Document Detail


Different effects of PM10 exposure on preterm birth by gestational period estimated from time-dependent survival analyses.
MedLine Citation:
PMID:  18998152     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PURPOSE: We conducted this study to determine if the preterm risks due to PM(10) exposure vary with the exposure periods during pregnancy. This study was also conducted to estimate the different effects of PM(10) exposure on preterm birth by exposure periods using the extended Cox model with PM(10) exposure as a time-dependent covariate. METHODS: We studied birth data obtained from the Korea National Statistical office for 374,167 subjects who were delivered between 1998 and 2000 in Seoul, South Korea. We used PM(10) data that was measured hourly to give 24-h averages at 27 monitoring stations in Seoul. The extended Cox model with time-dependent exposure was used to determine if the risk of preterm delivery could be associated with PM(10) exposures for each trimester during pregnancy. RESULTS: Effect of PM10 exposure prior to the 37 weeks of gestational period was stronger on the risk of premature birth than that posterior to the 37 weeks of gestational weeks. This trend was consistent for each trimester; however, the hazard ratios for preterm delivery associated with PM(10) exposure in the first and third trimester were slightly higher than those of the second trimester. CONCLUSIONS: The risk of preterm birth associated with exposure to PM(10) differed with the exposure period of the neonates. Therefore, when studying the impact of air pollution exposure during pregnancy, the exposure period during pregnancy should be considered.
Authors:
Young Ju Suh; Ho Kim; Ju Hee Seo; Hyesook Park; Young Ju Kim; Yun Chul Hong; Eun Hee Ha
Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't     Date:  2008-11-08
Journal Detail:
Title:  International archives of occupational and environmental health     Volume:  82     ISSN:  1432-1246     ISO Abbreviation:  Int Arch Occup Environ Health     Publication Date:  2009 Apr 
Date Detail:
Created Date:  2009-03-23     Completed Date:  2009-06-16     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7512134     Medline TA:  Int Arch Occup Environ Health     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  613-21     Citation Subset:  IM    
Affiliation:
Center for Genome Research, Samsung Biomedical Research Institute, Seoul, South Korea.
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MeSH Terms
Descriptor/Qualifier:
Adult
Air / analysis
Air Pollutants / adverse effects*
Environmental Monitoring
Female
Gestational Age
Humans
Infant, Newborn
Korea / epidemiology
Male
Odds Ratio
Particle Size
Particulate Matter / adverse effects*
Pregnancy
Pregnancy Trimesters
Premature Birth / chemically induced*,  epidemiology
Proportional Hazards Models
Time Factors
Young Adult
Chemical
Reg. No./Substance:
0/Air Pollutants; 0/Particulate Matter

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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