Environmental pollution and social factors as contributors to preterm birth in Fresno County

Environmental Health : a Global Access Science Source
Amy M PadulaTracey J Woodruff

Abstract

Environmental pollution exposure during pregnancy has been identified as a risk factor for preterm birth. Most studies have evaluated exposures individually and in limited study populations. We examined the associations between several environmental exposures, both individually and cumulatively, and risk of preterm birth in Fresno County, California. We also evaluated early (< 34 weeks) and spontaneous preterm birth. We used the Communities Environmental Health Screening Tool and linked hospital discharge records by census tract from 2009 to 2012. The environmental factors included air pollution, drinking water contaminants, pesticides, hazardous waste, traffic exposure and others. Social factors, including area-level socioeconomic status (SES) and race/ethnicity were also evaluated as potential modifiers of the relationship between pollution and preterm birth. In our study of 53,843 births, risk of preterm birth was associated with higher exposure to cumulative pollution scores and drinking water contaminants. Risk of preterm birth was twice as likely for those exposed to high versus low levels of pollution. An exposure-response relationship was observed across the quintiles of the pollution burden score. The associations were...Continue Reading

References

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Citations

Mar 10, 2019·Archives of Disease in Childhood·Heather H BurrisJane E Clougherty
Nov 18, 2018·Pediatric Research·Cindy BokobzaPierre Gressens
Oct 23, 2019·Current Environmental Health Reports·Emily S Barrett, Amy M Padula
Oct 31, 2019·International Journal of Environmental Research and Public Health·Jongeun RheeAntonella Zanobetti
Jun 22, 2020·International Journal of Health Geographics·Long LiShu Tao
Mar 28, 2021·Environmental Science and Pollution Research International·Sha LiJiahu Hao
Apr 17, 2021·Journal of Exposure Science & Environmental Epidemiology·Zesemayat K MekonnenAmy M Padula
Apr 20, 2021·Environmental Epidemiology·Amy M PadulaSuzan L Carmichael
May 14, 2021·American Journal of Obstetrics & Gynecology MFM·Alina TvinaAnna Palatnik
Nov 20, 2021·Paediatric and Perinatal Epidemiology·Jean M CostelloLaura L Jelliffe-Pawlowski

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CalEnviroScreen

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