{"title":"河南省农村高龄初产妇产前空气污染暴露与早产风险。","authors":"Xiangyu Yu, Jian Chai, Qinyang Li, Panpan Sun, Ruiqin Chen, Junxi Zhang, Xi Yan, Fangfang Yu, Yue Ba, Jingjing Wu, Guoyu Zhou","doi":"10.1080/09603123.2024.2431238","DOIUrl":null,"url":null,"abstract":"<p><p>Direct evidence on the impact of air pollution on preterm birth (PTB) among advanced maternal age (AMA) primiparas is limited. This study examined the association between air pollution and PTB among 6,295 AMA primiparas in rural Henan Province. Logistic regression and distributed lag nonlinear models showed that prenatal exposure to carbon monoxide (CO), sulfur dioxide (SO<sub>2</sub>), nitrogen dioxide (NO<sub>2</sub>), and fine particulate matter (PM<sub>2.5</sub>) was associated with an increased PTB risk among AMA primiparas, while ozone (O<sub>3</sub>) exposure was inversely related to PTB risk (all <i>P</i> < 0.05). Moreover, the vulnerable periods were identified as gestational weeks 1-6 and 22-28. The education level, smoking status, and season of conception significantly modified the association between PTB and air pollution (<i>P</i> <sub>interaction</sub> < 0.10) among AMA primiparas. These findings emphasize the impact of air pollution on PTB risk in AMA primiparas, highlighting the need for targeted interventions in vulnerable populations.</p>","PeriodicalId":14039,"journal":{"name":"International Journal of Environmental Health Research","volume":" ","pages":"1-13"},"PeriodicalIF":2.2000,"publicationDate":"2024-11-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Prenatal air pollutant exposure and preterm birth risk in primiparas of advanced maternal age residing in rural Henan province.\",\"authors\":\"Xiangyu Yu, Jian Chai, Qinyang Li, Panpan Sun, Ruiqin Chen, Junxi Zhang, Xi Yan, Fangfang Yu, Yue Ba, Jingjing Wu, Guoyu Zhou\",\"doi\":\"10.1080/09603123.2024.2431238\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p>Direct evidence on the impact of air pollution on preterm birth (PTB) among advanced maternal age (AMA) primiparas is limited. This study examined the association between air pollution and PTB among 6,295 AMA primiparas in rural Henan Province. Logistic regression and distributed lag nonlinear models showed that prenatal exposure to carbon monoxide (CO), sulfur dioxide (SO<sub>2</sub>), nitrogen dioxide (NO<sub>2</sub>), and fine particulate matter (PM<sub>2.5</sub>) was associated with an increased PTB risk among AMA primiparas, while ozone (O<sub>3</sub>) exposure was inversely related to PTB risk (all <i>P</i> < 0.05). Moreover, the vulnerable periods were identified as gestational weeks 1-6 and 22-28. The education level, smoking status, and season of conception significantly modified the association between PTB and air pollution (<i>P</i> <sub>interaction</sub> < 0.10) among AMA primiparas. These findings emphasize the impact of air pollution on PTB risk in AMA primiparas, highlighting the need for targeted interventions in vulnerable populations.</p>\",\"PeriodicalId\":14039,\"journal\":{\"name\":\"International Journal of Environmental Health Research\",\"volume\":\" \",\"pages\":\"1-13\"},\"PeriodicalIF\":2.2000,\"publicationDate\":\"2024-11-19\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"International Journal of Environmental Health Research\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1080/09603123.2024.2431238\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"ENVIRONMENTAL SCIENCES\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"International Journal of Environmental Health Research","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1080/09603123.2024.2431238","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"ENVIRONMENTAL SCIENCES","Score":null,"Total":0}
Prenatal air pollutant exposure and preterm birth risk in primiparas of advanced maternal age residing in rural Henan province.
Direct evidence on the impact of air pollution on preterm birth (PTB) among advanced maternal age (AMA) primiparas is limited. This study examined the association between air pollution and PTB among 6,295 AMA primiparas in rural Henan Province. Logistic regression and distributed lag nonlinear models showed that prenatal exposure to carbon monoxide (CO), sulfur dioxide (SO2), nitrogen dioxide (NO2), and fine particulate matter (PM2.5) was associated with an increased PTB risk among AMA primiparas, while ozone (O3) exposure was inversely related to PTB risk (all P < 0.05). Moreover, the vulnerable periods were identified as gestational weeks 1-6 and 22-28. The education level, smoking status, and season of conception significantly modified the association between PTB and air pollution (Pinteraction < 0.10) among AMA primiparas. These findings emphasize the impact of air pollution on PTB risk in AMA primiparas, highlighting the need for targeted interventions in vulnerable populations.
期刊介绍：
International Journal of Environmental Health Research ( IJEHR ) is devoted to the rapid publication of research in environmental health, acting as a link between the diverse research communities and practitioners in environmental health. Published articles encompass original research papers, technical notes and review articles. IJEHR publishes articles on all aspects of the interaction between the environment and human health. This interaction can broadly be divided into three areas: the natural environment and health – health implications and monitoring of air, water and soil pollutants and pollution and health improvements and air, water and soil quality standards; the built environment and health – occupational health and safety, exposure limits, monitoring and control of pollutants in the workplace, and standards of health; and communicable diseases – disease spread, control and prevention, food hygiene and control, and health aspects of rodents and insects. IJEHR is published in association with the International Federation of Environmental Health and includes news from the Federation of international meetings, courses and environmental health issues.
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