The association of maternal exposure to ambient temperature with low birth weight in term pregnancies varies by location: in Brazil, positive associations may occur only in the Amazon region
Autor(a) principal: | |
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Data de Publicação: | 2022 |
Outros Autores: | , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Institucional do FGV (FGV Repositório Digital) |
Texto Completo: | https://hdl.handle.net/10438/33389 |
Resumo: | Exposure to ambient temperature has been linked to adverse birth outcomes in several regions, including the USA, Australia, China, countries in the Middle East, and European countries. To date, no studies were performed in South America, a region with serious challenges related to climate change. Our investigation addresses this literature lack by examining the association between Low Birth Weight (LBW) and ambient temperature exposure in the largest county in South America, Brazil. We applied a nationwide case-control study design using a logistic regression model to estimate the odds ratio (OR) for LBW associated with ambient temperature during a specific trimester of pregnancy (1–3 trimester). Our sample size includes 5,790,713 birth records nationwide over 18 years (2001–2018), of which 264,967 infants were included in the model as cases of LBW, representing 4.6% of our total sample. We adjusted our model for several confounding variables, including weather factors, air pollution, seasonality, and SES variables at the individual level. Our findings indicate that North was the only region with positive and statistically significant associations in the primary analysis and most of the sensitivity analysis, which is the region where the Amazon is located. In this region, we estimated an increase of 5.16% (95%CI: 3.60; 6.74) in the odds of LBW per 1 ◦C increase in apparent temperature when the exposure occurred in the second trimester. Our results may be explained by the climate conditions in the Amazon region in the past years. A large body of literature indicates that the Amazon region has been facing serious climate challenges including issues related to policy, governance, and deforestation. Specifically, regarding deforestation, it is suggested that land use change and deforestation is projected to increase heat stress in the Amazon region, because of Amazon savannization, increasing the risk of heat stress exposure in Northern Brazil. Our study can assist public sectors and clinicians in mitigating the risk and vulnerability of the Amazonian population. |
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Réquia Júnior, Weeberb JoãoKoutrakis, PetrosPapatheodorou, StefaniaDemais unidades::RPCAEscolas::EPPG2023-03-27T13:16:31Z2023-03-27T13:16:31Z2022Environmental Research 214 (2022) 113923https://hdl.handle.net/10438/33389Exposure to ambient temperature has been linked to adverse birth outcomes in several regions, including the USA, Australia, China, countries in the Middle East, and European countries. To date, no studies were performed in South America, a region with serious challenges related to climate change. Our investigation addresses this literature lack by examining the association between Low Birth Weight (LBW) and ambient temperature exposure in the largest county in South America, Brazil. We applied a nationwide case-control study design using a logistic regression model to estimate the odds ratio (OR) for LBW associated with ambient temperature during a specific trimester of pregnancy (1–3 trimester). Our sample size includes 5,790,713 birth records nationwide over 18 years (2001–2018), of which 264,967 infants were included in the model as cases of LBW, representing 4.6% of our total sample. We adjusted our model for several confounding variables, including weather factors, air pollution, seasonality, and SES variables at the individual level. Our findings indicate that North was the only region with positive and statistically significant associations in the primary analysis and most of the sensitivity analysis, which is the region where the Amazon is located. In this region, we estimated an increase of 5.16% (95%CI: 3.60; 6.74) in the odds of LBW per 1 ◦C increase in apparent temperature when the exposure occurred in the second trimester. Our results may be explained by the climate conditions in the Amazon region in the past years. A large body of literature indicates that the Amazon region has been facing serious climate challenges including issues related to policy, governance, and deforestation. Specifically, regarding deforestation, it is suggested that land use change and deforestation is projected to increase heat stress in the Amazon region, because of Amazon savannization, increasing the risk of heat stress exposure in Northern Brazil. Our study can assist public sectors and clinicians in mitigating the risk and vulnerability of the Amazonian population.engElsevierPrematuroPoluição do arMudança climáticaCiências sociaisMudanças climáticasAr - PoluiçãoMaternidadePrematurosRecém-nascidos - Peso baixoThe association of maternal exposure to ambient temperature with low birth weight in term pregnancies varies by location: in Brazil, positive associations may occur only in the Amazon regioninfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articlereponame:Repositório Institucional do FGV (FGV Repositório Digital)instname:Fundação Getulio Vargas (FGV)instacron:FGVinfo:eu-repo/semantics/openAccessProjetos de Pesquisa AplicadaVariação climática e poluição do ar na saúde dos bebês 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|
dc.title.por.fl_str_mv |
The association of maternal exposure to ambient temperature with low birth weight in term pregnancies varies by location: in Brazil, positive associations may occur only in the Amazon region |
title |
The association of maternal exposure to ambient temperature with low birth weight in term pregnancies varies by location: in Brazil, positive associations may occur only in the Amazon region |
spellingShingle |
The association of maternal exposure to ambient temperature with low birth weight in term pregnancies varies by location: in Brazil, positive associations may occur only in the Amazon region Réquia Júnior, Weeberb João Prematuro Poluição do ar Mudança climática Ciências sociais Mudanças climáticas Ar - Poluição Maternidade Prematuros Recém-nascidos - Peso baixo |
title_short |
The association of maternal exposure to ambient temperature with low birth weight in term pregnancies varies by location: in Brazil, positive associations may occur only in the Amazon region |
title_full |
The association of maternal exposure to ambient temperature with low birth weight in term pregnancies varies by location: in Brazil, positive associations may occur only in the Amazon region |
title_fullStr |
The association of maternal exposure to ambient temperature with low birth weight in term pregnancies varies by location: in Brazil, positive associations may occur only in the Amazon region |
title_full_unstemmed |
The association of maternal exposure to ambient temperature with low birth weight in term pregnancies varies by location: in Brazil, positive associations may occur only in the Amazon region |
title_sort |
The association of maternal exposure to ambient temperature with low birth weight in term pregnancies varies by location: in Brazil, positive associations may occur only in the Amazon region |
author |
Réquia Júnior, Weeberb João |
author_facet |
Réquia Júnior, Weeberb João Koutrakis, Petros Papatheodorou, Stefania |
author_role |
author |
author2 |
Koutrakis, Petros Papatheodorou, Stefania |
author2_role |
author author |
dc.contributor.unidadefgv.por.fl_str_mv |
Demais unidades::RPCA Escolas::EPPG |
dc.contributor.author.fl_str_mv |
Réquia Júnior, Weeberb João Koutrakis, Petros Papatheodorou, Stefania |
dc.subject.por.fl_str_mv |
Prematuro Poluição do ar Mudança climática |
topic |
Prematuro Poluição do ar Mudança climática Ciências sociais Mudanças climáticas Ar - Poluição Maternidade Prematuros Recém-nascidos - Peso baixo |
dc.subject.area.por.fl_str_mv |
Ciências sociais |
dc.subject.bibliodata.por.fl_str_mv |
Mudanças climáticas Ar - Poluição Maternidade Prematuros Recém-nascidos - Peso baixo |
description |
Exposure to ambient temperature has been linked to adverse birth outcomes in several regions, including the USA, Australia, China, countries in the Middle East, and European countries. To date, no studies were performed in South America, a region with serious challenges related to climate change. Our investigation addresses this literature lack by examining the association between Low Birth Weight (LBW) and ambient temperature exposure in the largest county in South America, Brazil. We applied a nationwide case-control study design using a logistic regression model to estimate the odds ratio (OR) for LBW associated with ambient temperature during a specific trimester of pregnancy (1–3 trimester). Our sample size includes 5,790,713 birth records nationwide over 18 years (2001–2018), of which 264,967 infants were included in the model as cases of LBW, representing 4.6% of our total sample. We adjusted our model for several confounding variables, including weather factors, air pollution, seasonality, and SES variables at the individual level. Our findings indicate that North was the only region with positive and statistically significant associations in the primary analysis and most of the sensitivity analysis, which is the region where the Amazon is located. In this region, we estimated an increase of 5.16% (95%CI: 3.60; 6.74) in the odds of LBW per 1 ◦C increase in apparent temperature when the exposure occurred in the second trimester. Our results may be explained by the climate conditions in the Amazon region in the past years. A large body of literature indicates that the Amazon region has been facing serious climate challenges including issues related to policy, governance, and deforestation. Specifically, regarding deforestation, it is suggested that land use change and deforestation is projected to increase heat stress in the Amazon region, because of Amazon savannization, increasing the risk of heat stress exposure in Northern Brazil. Our study can assist public sectors and clinicians in mitigating the risk and vulnerability of the Amazonian population. |
publishDate |
2022 |
dc.date.issued.fl_str_mv |
2022 |
dc.date.accessioned.fl_str_mv |
2023-03-27T13:16:31Z |
dc.date.available.fl_str_mv |
2023-03-27T13:16:31Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.citation.fl_str_mv |
Environmental Research 214 (2022) 113923 |
dc.identifier.uri.fl_str_mv |
https://hdl.handle.net/10438/33389 |
identifier_str_mv |
Environmental Research 214 (2022) 113923 |
url |
https://hdl.handle.net/10438/33389 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.publisher.none.fl_str_mv |
Elsevier |
publisher.none.fl_str_mv |
Elsevier |
dc.source.none.fl_str_mv |
reponame:Repositório Institucional do FGV (FGV Repositório Digital) instname:Fundação Getulio Vargas (FGV) instacron:FGV |
instname_str |
Fundação Getulio Vargas (FGV) |
instacron_str |
FGV |
institution |
FGV |
reponame_str |
Repositório Institucional do FGV (FGV Repositório Digital) |
collection |
Repositório Institucional do FGV (FGV Repositório Digital) |
bitstream.url.fl_str_mv |
https://repositorio.fgv.br/bitstreams/b93c498c-850d-4462-9b25-523d3f051c75/download https://repositorio.fgv.br/bitstreams/e5f09aef-ebd8-42a2-b068-838757768678/download https://repositorio.fgv.br/bitstreams/5dd50811-5604-4e79-8cae-f0e58d5c1540/download https://repositorio.fgv.br/bitstreams/cd790a01-4b58-4a5f-9b65-567434005cb6/download |
bitstream.checksum.fl_str_mv |
c22c900f96d33c5b147afb6eedb2c81c dfb340242cced38a6cca06c627998fa1 9c68b9705ce4a5081a276e6b3600fb8d 10913eaceb92a131f5281936e0313ed2 |
bitstream.checksumAlgorithm.fl_str_mv |
MD5 MD5 MD5 MD5 |
repository.name.fl_str_mv |
Repositório Institucional do FGV (FGV Repositório Digital) - Fundação Getulio Vargas (FGV) |
repository.mail.fl_str_mv |
|
_version_ |
1810023755535089664 |