德克萨斯州20年来与交通相关的空气污染暴露和与不良出生结果相关的变化
Perry Hystad1, Elaine L Hill2, Andrew Larkin1
1School of Nutrition and Public Health, College of Health, Oregon State University, Corvallis, OR, USA.
International journal of epidemiology
|January 6, 2025
概括
随着时间的推移,与交通相关的空气污染 (TRAP) 暴露减少,导致婴儿健康结果的微小改善,如产期低出生体重和早产. 这些发现表明,监管工作对出生健康有积极影响.
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:
- 数十亿美元投资于减少车辆排放的交通相关空气污染 (TRAP).
- 关于TRAP排放变化和婴儿健康结果的有限研究.
- 假设:由于排放法规,车辆暴露和不良出生结果之间的关联已经减弱.
研究的目的:
- 为了评估TRAP暴露度的变化随着时间的推移.
- 评估TRAP暴露与出生不良结果之间的关联.
- 通过种族/种族和社会经济地位来研究这些协会的趋势.
主要方法:
- 利用德克萨斯州的出生记录 (1996-2016) 超过600万个出生.
- 计算的住宅TRAP暴露:二氧化 (NO2),车辆行驶的里程 (VMT500) 和高速公路的距离.
- 采用线性和逻辑回归,包括时间分层分析.
主要成果:
- 二氧化暴露率下降了59%,VMT500保持稳定.
- 暴露于TRAP与不利的出生结果 (例如,出生时的低出生体重) 一致相关.
- 关联的大小在VMT500和早产结果方面显著下降.
结论:
- 观察到的证据表明,出生结果的适度改善.
- 这些改进与二十年来车辆排放量减少有关.
- 强调监管措施对婴儿健康的积极影响.
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