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土地覆盖和空气污染对早产风险的影响。

Effects of land cover and air pollution on the risk of preterm births.

机构信息

Universidade de São Paulo. Faculdade de Medicina. Departamento de Patologia. São Paulo, SP, Brazil.

Escola Superior de Agricultura "Luiz de Queiroz". Departamento de Ciências Florestais. Piracicaba, SP, Brazil.

出版信息

Rev Saude Publica. 2024 Mar 11;58:08. doi: 10.11606/s1518-8787.2024058005504. eCollection 2024.

DOI:10.11606/s1518-8787.2024058005504
PMID:38477779
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10926984/
Abstract

OBJECTIVE

To evaluate the association between gestational age and green areas, urban built areas, and the concentration of particulate matter 2.5 (PM2.5) in the city of São Paulo, analyzing the irregular distribution of these areas and pollution levels above the recommended level.

METHODS

The study population consisted of a cohort of live births from 2012, and data from the Live Birth Information System (Sinasc) of the city of São Paulo were used. Using satellite images and supervised classification, the distribution and quantity of green areas and built areas in the city of São Paulo was obtained, as well as the concentrations of PM2.5. Logistic regressions were used to obtain possible associations.

RESULTS

The results of the study show that a lower percentage of green areas is significantly associated with a higher chance of preterm births. A higher building density was positively associated with the odds ratio for preterm birth. We did not find any significant associations between air pollution (PM2.5) and preterm births.

CONCLUSIONS

The results of this study show that greener areas are less associated with preterm births when compared with less green areas.

摘要

目的

评估圣保罗市的胎龄与绿地、城市建成区和细颗粒物 2.5(PM2.5)浓度之间的关系,分析这些区域的不规则分布和污染水平超过推荐水平的情况。

方法

研究人群为 2012 年的活产儿队列,使用了来自圣保罗市活产儿信息系统(Sinasc)的数据。利用卫星图像和监督分类,获得了圣保罗市绿地和建成区的分布和数量,以及 PM2.5 的浓度。使用逻辑回归来获得可能的关联。

结果

研究结果表明,绿地比例较低与早产的几率增加显著相关。较高的建筑密度与早产的比值比呈正相关。我们没有发现空气污染(PM2.5)与早产之间存在任何显著关联。

结论

本研究结果表明,与绿地较少的地区相比,绿地较多的地区与早产的相关性较低。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a517/10926984/68ea2b6fd961/1518-8787-rsp-58-08-gf01-pt.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a517/10926984/3a98f959da14/1518-8787-rsp-58-08-gf01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a517/10926984/68ea2b6fd961/1518-8787-rsp-58-08-gf01-pt.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a517/10926984/3a98f959da14/1518-8787-rsp-58-08-gf01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a517/10926984/68ea2b6fd961/1518-8787-rsp-58-08-gf01-pt.jpg

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本文引用的文献

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Risks of preterm birth and low birth weight and maternal exposure to NO/PM acquired by dichotomous evaluation: a systematic review and meta-analysis.早产和低出生体重风险以及母体通过二分法评估接触的 NO/PM:系统评价和荟萃分析。
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Evidence-based guidelines for greener, healthier, more resilient neighbourhoods: Introducing the 3-30-300 rule.打造更绿色、更健康、更具韧性社区的循证指南:引入3-30-300规则。
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Effects of greenness on preterm birth: A national longitudinal study of 3.7 million singleton births.
绿化程度对早产的影响:一项针对370万例单胎分娩的全国性纵向研究。
Innovation (Camb). 2022 Apr 9;3(3):100241. doi: 10.1016/j.xinn.2022.100241. eCollection 2022 May 10.
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Residential proximity to greenness and adverse birth outcomes in urban areas: Findings from a national Canadian population-based study.城市地区居住环境与绿地的距离及不良出生结局:一项基于加拿大全国人口研究的结果
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Examining the joint effects of heatwaves, air pollution, and green space on the risk of preterm birth in California.研究热浪、空气污染和绿地对加利福尼亚州早产风险的联合影响。
Environ Res Lett. 2020 Oct;15(10). doi: 10.1088/1748-9326/abb8a3. Epub 2020 Oct 9.
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Individual and contextual socioeconomic status as effect modifier in the air pollution-birth outcome association.个体和背景社会经济地位作为空气污染与出生结局关联的效应修饰因素。
Sci Total Environ. 2022 Jan 10;803:149790. doi: 10.1016/j.scitotenv.2021.149790. Epub 2021 Aug 20.
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Assessing the impact of urban environment and green infrastructure on mental health: results from the São Paulo Megacity Mental Health Survey.评估城市环境和绿色基础设施对心理健康的影响:来自圣保罗大都市心理健康调查的结果。
J Expo Sci Environ Epidemiol. 2022 Mar;32(2):205-212. doi: 10.1038/s41370-021-00349-x. Epub 2021 Jun 11.
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Residential proximity to tree canopy and preterm birth in Black women.黑人女性中,居住临近树冠与早产的关系。
Am J Obstet Gynecol MFM. 2021 Sep;3(5):100391. doi: 10.1016/j.ajogmf.2021.100391. Epub 2021 May 11.
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Environ Pollut. 2021 Jun 1;278:116814. doi: 10.1016/j.envpol.2021.116814. Epub 2021 Feb 26.
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