Document Detail


Particulate Pollutants and Racial/Ethnic Disparity in Feto-Infant Morbidity Outcomes.
MedLine Citation:
PMID:  21833758     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
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.
Authors:
Hamisu M Salihu; Nafisa Ghaji; Alfred K Mbah; Amina P Alio; Euna M August; Ibrahimou Boubakari
Related Documents :
21463018 - Mu-opioid receptor (oprm1) variation, oxytocin levels and maternal attachment in free-r...
22681938 - Telemedicine detection of type 1 rop in a distant neonatal intensive care unit.
21852338 - Rapid early weight gain is associated with wheeze and reduced lung function in childhood.
22071618 - O father, where art thou?: parental nicu visiting patterns during the first 28 days of ...
8949718 - Retinopathy of prematurity in infants of birth weight > 2000 g after haemorrhagic shock...
8826118 - Perineal skin injury: extrinsic environmental risk factors.
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2011-8-12
Journal Detail:
Title:  Maternal and child health journal     Volume:  -     ISSN:  1573-6628     ISO Abbreviation:  -     Publication Date:  2011 Aug 
Date Detail:
Created Date:  2011-8-11     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9715672     Medline TA:  Matern Child Health J     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Affiliation:
Department of Obstetrics and Gynecology, College of Medicine, University of South Florida, 2 Tampa General Circle, Tampa, FL, 33606, USA, hsalihu@health.usf.edu.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:

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


Previous Document:  Diuretics in the treatment of hypertension : Efficacy, safety and tolerability.
Next Document:  Access to care for children with autism in the context of state Medicaid reimbursement.