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Prenatal exposure to outdoor air pollution and child behavioral problems at school age in Japan
Takashi Yorifuji1, Saori Kashima2, Midory Higa Diez1
1Department of Human Ecology, Graduate School of Environmental and Life Science, Okayama University, Okayama, Japan.
Insights
Prenatal exposure to air pollution is linked to increased behavioral issues in children, including attention deficits and aggression. This study highlights the impact of environmental factors on child neurobehavioral development.
Area of Science:
- Environmental Health
- Neurodevelopmental Pediatrics
- Public Health
Background:
- Limited evidence exists on the adverse effects of air pollution on child neurobehavioral development.
- Recent studies suggest positive associations between prenatal exposure to ambient air pollution and neurodevelopment.
- Childhood behavioral problems are a significant public health concern.
Purpose of the Study:
- To examine the association between prenatal exposure to outdoor air pollution and child behavioral problems at school age.
- To investigate the impact of specific air pollutants on neurobehavioral outcomes in children.
- To contribute to understanding environmental influences on child development.
Main Methods:
- Utilized data from a nationwide population-based longitudinal survey in Japan.
- Assessed prenatal exposure to suspended particulate matter (SPM), nitrogen dioxide, and sulfur dioxide.
- Employed multilevel logistic regression analysis adjusting for individual and municipality-level variables for 33,911 singleton births.
Main Results:
- Prenatal exposure to air pollution was positively associated with behavioral problems.
- Increased SPM exposure correlated with higher odds of interrupting others (OR 1.06), inattention when crossing streets (OR 1.09), lying (OR 1.06), and public disturbance (OR 1.07).
- Associations were observed for attention-related and delinquent/aggressive behaviors.
Conclusions:
- Prenatal exposure to outdoor air pollution is associated with behavioral problems in children.
- The findings indicate a link between air pollution and attention and aggressive behaviors at age 8.
- This study provides evidence from a nationally representative sample in Japan on environmental impacts on child neurobehavioral development.
Introduction:
Recent studies suggest positive associations between prenatal exposure to ambient air pollution and neurodevelopment of children, but evidence on the adverse effects of exposure to air pollution on child neurobehavioral development remains limited. We thus examined associations between prenatal exposure to outdoor air pollution and child behavioral problems at school age, using data from a nationwide population-based longitudinal survey in Japan, where participants were recruited in 2001 and are continuously followed.
Methods:
Suspended particulate matter (SPM), nitrogen dioxide, and sulfur dioxide concentrations during the 9months before birth were obtained at municipality level and assigned to those participants born in the corresponding municipality. We analyzed data from singleton births with linked pollution data available (e.g., n=33,911 for SPM). We used responses to survey questions about behavioral problems at age 8years. We conducted multilevel logistic regression analysis, adjusting for individual and municipality-level variables.
Results:
Air pollution exposure during gestation was positively associated with risk for behavioral problems related to attention and delinquent or aggressive behavior. In the fully adjusted models, odds ratios following a one-interquartile-range increase in SPM were 1.06 (95% confidence interval: 1.01, 1.11) for interrupting others, 1.09 (1.03, 1.15) for failure to pay attention when crossing a street, 1.06 (1.01, 1.11) for lying, and 1.07 (1.02, 1.13) for causing public disturbance.
Conclusions:
Prenatal exposure to outdoor air pollution was associated with behavioral problems related to attention and delinquent or aggressive behavior at age 8years in a nationally representative sample in Japan.
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