Assessing exposure metrics for PM and birth weight models

The link between air pollution exposure and adverse birth outcomes is of public health concern due to the relationship between poor pregnancy outcomes and the onset of childhood and adult diseases. As personal exposure measurements are difficult and expensive to obtain, proximate measures of air pol...

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Veröffentlicht in:Journal of exposure science & environmental epidemiology 2010-07, Vol.20 (5), p.469-477
Hauptverfasser: Gray, Simone C, Edwards, Sharon E, Miranda, Marie Lynn
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container_title Journal of exposure science & environmental epidemiology
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creator Gray, Simone C
Edwards, Sharon E
Miranda, Marie Lynn
description The link between air pollution exposure and adverse birth outcomes is of public health concern due to the relationship between poor pregnancy outcomes and the onset of childhood and adult diseases. As personal exposure measurements are difficult and expensive to obtain, proximate measures of air pollution exposure are traditionally used. We explored how different air pollution exposure metrics affect birth weight regression models. We examined the effect of maternal exposure to ambient levels of particulate matter
doi_str_mv 10.1038/jes.2009.52
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As personal exposure measurements are difficult and expensive to obtain, proximate measures of air pollution exposure are traditionally used. We explored how different air pollution exposure metrics affect birth weight regression models. We examined the effect of maternal exposure to ambient levels of particulate matter &lt;10, &lt;2.5 μm in aerodynamic diameter (PM 10 , PM 2.5 ) on birth weight among infants in North Carolina. We linked maternal residence to the closest monitor during pregnancy for 2000–2002 ( n =350,754). County-level averages of air pollution concentrations were estimated for the entire pregnancy and each trimester. For a finer spatially resolved metric, we calculated exposure averages for women living within 20, 10, and 5 km of a monitor. Multiple linear regression was used to determine the association between exposure and birth weight, adjusting for standard covariates. In the county-level model, an interquartile increase in PM 10 and PM 2.5 during the entire gestational period reduced the birth weight by 5.3 g (95% CI: 3.3–7.4) and 4.6 g (95% CI: 2.3–6.8), respectively. This model also showed a reduction in birth weight for PM 10 (7.1 g, 95% CI: 1.0–13.2) and PM 2.5 (10.4 g, 95% CI: 6.4–14.4) during the third trimester. Proximity models for 20, 10, and 5 km distances showed results similar to the county-level models. County-level models assume that exposure is spatially homogeneous over a larger surface area than proximity models. 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In the county-level model, an interquartile increase in PM 10 and PM 2.5 during the entire gestational period reduced the birth weight by 5.3 g (95% CI: 3.3–7.4) and 4.6 g (95% CI: 2.3–6.8), respectively. This model also showed a reduction in birth weight for PM 10 (7.1 g, 95% CI: 1.0–13.2) and PM 2.5 (10.4 g, 95% CI: 6.4–14.4) during the third trimester. Proximity models for 20, 10, and 5 km distances showed results similar to the county-level models. County-level models assume that exposure is spatially homogeneous over a larger surface area than proximity models. 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As personal exposure measurements are difficult and expensive to obtain, proximate measures of air pollution exposure are traditionally used. We explored how different air pollution exposure metrics affect birth weight regression models. We examined the effect of maternal exposure to ambient levels of particulate matter &lt;10, &lt;2.5 μm in aerodynamic diameter (PM 10 , PM 2.5 ) on birth weight among infants in North Carolina. We linked maternal residence to the closest monitor during pregnancy for 2000–2002 ( n =350,754). County-level averages of air pollution concentrations were estimated for the entire pregnancy and each trimester. For a finer spatially resolved metric, we calculated exposure averages for women living within 20, 10, and 5 km of a monitor. Multiple linear regression was used to determine the association between exposure and birth weight, adjusting for standard covariates. In the county-level model, an interquartile increase in PM 10 and PM 2.5 during the entire gestational period reduced the birth weight by 5.3 g (95% CI: 3.3–7.4) and 4.6 g (95% CI: 2.3–6.8), respectively. This model also showed a reduction in birth weight for PM 10 (7.1 g, 95% CI: 1.0–13.2) and PM 2.5 (10.4 g, 95% CI: 6.4–14.4) during the third trimester. Proximity models for 20, 10, and 5 km distances showed results similar to the county-level models. County-level models assume that exposure is spatially homogeneous over a larger surface area than proximity models. Sensitivity analysis showed that at varying spatial resolutions, there is still a stable and negative association between air pollution and birth weight, despite North Carolina's consistent attainment of federal air quality standards.</abstract><cop>New York</cop><pub>Nature Publishing Group US</pub><pmid>19773814</pmid><doi>10.1038/jes.2009.52</doi><tpages>9</tpages><oa>free_for_read</oa></addata></record>
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subjects Air pollution
Air Pollution - adverse effects
Air Pollution - analysis
Air pollution measurements
Air quality
Air quality standards
Birth Weight
Birth weight, Low
Children
Diameters
Environmental Monitoring
Epidemiology
Exposure
Female
Health aspects
Humans
Infant, Newborn
Infants
Linear Models
Maternal Exposure - adverse effects
Medicine
Medicine & Public Health
North Carolina
Outdoor air quality
Particles
Particulate emissions
Particulate matter
Particulate Matter - adverse effects
Particulate Matter - analysis
Pregnancy
Pregnancy Trimesters
Public health
Regression analysis
Regression models
Residence Characteristics
Risk Assessment
Risk factors
Sensitivity analysis
Surface area
title Assessing exposure metrics for PM and birth weight models
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