Industrial Air Pollution Leads to Adverse Birth Outcomes: A Systematized Review of Different Exposure Metrics and Health Effects in Newborns

Veber, Triin; Dahal, Usha; Lang, Katrin; Orru, Kati; Orru, Hans

doi:10.3389/phrs.2022.1604775

Cited by 6 publications

(5 citation statements)

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“…The current study showed a positive but statistically non-significant association between prenatal PM 10 exposure and ABOs, which is consistent with the existing evidence on non-significant association [ 72 , 74 ]. Despite the inconsistent results shown by earlier reviews [ 72 , 74 , 75 ], according to the recent review [ 26 ], a number of studies conducted in the ICS have shown a significant association between PM 10 and PTB [ 18 , 27 , 29 , 35 ] and LBW [ 27 , 29 , 32 , 33 , 53 ]. One of the reasons for the currently established non-significant association with PM 10 could be that the average annual concentration is on the borderline of the recommended air quality guideline by WHO [ 71 ].…”

Section: Discussionmentioning

confidence: 99%

“…The effect of BaP is seen only in LBW in Ida-Viru ICS; thus, the observed relations with air pollution may be coming from other unmeasured pollutants or a mixture of multiple pollutants as well, for instance, PAHs has shown even a strong effect on ABOs as suggested by systematized evidence [ 26 ].…”

Section: Discussionmentioning

confidence: 99%

“…Studies focusing specifically on ICS and ABOs are few; however, a recent systematized review on industrial air pollutants found that birth outcomes are affected by maternal exposure to industrial air pollutants and living closer to industrial areas [ 26 ]. Considerable evidence on fine particles (PM 2.5 ) often emitted in higher concentrations in ICS, has shown associations with low birth weight (LBW) [ 18 , 21 , 22 , 27 , 28 ] and preterm birth (PTB) [ 21 , 22 , 27 , 29 ].…”

Section: Introductionmentioning

confidence: 99%

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Perinatal Health Inequalities in the Industrial Region of Estonia: A Birth Registry-Based Study

Dahal

Veber

Åström

et al. 2022

IJERPH

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Despite the increasing number of studies on industrially contaminated sites (ICS) and their health effects, there are very few studies on perinatal health outcomes in ICSs. In the present study, we examined the perinatal health inequalities by comparing adverse birth outcomes (ABOs) in the oil shale industry region of Ida-Viru County in Estonia with national-level figures and investigated the effects of maternal environmental and sociodemographic factors. Based on the 208,313 birth records from 2004–2018, Ida-Viru ICS has a birth weight 124.5 g lower than the average of 3544 g in Estonia. A higher prevalence of preterm birth (4.3%) and low birth weight (4.8%) in Ida-Viru ICS is found compared to 3.3% on both indicators at the national level. Multiple logistic regression analysis shows the statistically significant association of ABOs with fine particle (PM2.5) air pollution, mother’s ethnicity, and education throughout Estonia. However, in Ida-Viru ICS, the ABOs odds are remarkably higher in these characteristics except for the mother’s ethnicity. Furthermore, the ABOs are associated with the residential proximity to ICS. Thus, the Ida-Viru ICS has unequally higher odds of adverse perinatal health across the environmental and sociodemographic factors. In addition to reducing the air pollutants, policy actions on social disparities are vital to address the country’s unjustly higher perinatal health inequalities, especially in the Ida-Viru ICS.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Perinatal Health Inequalities in the Industrial Region of Estonia: A Birth Registry-Based Study

Dahal

Veber

Åström

et al. 2022

IJERPH

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“…For instance, elevated levels of mercury or manganese in the blood of pregnant women have been associated with lower birth weight [2,3], increased maternal blood levels of lead with a higher incidence of preterm birth [4], and too high maternal lead and arsenic blood levels with a low Apgar score [5,6]. Pregnant women are particularly at risk of exposure to these and other heavy metals in low-and middle-income countries, where policies, legislation, and monitoring of residues in agricultural and industrial substances are insufficient [7,8]. This is also a concern in the Republic of Suriname, an independent country located on the northeastern coast of South America.…”

Section: Introductionmentioning

confidence: 99%

Possible Risk Factors and Their Potential Associations with Combined Heavy Metal Exposures in Pregnant Women in the Republic of Suriname

Sewberath Misser,

Hindori-Mohangoo,

Shankar

et al. 2024

Annals of Global Health

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Background:The exposure of pregnant women to multiple environmental pollutants may be more disadvantageous to birth outcomes when compared to single-compound contaminations.Objective: This study investigated the mixed exposures to mercury, manganese, or lead in 380 pregnant Surinamese women. The factors that might be associated with the heavy metal exposures and the relative risk of the potential factors to cause the mixed exposures were explored. The influencing factors of exposures to mixed contaminants assessed were living in Suriname's rural regions, several parts of which are contaminated with heavy metals emitted from artisanal and small-scale gold mining and agricultural activities; the consumption of potentially contaminated foods; advanced maternal age; as well as a relatively low formal educational level and monthly household income.Methods: Descriptive statistics were used to calculate frequency distributions and χ2contingency analyses to calculate associations and relative risks (RR) with 95% confidence intervals (CI).Findings: Blood levels of two or three of the heavy metals above public health limits were observed in 36% of the women. These women were more often residing in the rural regions, primarily consumed potentially contaminated food items, were 35 years or older, were lower educated, and more often had a lower household income. However, only living in the rural regions (RR = 1.48; 95% CI 1.23-1.77) and a low household income (RR = 1.38; 95% CI 1.15-1.66) significantly increased the risk of exposure exceeding levels of concern to two or three of the heavy metals (by 48% and 38%, respectively). Conclusion:More comprehensive pharmacological, ecological, and epidemiological studies about exposures to mixed heavy metal contaminations in pregnant women are warranted.

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“…What's more, foetuses and infants are more susceptible to the effects of environmental pollutant than adults (Yi et al 2022). One of the important health risks of maternal exposure to air pollution during pregnancy is a variety of adverse birth outcomes (Balidemaj et al 2022;Flanagan et al 2022;Veber et al 2022).…”

Section: Introductionmentioning

confidence: 99%

Correlation Analysis Between Six Air Pollutants and Emergency Visit Rate in Shandong, China

Zhao,

Chen,

Chen

et al. 2023

Preprint

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Background Although air pollution has improved, instances of extreme weather pollution have been observed. Impacts of air pollution on the human body have become a significant focus of research. Purpose Previous research primarily focused on selecting specific pollutants as exposure factors or investigating the association with mortality. This study intends to examine the correlation between exposure to six national standard pollutants (sulfur dioxide, nitrogen dioxide, ozone, carbon monoxide, Particulate matter with particle size below 10 microns, Particulate matter with particle size below 2.5 microns) and visiting rate. The findings will provide valuable insights for optimizing hospital resource allocation based on air quality conditions. Method In this study, a generalized additive model based on Poisson distribution was employed and the full pollution model, single pollution lag model, and gender-stratified single pollution lag model were utilized to analyze the effects of six pollutants exposure on the visiting rate, delayed visiting rate and the male to female ratio. The study was conducted in Shandong Province, China. Result The exposure of PM10, PM2.5 and NO2 was positively correlated with the visiting rate of the population in Jinan, different departments have different sensitivity to pollutants. The exposure to all six pollutants exhibited a noticeable lag effect on the visiting rate in the hospital. However, the optimal lag period of pollutants varied across different departments and differed to some extent between different genders. In general, women were more sensitive to the effects of pollutant exposure, specifically to PM10, SO2, PM2.5, and NO2, than men.

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Industrial Air Pollution Leads to Adverse Birth Outcomes: A Systematized Review of Different Exposure Metrics and Health Effects in Newborns

Cited by 6 publications

References 66 publications

Perinatal Health Inequalities in the Industrial Region of Estonia: A Birth Registry-Based Study

Perinatal Health Inequalities in the Industrial Region of Estonia: A Birth Registry-Based Study

Possible Risk Factors and Their Potential Associations with Combined Heavy Metal Exposures in Pregnant Women in the Republic of Suriname

Correlation Analysis Between Six Air Pollutants and Emergency Visit Rate in Shandong, China

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