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Air pollution, children's academic achievement and the potential mediating role of preterm birth.
Balalian, Arin A; McVeigh, Katharine H; Stingone, Jeanette A.
Afiliación
  • Balalian AA; Columbia University Department of Epidemiology, Mailman School of Public Health, 722 West 168th St. 16thfloor, New York, NY, 10032, USA. Electronic address: aa3794@cumc.columbia.edu.
  • McVeigh KH; New York City Department of Health and Mental Hygiene, Division of Family and Child Health, 42-09 28thStreet, Queens, NY, 11101, USA. Electronic address: tmcveigh@health.nyc.gov.
  • Stingone JA; Columbia University Department of Epidemiology, Mailman School of Public Health, 722 West 168th St. 16thfloor, New York, NY, 10032, USA. Electronic address: j.stingone@columbia.edu.
Int J Hyg Environ Health ; 243: 113991, 2022 06.
Article en En | MEDLINE | ID: mdl-35688002
INTRODUCTION: Previous research has observed relationships between higher prenatal exposure to air pollutants and neurodevelopmental and academic outcomes later in childhood. Identifying intermediate outcomes mediating this relationship would inform prevention and intervention efforts. We aimed to investigate if previously observed associations between prenatal exposure to common urban air pollutants, diesel and perchloroethylene, and performance on third grade standardized tests were mediated through increased risk of preterm birth. METHODS: Data from the 1994-1998 birth cohorts within the New York City Longitudinal Study of Early Development were included in this analysis. Exposure was determined by linking the mother's residence at the time of delivery to the U.S. EPA's 1996 National Air Toxic Assessment of estimated ambient concentrations of diesel and perchloroethylene. Children's third grade standardized math and language tests were used as the markers for academic achievement. Missing data on covariates were imputed, while participants with missing information on gestational age and test scores were excluded. Linear regression models and causal mediation analysis were used to examine potential mediation by preterm birth. RESULTS: In total, 187,723 and 196,122 participants were included in language and math analyses, respectively. Children with exposure to the fourth quartile of diesel or perchloroethylene had approximately 0.03 (95%CI: 0.02, 0.04) lower math z-scores when compared to individuals with exposure in the first quartile, although there was no consistent decreasing trend in math z-scores over increasing quartiles of diesel or perchloroethylene. We did not find evidence of mediation by preterm birth or exposure-mediator interaction in our models. CONCLUSION: We did not find evidence that observed relationships between exposure to common urban air pollutants and test z-scores in childhood were mediated through an increased risk of preterm birth. This suggests other pathways between early exposure to air pollution and neurodevelopment should be investigated with causal mediation approaches.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Efectos Tardíos de la Exposición Prenatal / Tetracloroetileno / Nacimiento Prematuro / Contaminantes Atmosféricos / Contaminación del Aire / Éxito Académico Tipo de estudio: Observational_studies / Prognostic_studies / Risk_factors_studies Límite: Child / Female / Humans / Newborn / Pregnancy Idioma: En Revista: Int J Hyg Environ Health Asunto de la revista: SAUDE AMBIENTAL / SAUDE PUBLICA Año: 2022 Tipo del documento: Article Pais de publicación: Alemania

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Efectos Tardíos de la Exposición Prenatal / Tetracloroetileno / Nacimiento Prematuro / Contaminantes Atmosféricos / Contaminación del Aire / Éxito Académico Tipo de estudio: Observational_studies / Prognostic_studies / Risk_factors_studies Límite: Child / Female / Humans / Newborn / Pregnancy Idioma: En Revista: Int J Hyg Environ Health Asunto de la revista: SAUDE AMBIENTAL / SAUDE PUBLICA Año: 2022 Tipo del documento: Article Pais de publicación: Alemania