Particulate Pollutants and Racial/Ethnic Disparity in Feto-Infant Morbidity Outcomes

Details

• Personal Author:
  Alio AP ; August EM ; Boubakari I ; Ghaji N ; Mbah AK ; Salihu HM
• Description:
  We sought to assess the association between air particulate pollutants and feto-infant morbidity outcomes across racial/ethnic subgroups. This is a retrospective cohort study from 2000 through 2007 based on three linked databases: (1) The Florida Hospital Discharge database; (2) The vital statistics records of singleton live births in Florida; (3) Air pollution and meteorological data from the Environmental Protection Agency. Using computerized mathematical modeling, we assigned exposure values of the air pollutants of interest (PM(2.5), PM(10) and the PM coarse fraction [PM(10) - PM(2.5)]) to mothers over the period of pregnancy based on Euclidean minimum distance from the air pollution monitoring sites. The primary outcomes of interest were: low birth weight, very low birth weight, preterm birth, very preterm birth, and small for gestational age (SGA). We used adjusted odds ratios to approximate relative risks. We observed increased risk for overall feto-infant morbidity outcome in women exposed to any of the three particulate pollutants (values above the median). Exposed women had increased odds for low birth weight, very low birth weight and preterm birth with the greatest risk being that for very low birth weight (AOR = 1.27, 95% CI = 1.08-1.49). Black women exposed to any particulate pollutant had the greatest odds for all the morbidity outcomes, most pronounced for very low birth weight (AOR = 3.32, 95% CI = 2.56-4.30). Environmental particulate pollutants are associated with adverse feto-infant outcomes among exposed women, especially blacks. Black-white disparity in adverse fetal outcomes is widened in the presence of these pollutants, which provide a target for intervention. [Description provided by NIOSH]
• Subjects:
  Air Pollution Environmental Exposure Morbidity Occupational Health Particulate Matter Pregnancy Race Factors Risk Assessment Risk Factors Safety Women

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• Keywords:
  Air Pollution Author Keywords: Air Particulate Pollutants Children Disparities Exposure Levels Feto-infant Health Effects Humans Mathematical Models Models Morbidity Rates Particulates Prenatal Exposure Racial Factors Risk Factors Statistical Analysis

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• ISSN:
  1092-7875
• Document Type:
  Text
• Funding:
  Grant
• Genre:
  Journal Article
• Place as Subject:
  Florida ; Georgia ; Kentucky ; New York ; OSHA Region 2 ; OSHA Region 4
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Volume:
  16
• Issue:
  8
• NIOSHTIC Number:
  nn:20062724
• Citation:
  Matern Child Health J 2012 Nov; 16(8):1679-1687
• Contact Point Address:
  Hamisu M. Salihu, Department of Epidemiology and Biostatistics, College of Public Health, University of South Florida, 13201 Bruce B. Downs, MDC56, Tampa, FL 33612
• Email:
  hsalihu@health.usf.edu
• Federal Fiscal Year:
  2013
• Performing Organization:
  Sunshine Education and Research Center, University of South Florida
• Peer Reviewed:
  True
• Start Date:
  20050701
• Source Full Name:
  Maternal and Child Health Journal
• End Date:
  20290630
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:8dc1a1dbe05f0e4ec9f6c1db12e131a38ff07cf66b2bb83a3017537c4e73c74c74f2b6c883ba8a6469db388dbca5dfe0f44fca9d7eb34a28fc718971909a5d0f
• Download URL:
  https://stacks.cdc.gov/view/cdc/225915/cdc_225915_DS1.pdf
• File Type:
  [PDF - 268.22 KB ]