Particulate air pollution, fetal growth and gestational length: The influence of residential mobility in pregnancy.

BACKGROUND: It remains unclear as to whether neglecting residential mobility during pregnancy introduces bias in studies investigating air pollution and adverse perinatal outcomes, as most studies assess exposure based on residence at birth. The aim of this study was to ascertain whether such bias c...

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Main Authors: Pereira, Gavin, Bracken, M., Bell, M.
Format: Journal Article
Published: 2016
Online Access:http://hdl.handle.net/20.500.11937/13346
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author Pereira, Gavin
Bracken, M.
Bell, M.
author_facet Pereira, Gavin
Bracken, M.
Bell, M.
author_sort Pereira, Gavin
building Curtin Institutional Repository
collection Online Access
description BACKGROUND: It remains unclear as to whether neglecting residential mobility during pregnancy introduces bias in studies investigating air pollution and adverse perinatal outcomes, as most studies assess exposure based on residence at birth. The aim of this study was to ascertain whether such bias can be observed in a study on the effects of PM10 on risk of preterm birth and fetal growth restriction. METHODS: This was a retrospective study using four pregnancy cohorts of women recruited in Connecticut, USA (N=10,025). We ascertained associations with PM10 exposure calculated using first recorded maternal address, last recorded address, and full address histories. We used a discrete time-to-event model for preterm birth, and logistic regression to investigate associations with small for gestational age (SGA) and term low birth weight (LBW). RESULTS: Pregnant women tended to move to areas with lower levels of PM10. For all outcomes, there was negligible difference between effect sizes corresponding to exposures calculated with first, last and full address histories. For LBW, associations were observed for exposure in second trimester (OR 1.09; 95% CI: 1.04-1.14 per 1µg/m(3) PM10) and whole pregnancy (OR 1.08; 95% CI: 1.02-1.14). For SGA, associations were observed for elevated exposure in second trimester (OR 1.02; 95% CI: 1.00-1.04) and whole pregnancy (OR 1.03; 95% CI: 1.01-1.05). There was insufficient evidence for association with preterm birth. CONCLUSION: PM10 was associated with both SGA and term LBW. However, there was negligible benefit in accounting for residential mobility in pregnancy in this study.
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spelling curtin-20.500.11937-133462018-02-28T05:42:20Z Particulate air pollution, fetal growth and gestational length: The influence of residential mobility in pregnancy. Pereira, Gavin Bracken, M. Bell, M. BACKGROUND: It remains unclear as to whether neglecting residential mobility during pregnancy introduces bias in studies investigating air pollution and adverse perinatal outcomes, as most studies assess exposure based on residence at birth. The aim of this study was to ascertain whether such bias can be observed in a study on the effects of PM10 on risk of preterm birth and fetal growth restriction. METHODS: This was a retrospective study using four pregnancy cohorts of women recruited in Connecticut, USA (N=10,025). We ascertained associations with PM10 exposure calculated using first recorded maternal address, last recorded address, and full address histories. We used a discrete time-to-event model for preterm birth, and logistic regression to investigate associations with small for gestational age (SGA) and term low birth weight (LBW). RESULTS: Pregnant women tended to move to areas with lower levels of PM10. For all outcomes, there was negligible difference between effect sizes corresponding to exposures calculated with first, last and full address histories. For LBW, associations were observed for exposure in second trimester (OR 1.09; 95% CI: 1.04-1.14 per 1µg/m(3) PM10) and whole pregnancy (OR 1.08; 95% CI: 1.02-1.14). For SGA, associations were observed for elevated exposure in second trimester (OR 1.02; 95% CI: 1.00-1.04) and whole pregnancy (OR 1.03; 95% CI: 1.01-1.05). There was insufficient evidence for association with preterm birth. CONCLUSION: PM10 was associated with both SGA and term LBW. However, there was negligible benefit in accounting for residential mobility in pregnancy in this study. 2016 Journal Article http://hdl.handle.net/20.500.11937/13346 10.1016/j.envres.2016.02.001 fulltext
spellingShingle Pereira, Gavin
Bracken, M.
Bell, M.
Particulate air pollution, fetal growth and gestational length: The influence of residential mobility in pregnancy.
title Particulate air pollution, fetal growth and gestational length: The influence of residential mobility in pregnancy.
title_full Particulate air pollution, fetal growth and gestational length: The influence of residential mobility in pregnancy.
title_fullStr Particulate air pollution, fetal growth and gestational length: The influence of residential mobility in pregnancy.
title_full_unstemmed Particulate air pollution, fetal growth and gestational length: The influence of residential mobility in pregnancy.
title_short Particulate air pollution, fetal growth and gestational length: The influence of residential mobility in pregnancy.
title_sort particulate air pollution, fetal growth and gestational length: the influence of residential mobility in pregnancy.
url http://hdl.handle.net/20.500.11937/13346