The Impact of Ambient Air Pollutants on Birth Outcomes Using ARMA Model: Yazd Mother and Birth Cohort Study

Publish Year: 1402
نوع سند: مقاله ژورنالی
زبان: English
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JR_JEHSD-8-3_005

تاریخ نمایه سازی: 8 مهر 1402

Abstract:

Introduction: The present study examines the association between ambient air pollution and harmful consequences at birth in Yazd, Iran during ۲۰۱۷-۲۰۲۰. Materials and Methods: This time series study by the autoregressive (AR) and moving average (MA) or ARMA model was conducted in Yazd, Iran. Birth information including fetal sex, birth weight, birth height, and head circumference as well as preterm birth (PTB) and abortion was collected from mother and birth cohort databases. Data on air pollutants concentrations in the corresponding gestational period were obtained from fixed air monitors of Yazd Municipal Environmental Monitoring Center. The time series model statistical test was performed to find the relation between ambient air pollution and harmful consequences at birth. Results: ۲۱۳۱ singleton live births were monitored for ۳ years. In ARMA models, the ratio of girl births to total births (Coef: ۷.۹۴۳, ۹۵% CI: ۲.۷۹۷, ۱۳.۰۸۹), preterm delivery (Coef: ۲.۹۱۵, ۹۵% CI: ۰.۲۲۴, ۵.۶۰۶), and spontaneous abortion (Coef: ۴۴.۷۵۱, ۹۵% CI: ۲۶.۸۷۲, ۶۲.۶۲۹) was associated with NO۲ exposure. Distributed mismatch models also suggested associations between the Air Quality Index (AQI) in pregnant women with a sex-premature birth relationship (Coef: ۰.۰۰۱, ۹۵% CI: ۰.۰۰۰, ۰.۰۰۱). Conclusion: Exposure to air pollution, even at low levels, may increase the risk of sex ratio in singletons, premature birth, and spontaneous abortion. However, the results of the present study could not definitively show the relationship between air quality and other birth problems. More research studies are required to investigate the present findings.

Authors

Seyedeh Mahtab Pormazar

Environmental Science and Technology Research Center, Department of Environmental Health Engineering, School of Public Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.

Mohadese i Dehghan Banadak

Environmental Science and Technology Research Center, Department of Environmental Health Engineering, School of Public Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.

Sara Jambarsang

Departments of Biostatistics and Epidemiology, School of Public Health, Center for Healthcare Data Modeling, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.

Mohammad Hassan Ehrampoush

Environmental Science and Technology Research Center, Department of Environmental Health Engineering, School of Public Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.

Amir Hoshang Mehrparvour

Industrial Diseases Research Center, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.

Fahimeh Nakhostin

Department of Obstetrics and Gynecology, Faculty of Medicine, Shahid Sadughi University of Medical Sciences, Yazd, Iran.

Fahimeh Teimouri

Environmental Science and Technology Research Center, Department of Environmental Health Engineering, School of Public Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.

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