Titre : | Ambient air pollutant concentrations during pregnancy and the risk of fetal growth restriction. (2009) |
Auteurs : | D.Q. RICH ; K. DEMISSIE ; L. KAMAT ; LU (S.E.) : USA. Department of Biostatistics. University of Medicine and Dentistry of New Jersey-School of Public Health. Piscataway. NJ. ; G.G. RHOADS ; WARTENBERG (D.) : USA. Department of Environmental and Occupational Medicine. University of Medicine and Dentistry of New Jersey. Robert Wood Johnson Medical School. Piscataway. NJ. ; Department of Epidemiology. University of Medicine and Dentistry of New Jersey-School of Public Health. Piscataway. NJ. USA ; Environmental Epidemiology and Statistics Division. Environmental and Occupational Health Sciences InstituteUniversity of Medicine and Dentistry of New Jersey. Robert Wood Johnson Medical School and Rutgers University. Piscataway. NJ. USA |
Type de document : | Article |
Dans : | Journal of epidemiology and community health (vol. 63, n° 6, 2009) |
Pagination : | 488-496 |
Langues: | Anglais |
Mots-clés : | Polluant ; Santé environnementale ; Femme ; Homme ; Femme enceinte ; Grossesse risque ; Grossesse ; Facteur risque ; Risque ; Médecine environnementale |
Résumé : | [BDSP. Notice produite par INIST-CNRS FR0xAmrD. Diffusion soumise à autorisation]. Background : Previous studies of air pollution and birth outcomes have not evaluated whether complicated pregnancies might be susceptible to the adverse effects of air pollution. It was hypothesised that trimester mean pollutant concentrations could be associated with fetal growth restriction, with larger risks among complicated pregnancies. Methods : A multiyear linked birth certificate and maternal/newborn hospital discharge dataset of singleton, term births to mothers residing in New Jersey at the time of birth, who were white (non-Hispanic), African-American (non-Hispanic) or Hispanic was used. Very small for gestational age (VSGA) was defined as a fetal growth ratio=0.75 and=0.85. Using polytomous logistic regression, associations between mean pollutant concentrations during the first, second and third trimesters and the risks of SGA/VSGA were examined, as well as effect modification of these associations by several pregnancy complications. Results : Significantly increased risk of SGA was associated with first and third trimester PM2.5 (particulate matter |