道路建设作为一种自然实验,以检查空气污染对婴儿健康的影响
Elaine Hill1, Max Harleman2, Lena Harris3
1Department of Economics, School of Arts and Sciences, University of Rochester, 280 Hutchison Rd, Rochester, NY, USA; Department of Public Health Sciences, School of Medicine and Dentistry, University of Rochester, 265 Crittenden Blvd Box 420644, Rochester, NY, USA.
Environmental research
|March 30, 2024
概括
大型公路建设项目显著增加了附近的孕妇出生时低体重的风险. 施工期间交通拥堵造成的空气污染对婴儿健康产生负面影响,完成后没有明显的改善.
科学领域:
- 环境健康 环境健康
- 流行病学 流行病学
- 公共卫生 公共卫生
背景情况:
- 与交通相关的空气污染 (TRAP) 是一个已知的出生不良结果的风险因素.
- 大型道路建设项目可能会改变当地交通模式和空气质量,可能会影响孕妇和婴儿.
研究的目的:
- 检查生活在大型道路建设项目附近与不良分娩结果之间的关联.
- 通过差异设计,评估建筑引发的交通拥堵对婴儿健康的影响.
主要方法:
- 关于德克萨斯州1,360个道路建设项目 (2007-2016) 的综合数据,其中包括408,979份出生记录.
- 使用差异差异方法,比较建筑工地300米 (暴露) 和300-1000米 (控制) 内的出生.
- 分析了包括期末低出生体重,期末出生体重,早产和非常早产在内的结果.
主要成果:
- 在施工过程中,对于居住在项目300米以内的人来说,观察到出生时体重低的几率增加了19%.
- 对于其他出生结果 (按期出生体重,早产,非常早产) 发现的关联证据很少.
- 在施工后没有观察到出生结果的持续改善.
结论:
- 道路建设和相关的交通拥堵对期低出生体重造成重大风险.
- 需要进一步的研究来了解交通拥堵干预措施对出生结果的长期影响.
- 政策考虑应解决基础设施项目的对弱势群体的健康影响.
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