TITLE

A study protocol to evaluate the relationship between outdoor air pollution and pregnancy outcomes

AUTHOR(S)
Ribeiro, Manuel C.; Pereira, Maria J.; Soares, Amílcar; Branquinho, Cristina; Augusto, Sofia; Llop, Esteve; Fonseca, Susana; Nave, Joaquim G.; Tavares, António B.; Dias, Carlos M.; Silva, Ana; Selemane, Ismael; de Toro, Joaquin; Santos, Mário J.; Santos, Fernanda
PUB. DATE
January 2010
SOURCE
BMC Public Health;2010, Vol. 10 Issue 1, p613
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Background: The present study protocol is designed to assess the relationship between outdoor air pollution and low birth weight and preterm births outcomes performing a semi-ecological analysis. Semi-ecological design studies are widely used to assess effects of air pollution in humans. In this type of analysis, health outcomes and covariates are measured in individuals and exposure assignments are usually based on air quality monitor stations. Therefore, estimating individual exposures are one of the major challenges when investigating these relationships with a semi-ecologic design. Methods/Design: Semi-ecologic study consisting of a retrospective cohort study with ecologic assignment of exposure is applied. Health outcomes and covariates are collected at Primary Health Care Center. Data from pregnant registry, clinical record and specific questionnaire administered orally to the mothers of children born in period 2007-2010 in Portuguese Alentejo Litoral region, are collected by the research team. Outdoor air pollution data are collected with a lichen diversity biomonitoring program, and individual pregnancy exposures are assessed with spatial geostatistical simulation, which provides the basis for uncertainty analysis of individual exposures. Awareness of outdoor air pollution uncertainty will improve validity of individual exposures assignments for further statistical analysis with multivariate regression models. Discussion: Exposure misclassification is an issue of concern in semi-ecological design. In this study, personal exposures are assigned to each pregnant using geocoded addresses data. A stochastic simulation method is applied to lichen diversity values index measured at biomonitoring survey locations, in order to assess spatial uncertainty of lichen diversity value index at each geocoded address. These methods assume a model for spatial autocorrelation of exposure and provide a distribution of exposures in each study location. We believe that variability of simulated exposure values at geocoded addresses will improve knowledge on variability of exposures, improving therefore validity of individual exposures to input in posterior statistical analysis.
ACCESSION #
55106024

 

Related Articles

  • IRON PROPHYLAXIS IN PREGNANCY. French, Linda // Journal of Family Practice;Jan1996, Vol. 42 Issue 1, p24 

    This article presents a study on the benefits of iron supplementation for mothers and infants during pregnancy. Many health care providers routinely prescribe prenatal iron supplementation. Previous reports, however, have shown that, with follow-up occurring through pregnancy until the first...

  • Unwed Pregnant Adolescents. Faigel, Harris C. // Clinical Pediatrics;May1967, Vol. 6 Issue 5, p281 

    The paper focuses on the particular problems of the unwed pregnant adolescent. Helping the unwed pregnant teenager includes an understanding why she is pregnant as well as the giving of good medical care. Unwed pregnancy is also becoming increasingly common in striving well-to-do neighborhoods...

  • Getting the Right Pregnancy Care. Ganske, Mary Garner // Parenting;Oct99, Vol. 13 Issue 8, p172 

    Deals with several questions that pregnant women need to ask their obstetrician or midwife. Medical tests that are to be performed; Indications for a cesarean section delivery; Weight gain considerations. INSETS: Midwife or M.D.?;Breaking Up With Your Provider.

  • Effect of Re-Enforcement of Antenatal Care on Outcome of the Baby among Primi Gravidae. Billroth, C. Susila // Asian Journal of Nursing Education & Research;Oct-Dec2012, Vol. 2 Issue 4, p222 

    The article presents a study which examines the effect of re-enforcing prenatal care on the outcome of the baby among first-time mothers at selected hospital in Chennai, India. It is believe that re-enforcing antenatal care on first-time mothers produce significant improvement on the outcome of...

  • practice safe sexiness. Lieberman, Janice // Fit Pregnancy;Aug/Sep2003, Vol. 10 Issue 3, p46 

    Presents a head-to-toe guide to hygiene for pregnant women.

  • Folic Acid Supplementation During Early Pregnancy Appears to Lessen Risk of Neural Tube Defects. Althaus, F. // Family Planning Perspectives;May/Jun90, Vol. 22 Issue 3, p140 

    The article reports that folic acid supplementation during early pregnancy reduces the risk of neural tube defects. Women who take multivitamins containing folic acid during the first six weeks after conception may substantially lessen the risk that the gestating fetus will have a neural tube...

  • Utilization of Antenatal Care Services by a Semi-Nomadic Bedouin Arab Population: Evaluation of the Impact of a Local Maternal and Child Health Clinic. Bilenko, Natalya; Hammel, Rachel; Belmaker, Ilana // Maternal & Child Health Journal;Sep2007, Vol. 11 Issue 5, p425 

    Objective. The objective of this study was to evaluate changes in antenatal care (ANC) utilization among semi-nomadic Bedouin Arab women living in the Negev desert of Israel before and after the establishment of a local Maternal and Child Health (MCH) Clinic. Methods. Retrospective record review...

  • Maternal Smoking During Pregnancy and Birthweight: A Propensity Score Matching Approach. da Veiga, Paula Veloso; Wilder, Ronald P. // Maternal & Child Health Journal;Mar2008, Vol. 12 Issue 2, p194 

    There is accumulated evidence of the existence of a deleterious effect of smoking on birth outcomes. Understanding the effect of smoking on pregnancy is a critical issue because of the public policy implications for dissuading maternal smoking. We explore this issue by using the propensity score...

  • Withholding of Obstetrical Services--Lessons from Survivors. McMahon, Sharon; Drake, Mary-Louise; Horsburgh, Martha Elizabeth; Malinowski, Ann; Rosenbaum, Janet; Stamler, Lynnette Leeseberg // Guidance & Counseling;Fall2002, Vol. 18 Issue 1, p23 

    Consolidates the voices and stories of pregnant women in Windsor, Ontario who were unable to obtain medical services from local obstetricians during their pregnancy and delivery due to a job action undertaken by doctors who withheld services from the community to protest their dissatisfaction...

Share

Read the Article

Courtesy of THE LIBRARY OF VIRGINIA

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics