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The influence of meteorological factors and atmospheric pollutants on the risk of preterm birth

Giorgis-Allemand, Lise and Pedersen, Marie and Bernard, Claire and Aguilera, Inmaculada and Beelen, Rob M. J. and Chatzi, Leda and Cirach, Marta and Danileviciute, Asta and Dedele, Audrius and van Eijsden, Manon and Estarlich, Marisa and Fernández-Somoano, Ana and Fernández, Mariana F. and Forastiere, Francesco and Gehring, Ulrike and Grazuleviciene, Regina and Gruzieva, Olena and Heude, Barbara and Hoek, Gerard and de Hoogh, Kees and van den Hooven, Edith H. and Håberg, Siri E. and Iñiguez, Carmen and Jaddoe, Vincent W. V. and Korek, Michal and Lertxundi, Aitana and Lepeule, Johanna and Nafstad, Per and Nystad, Wenche and Patelarou, Evridiki and Porta, Daniela and Postma, Dirkje and Raaschou-Nielsen, Ole and Rudnai, Peter and Siroux, Valérie and Sunyer, Jordi and Stephanou, Euripides and Sørensen, Mette and Eriksen, Kirsten Thorup and Tuffnell, Derek and Varró, Mihály J. and Vrijkotte, Tanja G. M. and Wijga, Alet and Wright, John and Nieuwenhuijsen, Mark J. and Pershagen, Göran and Brunekreef, Bert and Kogevinas, Manolis and Slama, Rémy. (2017) The influence of meteorological factors and atmospheric pollutants on the risk of preterm birth. American journal of epidemiology, 185 (4). pp. 247-258.

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Official URL: http://edoc.unibas.ch/55089/

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Abstract

Atmospheric pollutants and meteorological conditions are suspected to be causes of preterm birth. We aimed to characterize their possible association with the risk of preterm birth (defined as birth occurring before 37 completed gestational weeks). We pooled individual data from 13 birth cohorts in 11 European countries (71,493 births from the period 1994-2011, European Study of Cohorts for Air Pollution Effects (ESCAPE)). City-specific meteorological data from routine monitors were averaged over time windows spanning from 1 week to the whole pregnancy. Atmospheric pollution measurements (nitrogen oxides and particulate matter) were combined with data from permanent monitors and land-use data into seasonally adjusted land-use regression models. Preterm birth risks associated with air pollution and meteorological factors were estimated using adjusted discrete-time Cox models. The frequency of preterm birth was 5.0%. Preterm birth risk tended to increase with first-trimester average atmospheric pressure (odds ratio per 5-mbar increase = 1.06, 95% confidence interval: 1.01, 1.11), which could not be distinguished from altitude. There was also some evidence of an increase in preterm birth risk with first-trimester average temperature in the -5°C to 15°C range, with a plateau afterwards (spline coding, P = 0.08). No evidence of adverse association with atmospheric pollutants was observed. Our study lends support for an increase in preterm birth risk with atmospheric pressure.
Faculties and Departments:09 Associated Institutions > Swiss Tropical and Public Health Institute (Swiss TPH)
09 Associated Institutions > Swiss Tropical and Public Health Institute (Swiss TPH) > Department of Epidemiology and Public Health (EPH) > Environmental Exposures and Health > Physical Hazards and Health (Röösli)
UniBasel Contributors:de Hoogh, Kees
Item Type:Article, refereed
Publisher:Williams and Wilkins
ISSN:0002-9262
Note:Publication type according to Uni Basel Research Database: Journal article
Identification Number:
Last Modified:06 Jun 2017 11:58
Deposited On:06 Jun 2017 11:58

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