Exploring the association between air pollution and spontaneous abortion through systematic review and bibliometric analysis

IF 2.9 4区 环境科学与生态学 Q3 ENVIRONMENTAL SCIENCES
Priyadharshini Babu, Vaishali Verma, Swapna Sarika Khadanga, Shailendra Kumar Yadav, Dudam Bharath Kumar, Ayushi Gupta
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Abstract

Air pollution has been recognized as a significant environmental risk factor with potentially adverse effects on women’s reproductive health. This study presents the existing literature on air pollution exposure and its link to spontaneous abortion (SAB) utilizing a systematic literature review (SLR) and bibliometric analysis (BA). Firstly, SLR was employed to collect relevant articles based on specified inclusion/exclusion criteria and formulated research questions. Secondly, BA was used to map and assess research trends, current knowledge, and structure using network analysis constructed on citation, co-citation, co-occurrence, and collaboration patterns among articles, authors, keywords, and institutions, respectively. Thematic analysis identified emerging and crucial research areas. This review encompasses 45 articles investigating short- and long-term exposure to single pollutants (n = 18) and multi-air pollutants (n = 27). Particulate matter–PM2.5 (n = 12 of 16) and PM10 (n = 10 of 14), and NO2 (n = 8 of 14) demonstrated the most consistent associations with SAB followed by SO2 (n = 5 of 9) and O3 (n = 3 of 6), while CO (n = 4 of 6), PAH (n = 1 of 2), BC, and heavy metal (n = 1 of 1 each) showed inconsistent associations. This study reports considerable heterogeneity between studies concerning study design, air pollution exposure assessment, and outcome assessment. Studies of this nature present immense challenges and demand a standard protocol and a multi-disciplinary strategy involving scientists, epidemiologists, governments, and policymakers. Finally, systematic mapping and analysis performed in this study provide valuable insights into future research paths, offering a roadmap for further investigation.

Abstract Image

Abstract Image

通过系统回顾和文献计量分析探讨空气污染与自然流产之间的关系
空气污染已被认为是对女性生殖健康具有潜在不利影响的重要环境风险因素。本研究通过系统文献综述(SLR)和文献计量分析(BA),介绍了有关空气污染暴露及其与自然流产(SAB)关系的现有文献。首先,根据特定的纳入/排除标准和制定的研究问题,采用系统文献综述收集相关文章。其次,采用文献计量学分析法绘制和评估研究趋势、当前知识和结构,利用网络分析法分别构建文章、作者、关键词和机构之间的引用、共引、共现和合作模式。专题分析确定了新兴和关键的研究领域。本综述包括 45 篇文章,分别研究了短期和长期暴露于单一污染物(n = 18)和多种空气污染物(n = 27)的情况。颗粒物--PM2.5(16 篇文章中的 12 篇)和 PM10(14 篇文章中的 10 篇)以及二氧化氮(14 篇文章中的 8 篇)与 SAB 的关系最为一致,其次是二氧化硫(9 篇文章中的 5 篇)和臭氧(6 篇文章中的 3 篇),而一氧化碳(6 篇文章中的 4 篇)、多环芳烃(2 篇文章中的 1 篇)、萃取物和重金属(各 1 篇文章中的 1 篇)的关系则不一致。本研究报告显示,不同研究在研究设计、空气污染暴露评估和结果评估方面存在相当大的异质性。这种性质的研究带来了巨大的挑战,需要一个标准的方案和一个涉及科学家、流行病学家、政府和政策制定者的多学科战略。最后,本研究中进行的系统绘图和分析为未来的研究路径提供了宝贵的见解,为进一步调查提供了路线图。
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来源期刊
Air Quality Atmosphere and Health
Air Quality Atmosphere and Health ENVIRONMENTAL SCIENCES-
CiteScore
8.80
自引率
2.00%
发文量
146
审稿时长
>12 weeks
期刊介绍: Air Quality, Atmosphere, and Health is a multidisciplinary journal which, by its very name, illustrates the broad range of work it publishes and which focuses on atmospheric consequences of human activities and their implications for human and ecological health. It offers research papers, critical literature reviews and commentaries, as well as special issues devoted to topical subjects or themes. International in scope, the journal presents papers that inform and stimulate a global readership, as the topic addressed are global in their import. Consequently, we do not encourage submission of papers involving local data that relate to local problems. Unless they demonstrate wide applicability, these are better submitted to national or regional journals. Air Quality, Atmosphere & Health addresses such topics as acid precipitation; airborne particulate matter; air quality monitoring and management; exposure assessment; risk assessment; indoor air quality; atmospheric chemistry; atmospheric modeling and prediction; air pollution climatology; climate change and air quality; air pollution measurement; atmospheric impact assessment; forest-fire emissions; atmospheric science; greenhouse gases; health and ecological effects; clean air technology; regional and global change and satellite measurements. This journal benefits a diverse audience of researchers, public health officials and policy makers addressing problems that call for solutions based in evidence from atmospheric and exposure assessment scientists, epidemiologists, and risk assessors. Publication in the journal affords the opportunity to reach beyond defined disciplinary niches to this broader readership.
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