Is atmospheric pollution exposure during pregnancy associated with individual and contextual characteristics? A nationwide study in France

Autor: Cécile Zaros, Ludivine Launay, Frédérik Meleux, Marie Cheminat, Rémy Slama, Emmanuel Riviere, Johanna Lepeule, Valérie Siroux, Laure Malherbe, Marion Ouidir, Marie-Aline Charles
Přispěvatelé: Institute for Advanced Biosciences / Institut pour l'Avancée des Biosciences (Grenoble) (IAB), Centre Hospitalier Universitaire [Grenoble] (CHU)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Centre National de la Recherche Scientifique (CNRS)-Etablissement français du sang - Auvergne-Rhône-Alpes (EFS)-Université Grenoble Alpes [2016-2019] (UGA [2016-2019]), Institut National de l'Environnement Industriel et des Risques (INERIS), Agence de surveillance de la qualité de l’air (ASPA), Etude longitudinale française depuis l'enfance (UMS : Ined-Inserm-EFS) (ELFE), EFS-Institut national d'études démographiques (INED)-Institut National de la Santé et de la Recherche Médicale (INSERM)
Rok vydání: 2017
Předmět:
Male
Rural Population
Longitudinal study
Urban Population
Epidemiology
010501 environmental sciences
01 natural sciences
Cohort Studies
0302 clinical medicine
Pregnancy
Residence Characteristics
PARTICULATE MATTER
Medicine
030212 general & internal medicine
Child
Neighbourhood (mathematics)
Vehicle Emissions
2. Zero hunger
Air Pollutants
3. Good health
AIR POLLUTION
Social deprivation
Maternal Exposure
[SDE]Environmental Sciences
Cohort
INEQUALITIES
Female
France
Adult
03 medical and health sciences
Urbanization
Environmental health
SOCIOECONOMIC STATUS
Humans
Socioeconomic status
0105 earth and related environmental sciences
NITROGEN DIOXIDE
business.industry
Public Health
Environmental and Occupational Health
Environmental Exposure
Socioeconomic Factors
13. Climate action
SOCIAL DEPRIVATION
Pregnant Women
Rural area
Environmental Pollution
business
URBANISATION
Body mass index
Zdroj: Journal of Epidemiology and Community Health
Journal of Epidemiology and Community Health, BMJ Publishing Group, 2017, 71 (10), ⟨10.1136/jech-2016-208674⟩
ISSN: 1470-2738
0143-005X
DOI: 10.1136/jech-2016-208674
Popis: BackgroundExposure to atmospheric pollutants is a danger for the health of pregnant mother and children. Our objective was to identify individual (socioeconomic and behavioural) and contextual factors associated with atmospheric pollution pregnancy exposure at the nationwide level.MethodAmong 14 921 women from the French nationwide ELFE (French Longitudinal Study of Children) mother-child cohort recruited in 2011, outdoor exposure levels of PM2.5, PM10 (particulate matter 2 (nitrogen dioxide) were estimated at the pregnancy home address from a dispersion model with 1 km resolution. We used classification and regression trees (CART) and linear regression to characterise the association of atmospheric pollutants with individual (maternal age, body mass index, parity, education level, relationship status, smoking status) and contextual (European Deprivation Index, urbanisation level) factors.ResultsPatterns of associations were globally similar across pollutants. For the CART approach, the highest tertile of exposure included mainly women not in a relationship living in urban and socially deprived areas, with lower education level. Linear regression models identified different determinants of atmospheric pollutants exposure according to the residential urbanisation level. In urban areas, atmospheric pollutants exposure increased with social deprivation, while in rural areas a U-shaped relationship was observed.ConclusionWe highlighted social inequalities in atmospheric pollutants exposure according to contextual characteristics such as urbanisation level and social deprivation and also according to individual characteristics such as education, being in a relationship and smoking status. In French urban areas, pregnant women from the most deprived neighbourhoods were those most exposed to health-threatening atmospheric pollutants.
Databáze: OpenAIRE
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