Air pollution and infant mortality in the Czech Republic, 1986-88
Language English Country England, Great Britain Media print
Document type Journal Article, Research Support, Non-U.S. Gov't
Grant support
Wellcome Trust - United Kingdom
PubMed
1357409
DOI
10.1016/0140-6736(92)93017-h
PII: 0140-6736(92)93017-H
Knihovny.cz E-resources
- MeSH
- Automobiles statistics & numerical data MeSH
- Residence Characteristics MeSH
- Epidemiological Monitoring MeSH
- Evaluation Studies as Topic MeSH
- Infant Mortality * MeSH
- Air Pollutants adverse effects analysis MeSH
- Humans MeSH
- Logistic Models MeSH
- Environmental Monitoring MeSH
- Respiratory Tract Diseases mortality MeSH
- Infant, Newborn MeSH
- Birth Rate MeSH
- Abortion, Legal statistics & numerical data MeSH
- Income statistics & numerical data MeSH
- Risk Factors MeSH
- Socioeconomic Factors MeSH
- Check Tag
- Humans MeSH
- Infant, Newborn MeSH
- Publication type
- Journal Article MeSH
- Research Support, Non-U.S. Gov't MeSH
- Geographicals
- Czechoslovakia epidemiology MeSH
- Names of Substances
- Air Pollutants MeSH
An ecological study of infant mortality and air pollution was conducted in the Czech Republic. Routinely collected data on infant mortality and air pollution in the period 1986-88 were analysed for the 46 of the 85 districts in the republic for which both were available. The independent effects of total suspended particulates (TSP-10), sulphur dioxide (SO2), and oxides of nitrogen (NOx) adjusted for district socioeconomic characteristics, such as income, car ownership, and abortion rate, were estimated by logistic regression. We found weak positive associations between neonatal mortality and quintile of TSP-10 and SO2. Stronger adjusted effects were seen for postneonatal mortality, with a consistent increase in risk from the lowest to the highest TSP-10 quintile (p < 0.001). Weaker and less consistent evidence of a positive association with NOx (p = 0.061) was observed. The strongest effects were seen for postneonatal respiratory mortality, which increased consistently from lowest to highest TSP-10 quintile (p = 0.013). There was also a suggestion of a positive association with SO2 (p = 0.062). The highest to lowest quintile risk ratios for postneonatal respiratory mortality were 2.41 (95% Cl 1.10-5.28) for TSP-10, 3.91 (0.90-16.9) for SO2, and 1.20 (0.37-3.91) NOx. The specificity of the association between air pollution quintile (especially TSP-10) and postneonatal respiratory mortality is consistent with the known effects of air pollution on respiratory disease morbidity in children. These ecological associations require confirmation in an individually based study.
References provided by Crossref.org
Air quality of Prague: traffic as a main pollution source
Ambient air pollution and pregnancy outcomes: a review of the literature
The impact of polycyclic aromatic hydrocarbons and fine particles on pregnancy outcome
Fetal growth and maternal exposure to particulate matter during pregnancy
