Air Pollution and Postneonatal Infant Mortality in the United States, 1999-2002

OBJECTIVE: Our goal was to evaluate the relationship between cause-specific postneonatal infant mortality and chronic early-life exposure to particulate matter and gaseous air pollutants across the United States. METHODS: We linked county-specific monitoring data for particles with aerodiameter of$\...

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Published inEnvironmental health perspectives Vol. 116; no. 1; pp. 110 - 115
Main Authors Woodruff, Tracey J., Darrow, Lyndsey A., Parker, Jennifer D.
Format Journal Article
LanguageEnglish
Published United States National Institute of Environmental Health Sciences. National Institutes of Health. Department of Health, Education and Welfare 01.01.2008
National Institute of Environmental Health Sciences
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Abstract OBJECTIVE: Our goal was to evaluate the relationship between cause-specific postneonatal infant mortality and chronic early-life exposure to particulate matter and gaseous air pollutants across the United States. METHODS: We linked county-specific monitoring data for particles with aerodiameter of$\leq 2.5 \textmum$(PM2.5) and$\leq 10 \textmum$(PM10), ozone, sulfur dioxide, and carbon monoxide to birth and death records for infants born from 1999 to 2002 in U.S. counties with > 250,000 residents. For each infant, we calculated the average concentration of each pollutant over the first 2 months of life. We used logistic generalized estimating equations to estimate odds ratios of postneonatal mortality for all causes, respiratory causes, sudden infant death syndrome (SIDS), and all other causes for each pollutant, controlling for individual maternal factors (race, marital status, education, age, and prim- iparity), percentage of county population below poverty, region, birth month, birth year, and other pollutants. This analysis includes about 3.5 million births, with 6,639 postneonatal infant deaths. RESULTS: After adjustment for demographic and other factors and for other pollutants, we found adjusted odds ratios of 1.16 [95% confidence interval (CI), 1.06-1.27] for a$10-\textmug/m^3$increase in PM10for respiratory causes and 1.20 (95% CI, 1.09-1.32) for a 10-ppb increase in ozone and deaths from SIDS. We did not find relationships with other pollutants and for other causes of death (control category). CONCLUSIONS: This study supports particulate matter air pollution being a risk factor for respiratory-related postneonatal mortality and suggests that ozone may be associated with SIDS in the United States.
AbstractList OBJECTIVE: Our goal was to evaluate the relationship between cause-specific postneonatal infant mortality and chronic early-life exposure to particulate matter and gaseous air pollutants across the United States. METHODS: We linked county-specific monitoring data for particles with aerodiameter of$\leq 2.5 \textmum$(PM2.5) and$\leq 10 \textmum$(PM10), ozone, sulfur dioxide, and carbon monoxide to birth and death records for infants born from 1999 to 2002 in U.S. counties with > 250,000 residents. For each infant, we calculated the average concentration of each pollutant over the first 2 months of life. We used logistic generalized estimating equations to estimate odds ratios of postneonatal mortality for all causes, respiratory causes, sudden infant death syndrome (SIDS), and all other causes for each pollutant, controlling for individual maternal factors (race, marital status, education, age, and prim- iparity), percentage of county population below poverty, region, birth month, birth year, and other pollutants. This analysis includes about 3.5 million births, with 6,639 postneonatal infant deaths. RESULTS: After adjustment for demographic and other factors and for other pollutants, we found adjusted odds ratios of 1.16 [95% confidence interval (CI), 1.06-1.27] for a$10-\textmug/m^3$increase in PM10for respiratory causes and 1.20 (95% CI, 1.09-1.32) for a 10-ppb increase in ozone and deaths from SIDS. We did not find relationships with other pollutants and for other causes of death (control category). CONCLUSIONS: This study supports particulate matter air pollution being a risk factor for respiratory-related postneonatal mortality and suggests that ozone may be associated with SIDS in the United States.
Our goal was to evaluate the relationship between cause-specific postneonatal infant mortality and chronic early-life exposure to particulate matter and gaseous air pollutants across the United States. We linked county-specific monitoring data for particles with aerodiameter of < or = 2.5 microm (PM2.5) and < or = 10 microm (PM10), ozone, sulfur dioxide, and carbon monoxide to birth and death records for infants born from 1999 to 2002 in U.S. counties with > 250,000 residents. For each infant, we calculated the average concentration of each pollutant over the first 2 months of life. We used logistic generalized estimating equations to estimate odds ratios of postneonatal mortality for all causes, respiratory causes, sudden infant death syndrome (SIDS), and all other causes for each pollutant, controlling for individual maternal factors (race, marital status, education, age, and primiparity), percentage of county population below poverty, region, birth month, birth year, and other pollutants. This analysis includes about 3.5 million births, with 6,639 postneonatal infant deaths. After adjustment for demographic and other factors and for other pollutants, we found adjusted odds ratios of 1.16 [95% confidence interval (CI), 1.06-1.27] for a 10-mug/m3 increase in PM10 for respiratory causes and 1.20 (95% CI, 1.09-1.32) for a 10-ppb increase in ozone and deaths from SIDS. We did not find relationships with other pollutants and for other causes of death (control category). This study supports particulate matter air pollution being a risk factor for respiratory-related postneonatal mortality and suggests that ozone may be associated with SIDS in the United States.
Objective: Out goal was to evaluate the relationship between cause-specific postneonatal infant mortality and chronic early-life exposure to paniculate matter and gaseous air pollutants across the United States. Methods: We linked county-specific monitoring data for particles with aerodiameter of less than or equal to 2.5 mu m (PM sub(2.5)) and less than or equal to 10 mu m (PM sub(10)), ozone, sulfur dioxide, and carbon monoxide to birth and death records for infants born from 1999 to 2002 in U.S. counties with > 250,000 residents. For each infant, we calculated the average concentration of each pollutant over the first 2 months of life. We used logistic generalized estimating equations to estimate odds ratios of postneonatal mortality for all causes, respiratory causes, sudden infant death syndrome (SIDS), and all other causes for each pollutant, controlling for individual maternal factors (race, marital status, education, age, and prim iparity), percentage of county population below poverty, region, birth month, birth year, and other pollutants. This analysis includes about 3.5 million births, with 6,639 postneonatal infant deaths. Results: After adjustment for demographic and other factors and for other pollutants, we found adjusted odds ratios of 1.16 [95% confidence interval (CI), 1.06-1.27] for a 10- mu g/m super(3) increase in PM sub(10) for respiratory causes and 1.20 (95% CI, 1.09-1.32) for a 10-ppb increase in ozone and deaths from SIDS. We did not find relationships with other pollutants and for other causes of death (control category). Conclusions: This study supports paniculate matter air pollution being a risk factor for respiratory-related postneonatal mortality and suggests that ozone may be associated with SIDS in the United States.
Our goal was to evaluate the relationship between cause-specific postneonatal infant mortality and chronic early-life exposure to particulate matter and gaseous air pollutants across the United States. We linked county-specific monitoring data for particles with aerodiameter of < or = 2.5 microm (PM2.5) and < or = 10 microm (PM10), ozone, sulfur dioxide, and carbon monoxide to birth and death records for infants born from 1999 to 2002 in U.S. counties with > 250,000 residents. For each infant, we calculated the average concentration of each pollutant over the first 2 months of life. We used logistic generalized estimating equations to estimate odds ratios of postneonatal mortality for all causes, respiratory causes, sudden infant death syndrome (SIDS), and all other causes for each pollutant, controlling for individual maternal factors (race, marital status, education, age, and primiparity), percentage of county population below poverty, region, birth month, birth year, and other pollutants. This analysis includes about 3.5 million births, with 6,639 postneonatal infant deaths. After adjustment for demographic and other factors and for other pollutants, we found adjusted odds ratios of 1.16 [95% confidence interval (CI), 1.06-1.27] for a 10-mug/m3 increase in PM10 for respiratory causes and 1.20 (95% CI, 1.09-1.32) for a 10-ppb increase in ozone and deaths from SIDS. We did not find relationships with other pollutants and for other causes of death (control category). This study supports particulate matter air pollution being a risk factor for respiratory-related postneonatal mortality and suggests that ozone may be associated with SIDS in the United States.
Audience Academic
Author Parker, Jennifer D.
Darrow, Lyndsey A.
Woodruff, Tracey J.
AuthorAffiliation 1 Department of Obstetrics, Gynecology, and Reproductive Sciences, University of California, San Francisco, California, USA
2 Department of Epidemiology, Emory University, Atlanta, Georgia, USA
3 National Center for Health Statistics, Centers for Disease Control and Prevention, Hyattsville, Maryland, USA
AuthorAffiliation_xml – name: 3 National Center for Health Statistics, Centers for Disease Control and Prevention, Hyattsville, Maryland, USA
– name: 1 Department of Obstetrics, Gynecology, and Reproductive Sciences, University of California, San Francisco, California, USA
– name: 2 Department of Epidemiology, Emory University, Atlanta, Georgia, USA
Author_xml – sequence: 1
  givenname: Tracey J.
  surname: Woodruff
  fullname: Woodruff, Tracey J.
– sequence: 2
  givenname: Lyndsey A.
  surname: Darrow
  fullname: Darrow, Lyndsey A.
– sequence: 3
  givenname: Jennifer D.
  surname: Parker
  fullname: Parker, Jennifer D.
BackLink https://www.ncbi.nlm.nih.gov/pubmed/18197308$$D View this record in MEDLINE/PubMed
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Issue 1
Keywords respiratory-related deaths
particulate matter air pollution
sulfur dioxide
carbon monoxide
sudden infant death syndrome
postneonatal infant mortality
ozone
Language English
License Publication of EHP lies in the public domain and is therefore without copyright. All text from EHP may be reprinted freely. Use of materials published in EHP should be acknowledged (for example, ?Reproduced with permission from Environmental Health Perspectives?); pertinent reference information should be provided for the article from which the material was reproduced. Articles from EHP, especially the News section, may contain photographs or illustrations copyrighted by other commercial organizations or individuals that may not be used without obtaining prior approval from the holder of the copyright.
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This work was conducted primarily while at the U.S. Environmental Protection Agency.
The authors declare they have no competing financial interests.
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Snippet OBJECTIVE: Our goal was to evaluate the relationship between cause-specific postneonatal infant mortality and chronic early-life exposure to particulate matter...
Our goal was to evaluate the relationship between cause-specific postneonatal infant mortality and chronic early-life exposure to particulate matter and...
Objective: Out goal was to evaluate the relationship between cause-specific postneonatal infant mortality and chronic early-life exposure to paniculate matter...
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SubjectTerms Air pollutants
Air Pollutants - analysis
Air Pollutants - toxicity
Air Pollution
Carbon Monoxide - analysis
Carbon Monoxide - toxicity
Cause of Death
Causes of death
Children's Health
Death
Environmental aspects
Environmental Exposure - adverse effects
Environmental Monitoring
Epidemiological Monitoring
Health aspects
Humans
Infant
Infant Mortality
Infant, Newborn
Infants
Mortality
Ozone
Ozone - analysis
Ozone - toxicity
Particle Size
Particulate matter
Particulate Matter - analysis
Particulate Matter - toxicity
Patient outcomes
Pollutants
Sudden Infant Death - epidemiology
Sudden Infant Death - etiology
Sudden infant death syndrome
Sulfur Dioxide - analysis
Sulfur Dioxide - toxicity
United States
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Title Air Pollution and Postneonatal Infant Mortality in the United States, 1999-2002
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