Fine particulate matter and risk of preterm birth and pre-labor rupture of membranes in Perth, Western Australia 1997-2007: A longitudinal study

Objective: A recent longitudinal study reported an association between fine particulate (PM2.5) exposure and preterm birth (PTB) in a US cohort. We applied the same design to an Australian cohort to investigate associations with PTB and pre-labor rupture of membranes (PROM). Methods: From 287,680 bi...

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Main Authors: Pereira, Gavin, Bell, M., Belanger, K., de Klerk, N.
Format: Journal Article
Published: Elsevier Ltd 2014
Online Access:http://hdl.handle.net/20.500.11937/37440
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author Pereira, Gavin
Bell, M.
Belanger, K.
de Klerk, N.
author_facet Pereira, Gavin
Bell, M.
Belanger, K.
de Klerk, N.
author_sort Pereira, Gavin
building Curtin Institutional Repository
collection Online Access
description Objective: A recent longitudinal study reported an association between fine particulate (PM2.5) exposure and preterm birth (PTB) in a US cohort. We applied the same design to an Australian cohort to investigate associations with PTB and pre-labor rupture of membranes (PROM). Methods: From 287,680 births, we selected 39,189 women who had singleton births at least twice in Western Australia in 1997-2007 (n. = 86,844 births). Analyses matched pregnancies to the same women with conditional logistic regression. Results: For PROM adjusted odds ratios (ORs) for a 1µg/m3 increase in PM2.5 in the first trimester, second trimester, third trimester, and whole pregnancy were 1.00 (95% confidence interval (CI): 0.97, 1.03), 1.03 (95% CI: 1.00, 1.06), 1.02 (95% CI: 1.00, 1.05), and 1.02 (95% CI: 0.99, 1.05) respectively. For PTB, corresponding ORs were 1.00 (95% CI: 0.96, 1.04), 1.00 (95% CI: 0.96, 1.04), 0.98 (95% CI: 0.94, 1.02), and 0.99 (95% CI: 0.95, 1.04) respectively. Conclusion: Risk of PROM was greater for pregnancies with elevated PM2.5 exposure in the second trimester than were other pregnancies to the same Australian women at lower exposure. There was insufficient evidence for an association with PTB, indicating that a longer time period might be needed to observe an association if a causal effect exists. © 2014 Elsevier Ltd.
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spelling curtin-20.500.11937-374402018-03-29T09:07:22Z Fine particulate matter and risk of preterm birth and pre-labor rupture of membranes in Perth, Western Australia 1997-2007: A longitudinal study Pereira, Gavin Bell, M. Belanger, K. de Klerk, N. Objective: A recent longitudinal study reported an association between fine particulate (PM2.5) exposure and preterm birth (PTB) in a US cohort. We applied the same design to an Australian cohort to investigate associations with PTB and pre-labor rupture of membranes (PROM). Methods: From 287,680 births, we selected 39,189 women who had singleton births at least twice in Western Australia in 1997-2007 (n. = 86,844 births). Analyses matched pregnancies to the same women with conditional logistic regression. Results: For PROM adjusted odds ratios (ORs) for a 1µg/m3 increase in PM2.5 in the first trimester, second trimester, third trimester, and whole pregnancy were 1.00 (95% confidence interval (CI): 0.97, 1.03), 1.03 (95% CI: 1.00, 1.06), 1.02 (95% CI: 1.00, 1.05), and 1.02 (95% CI: 0.99, 1.05) respectively. For PTB, corresponding ORs were 1.00 (95% CI: 0.96, 1.04), 1.00 (95% CI: 0.96, 1.04), 0.98 (95% CI: 0.94, 1.02), and 0.99 (95% CI: 0.95, 1.04) respectively. Conclusion: Risk of PROM was greater for pregnancies with elevated PM2.5 exposure in the second trimester than were other pregnancies to the same Australian women at lower exposure. There was insufficient evidence for an association with PTB, indicating that a longer time period might be needed to observe an association if a causal effect exists. © 2014 Elsevier Ltd. 2014 Journal Article http://hdl.handle.net/20.500.11937/37440 10.1016/j.envint.2014.07.014 Elsevier Ltd restricted
spellingShingle Pereira, Gavin
Bell, M.
Belanger, K.
de Klerk, N.
Fine particulate matter and risk of preterm birth and pre-labor rupture of membranes in Perth, Western Australia 1997-2007: A longitudinal study
title Fine particulate matter and risk of preterm birth and pre-labor rupture of membranes in Perth, Western Australia 1997-2007: A longitudinal study
title_full Fine particulate matter and risk of preterm birth and pre-labor rupture of membranes in Perth, Western Australia 1997-2007: A longitudinal study
title_fullStr Fine particulate matter and risk of preterm birth and pre-labor rupture of membranes in Perth, Western Australia 1997-2007: A longitudinal study
title_full_unstemmed Fine particulate matter and risk of preterm birth and pre-labor rupture of membranes in Perth, Western Australia 1997-2007: A longitudinal study
title_short Fine particulate matter and risk of preterm birth and pre-labor rupture of membranes in Perth, Western Australia 1997-2007: A longitudinal study
title_sort fine particulate matter and risk of preterm birth and pre-labor rupture of membranes in perth, western australia 1997-2007: a longitudinal study
url http://hdl.handle.net/20.500.11937/37440