subject>United States</subject><subject>Vital statistics</subject><subject>Womens health</subject><issn>1092-7875</issn><issn>1573-6628</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2012</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNqFkt1u0zAcxSMEYqPwANwgS0iImwx_xLF9WU0bqzS0io9ry3Hs1lNiF9tB6hPw2jh0wIaKUC4SO79zZJ__qaqXCJ4hCNm7hKAQtIYI1ZDTpkaPqlNEGanbFvPH5RsKXDPO6En1LKVbCIsKNk-rE4xYKyhvT6vvF9Yand03401KIFigwKXpTVQDuDJqyNs9-JRVzGAdwyaqETgPPpp-0s5vQN4asBp3SudZuS6Y09OgsgFLF8E6DMOUlc_F1xfXHOqVt2UNPoTYud7lPbiZsg6jSc-rJ1YNyby4ey-qL5cXn8-v6uub96vz5XWtKWtyTRASrMME0pZj1XQcC2gx6oTAmLRduSAXrFWGKtIoXFLoFLIdt5Tw3ioiyKJ6e_DdxfB1MinL0SVthkF5E6YkEcGNoLTE838UU8Zaxgku6Ou_0NswRV8uIucDw7ZFDf9DbdRgpPM25Kj0bCqXpGFYYI5goeoj1KbMp8wkeGNd2X7Anx3hy9Ob0emjgjf3BNufQ06hTMoFnx6C6ADqGFKKxspddKOKe4mgnAsoDwWUpYByLmBJb1G9ukti6kbT_1b8alwB8AFI5ZffmHgvqn-6_gCVoeF_</recordid><startdate>20121101</startdate><enddate>20121101</enddate><creator>Salihu, Hamisu M.</creator><creator>August, Euna M.</creator><creator>Mbah, Alfred K.</creator><creator>Alio, Amina P.</creator><creator>de Cuba, Raymond</creator><creator>Jaward, Foday M.</creator><creator>Berry, Estrellita Lo</creator><general>Springer US</general><general>Springer</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AEUYN</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9-</scope><scope>K9.</scope><scope>KB0</scope><scope>M0R</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>7TV</scope><scope>7U1</scope><scope>7U2</scope><scope>C1K</scope><scope>ASE</scope><scope>FPQ</scope><scope>K6X</scope></search><sort><creationdate>20121101</creationdate><title>Effectiveness of a Federal Healthy Start Program in Reducing the Impact of Particulate Air Pollutants on Feto-Infant Morbidity Outcomes</title><author>Salihu, Hamisu M. ; August, Euna M. ; Mbah, Alfred K. ; Alio, Amina P. ; de Cuba, Raymond ; Jaward, Foday M. ; Berry, Estrellita Lo</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c574t-31197b2305682a4b8290f21b992236b0108976ae5a34a2628ba1fb8f538dfa393</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2012</creationdate><topic>Adult</topic><topic>Air Pollutants - 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adverse effects</topic><topic>Particulate Matter - analysis</topic><topic>Particulates</topic><topic>Pediatrics</topic><topic>Pollutants</topic><topic>Pollution effects</topic><topic>Population Economics</topic><topic>Pregnancy</topic><topic>Pregnancy Outcome</topic><topic>Premature birth</topic><topic>Premature Birth - chemically induced</topic><topic>Program Development</topic><topic>Program Evaluation</topic><topic>Public Health</topic><topic>Retrospective Studies</topic><topic>Risk Factors</topic><topic>Side effects</topic><topic>Socioeconomic Factors</topic><topic>Sociology</topic><topic>United States</topic><topic>Vital statistics</topic><topic>Womens health</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Salihu, Hamisu M.</creatorcontrib><creatorcontrib>August, Euna M.</creatorcontrib><creatorcontrib>Mbah, Alfred K.</creatorcontrib><creatorcontrib>Alio, Amina P.</creatorcontrib><creatorcontrib>de Cuba, Raymond</creatorcontrib><creatorcontrib>Jaward, Foday M.</creatorcontrib><creatorcontrib>Berry, Estrellita Lo</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Public Health Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest One Sustainability</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>Consumer Health Database (Alumni Edition)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Consumer Health Database</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>Pollution Abstracts</collection><collection>Risk Abstracts</collection><collection>Safety Science and Risk</collection><collection>Environmental Sciences and Pollution Management</collection><collection>British Nursing Index</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>British Nursing Index</collection><jtitle>Maternal and child health journal</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Salihu, Hamisu M.</au><au>August, Euna M.</au><au>Mbah, Alfred K.</au><au>Alio, Amina P.</au><au>de Cuba, Raymond</au><au>Jaward, Foday M.</au><au>Berry, Estrellita Lo</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Effectiveness of a Federal Healthy Start Program in Reducing the Impact of Particulate Air Pollutants on Feto-Infant Morbidity Outcomes</atitle><jtitle>Maternal and child health journal</jtitle><stitle>Matern Child Health J</stitle><addtitle>Matern Child Health J</addtitle><date>2012-11-01</date><risdate>2012</risdate><volume>16</volume><issue>8</issue><spage>1602</spage><epage>1611</epage><pages>1602-1611</pages><issn>1092-7875</issn><eissn>1573-6628</eissn><abstract>We sought to assess (1) the relationship between air particulate pollutants and feto-infant morbidity outcomes and (2) the impact of a Federal Healthy Start program on this relationship. This is a retrospective cohort study using de-identified hospital discharge information linked to vital records, and air pollution data from 2000 through 2007 for the zip codes served by the Central Hillsborough Federal Healthy Start Project in Tampa, Florida. Mathematical modeling was employed to compute minimal Euclidean distances to capture exposure to ambient air particulate matter. The outcomes of interest were low birth weight (LBW), very low birth weight (VLBW), small for gestational age, preterm (PTB), and very preterm birth. We used odds ratios to approximate relative risks. A total of 12,356 live births were analyzed. Overall, women exposed to air particulate pollutants were at elevated risk for LBW (AOR = 1.24; 95% CI = 1.07–1.43), VLBW (AOR = 1.58; 95% CI = 1.09–2.29) and PTB (AOR = 1.18; 95% CI = 1.03–1.34). Analysis by race/ethnicity revealed that the adverse effects of air particulate pollutants were most profound among black infants. Infants of women who received services provided by the Central Hillsborough Federal Healthy Start Project experienced improved feto-infant morbidity outcomes despite exposure to air particulate pollutants. Environmental air pollutants represent important risk factors for adverse birth outcomes, particularly among black women. Multi-level interventional approaches implemented by the Central Hillsborough Federal Healthy Start were found to be associated with reduced likelihood for feto-infant morbidities triggered by exposure to ambient air particulate pollutants.</abstract><cop>Boston</cop><pub>Springer US</pub><pmid>21769586</pmid><doi>10.1007/s10995-011-0854-1</doi><tpages>10</tpages></addata></record> |
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| ispartof | Maternal and child health journal, 2012-11, Vol.16 (8), p.1602-1611 |
| issn | 1092-7875 1573-6628 |
| language | eng |
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| source | MEDLINE; SpringerLink Journals |
| subjects | Adult Air Pollutants - adverse effects Air Pollutants - analysis Air pollution Air Pollution - legislation & jurisprudence Air Pollution - statistics & numerical data Air quality management Babies Birth weight Childrens health Confidence Intervals Environmental Exposure - statistics & numerical data Female Fetal Diseases - epidemiology Florida - epidemiology Gestational Age Government Programs Gynecology Health care Health Promotion Healthy People Programs Hospitals Humans Infant, Low Birth Weight Infant, Newborn Infant, Newborn, Diseases - epidemiology Infants Logistic Models Low-birth-weight Maternal and Child Health Maternal Exposure Medicine Medicine & Public Health Morbidity Nitrogen dioxide Outdoor air quality Particulate matter Particulate Matter - adverse effects Particulate Matter - analysis Particulates Pediatrics Pollutants Pollution effects Population Economics Pregnancy Pregnancy Outcome Premature birth Premature Birth - chemically induced Program Development Program Evaluation Public Health Retrospective Studies Risk Factors Side effects Socioeconomic Factors Sociology United States Vital statistics Womens health |
| title | Effectiveness of a Federal Healthy Start Program in Reducing the Impact of Particulate Air Pollutants on Feto-Infant Morbidity Outcomes |
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