Maternal exposure to heatwave and preterm birth in Brisbane, Australia
Data(s) |
20/12/2013
|
---|---|
Resumo |
Objective To quantify the short-term effects of maternal exposure to heatwave on preterm birth. Design An ecological study. Setting: A population-based study in Brisbane, Australia. Population All pregnant women who had a spontaneous singleton live birth in Brisbane between November and March in 2000–2010 were studied. Methods Daily data on pregnancy outcomes, meteorological factors, and ambient air pollutants were obtained. The Cox proportional hazards regression model with time-dependent variables was used to examine the short-term impact of heatwave on preterm birth. A series of cut-off temperatures and durations were used to define heatwave. Multivariable analyses were also performed to adjust for socio-economic factors, demographic factors, meteorological factors, and ambient air pollutants. Main outcome measure Spontaneous preterm births. Results The adjusted hazard ratios (HRs) ranged from 1.13 (95% CI 1.03–1.24) to 2.00 (95% CI 1.37–2.91) by using different heatwave definitions, after controlling for demographic, socio-economic, and meteorological factors, and air pollutants. Conclusions Heatwave was significantly associated with preterm birth: the associations were robust to the definitions of heatwave. The threshold temperatures, instead of duration, could be more likely to influence the evaluation of birth-related heatwaves. The findings of this study may have significant public health implications as climate change progresses. |
Formato |
application/pdf application/pdf application/pdf |
Identificador | |
Publicador |
Wiley-Blackwell Publishing Ltd |
Relação |
http://eprints.qut.edu.au/66366/3/66366.pdf http://eprints.qut.edu.au/66366/5/66366%28table%29.pdf http://eprints.qut.edu.au/66366/7/66366%28figures%29.pdf DOI:10.1111/1471-0528.12397 Wang, Jiajia, Williams, Gail, Guo, Yuming, Pan, Xiaochuan, & Tong, Shilu (2013) Maternal exposure to heatwave and preterm birth in Brisbane, Australia. BJOG : An International Journal of Obstetrics & Gynaecology, 120(13), pp. 1631-1641. http://purl.org/au-research/grants/NHMRC/553043 |
Direitos |
Copyright 2013 RCOG |
Fonte |
Faculty of Health; Institute of Health and Biomedical Innovation; School of Public Health & Social Work |
Palavras-Chave | #111404 Reproduction #111705 Environmental and Occupational Health and Safety #111706 Epidemiology #Hazards ratio #heatwave #preterm birth #survival analysis |
Tipo |
Journal Article |