环境空气污染,住房环境和威斯康星州母亲的分娩结果
Amy K Fottrell1, Marah A Curtis2, Fiona H Weeks3,4
1L. Douglas Wilder School of Public of Government and Public Affairs, Virginia Commonwealth University, 1808 Gordon Ave., Richmond, VA, 23224, USA. fottrellak@vcu.edu.
Maternal and child health journal
|June 7, 2024
概括
怀孕期间高臭氧暴露与降低出生体重和妊娠年龄有关. 降低臭氧水平是改善婴儿结果的公共卫生优先事项.
科学领域:
- 环境健康 环境健康
- 围产期流行病学 围产期流行病学
- 公共卫生 公共卫生
背景情况:
- 空气污染和住房条件是不利出生结果的潜在决定因素.
- 了解这些关联对于开发有针对性的干预措施至关重要.
研究的目的:
- 调查产前暴露于空气污染物 (细颗粒物和臭氧) 和住房环境与不良出生结果之间的关系.
- 量化臭氧暴露对出生体重和妊娠年龄的影响.
主要方法:
- 链接了EPA空气污染数据,美国社区调查住房数据和威斯康星州的出生记录 (9年期间).
- 孕妇每天接触细颗粒物和臭氧的计算平均值.
- 模拟的关联与早产,低出生体重和NICU入院,调整为共变量.
主要成果:
- 臭氧暴露和住房成本负担与较低的出生体重和妊娠年龄显著相关,并增加了NICU入院.
- 住房质量不佳对妊娠年龄产生了负面影响.
- 细颗粒物暴露与这些结果的相关性是微不足道的.
结论:
- 每日平均臭氧暴露量增加0.1ppm与出生体重减少33g有关,相当于妊娠期糖尿病.
- 减少大气中的臭氧应该成为公共卫生的优先事项.
- 住房成本负担和住房质量差是重要的因素,特别是对黑人母亲来说,突出了对出生结果的结构性影响.
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