Veber Triin, Dahal Usha, Lang Katrin, Orru Kati, Orru Hans
Institute of Family Medicine and Public Health, University of Tartu, Tartu, Estonia.
Institute of Social Science, University of Tartu, Tartu, Estonia.
Public Health Rev. 2022 Aug 10;43:1604775. doi: 10.3389/phrs.2022.1604775. eCollection 2022.
To review the evidence of associations between adverse birth outcomes (ABO) and industrial air pollution. Searches were conducted in PubMed, and Scopus databases, and additional articles were found from snowball search techniques. The included studies feature a study population of mothers with live-born babies exposed to industrial air pollutants, and they examine the effects of industrial pollutants on adverse birth outcomes-namely, low birth weight, term low birth weight, preterm birth, and small for gestational age. Altogether, 45 studies were included in this review. Exposure to PM, PAHs, benzene, cadmium, and mixtures of industrial air pollutants and living near an industrial area affect birth outcomes. This study concludes that industrial air pollution is an important risk factor for ABO, especially low birth weight and preterm birth. The strongest evidence is associations between ABO and air pollution from power plants and petrochemical industries. Understanding of specific chemicals that are critical to birth outcomes is still vague. However, the evidence is strongest for more specific air pollutants from the industry, such as PAH, benzene, BTEX, and cadmium.
回顾不良出生结局（ABO）与工业空气污染之间关联的证据。在PubMed和Scopus数据库中进行了检索，并通过滚雪球搜索技术找到了其他文章。纳入的研究以暴露于工业空气污染物的活产婴儿母亲为研究人群，研究工业污染物对不良出生结局的影响，即低出生体重、足月低出生体重、早产和小于胎龄儿。本综述共纳入45项研究。暴露于颗粒物、多环芳烃、苯、镉以及工业空气污染物混合物和居住在工业区附近会影响出生结局。本研究得出结论，工业空气污染是ABO的重要危险因素，尤其是低出生体重和早产。最有力的证据是ABO与发电厂和石化行业空气污染之间的关联。对影响出生结局至关重要的特定化学物质的了解仍然模糊。然而，对于来自该行业的更特定空气污染物，如多环芳烃、苯、BTEX和镉，证据最为充分。
