Background
Genetic and environmental factors are believed to contribute to the development of autism, but relatively few studies have considered potential environmental risks. Here we examine risks for autism in children related to in utero exposure to monitored ambient air toxics from urban emissions.
Methods
Among the cohort of children born in Los Angeles County, California 1995–2006, those whose mothers resided during pregnancy in a 5km buffer around air-toxics monitoring stations were included (n=148,722). To identify autism cases in this cohort, birth records were linked to records of children diagnosed with primary autistic disorder at the California Department of Developmental Services between 1998 and 2009 (n=768). We calculated monthly average exposures during pregnancy for 24 air toxics selected based on suspected or known neurotoxicity or neurodevelopmental toxicity. Factor analysis helped us identify the correlational structure among air toxics, and we estimated odds ratios (ORs) for autism from logistic regression analyses.
Results
Autism risks were increased per interquartile-range increase in average concentrations during pregnancy of several correlated toxics mostly loading on one factor, including 1,3-butadiene (OR=1.59 [95% confidence interval=1.18–2.15]), meta/para-xylene (1.51 [1.26–182]), other aromatic solvents, lead (1.49 [1.23–1.81]), perchloroethylene (1.40 [1.09–1.80]), and formaldehyde (1.34 [1.17–1.52]), adjusting for maternal age, race/ethnicity, nativity, education, insurance type, maternal birth place, parity, child sex, and birth year.
Conclusions
Risks for autism in children may increase following in utero exposure to ambient air toxics from urban traffic and industry emissions, as measured by community-based air -monitoring stations.