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Infant Mortality Related to NO 2 and PM Exposure: Systematic Review and Meta-Analysis

Author

Listed:
  • Wahida Kihal-Talantikite

    (LIVE UMR 7362 CNRS (Laboratoire Image Ville Environnement), University of Strasbourg, 6700 Strasbourg, France)

  • Guadalupe Perez Marchetta

    (EHESP School of Public Health, 35043 Rennes, France)

  • Séverine Deguen

    (EHESP School of Public Health, 35043 Rennes, France
    Department of Social Epidemiology, INSERM, Institut Pierre Louis d’Epidémiologie et de Santé Publique (UMRS 1136), Sorbonne Universités, UPMC Univ Paris 06, 75646 Paris, France)

Abstract

Background : We conducted this systematic review and meta-analysis to address the crucial public health issue of the suspected association between air pollution exposure during pregnancy and the risk of infant mortality. Methods : We searched on MEDLINE ® databases among articles published until February, 2019 for case-control, cohort, and ecological studies assessing the association between maternal exposure to Nitrogen Dioxide (NO 2 ) or Particular matter (PM) and the risk of infant mortality including infant, neonatal, and post-neonatal mortality for all-and specific-causes as well. Study-specific risk estimates were pooled according to random-effect and fixed-effect models. Results : Twenty-four articles were included in the systematic review and 14 of the studies were taken into account in the meta-analysis. We conducted the meta-analysis for six combinations of air pollutants and infant death when at least four studies were available for the same combination. Our systematic review has revealed that the majority of studies concluded that death risk increased with increased exposure to air pollution including PM 10 , PM 2.5 , and NO 2 . Our meta-analysis confirms that the risk of post-neonatal mortality all-causes for short-term exposure to PM 10 increased significantly (pooled-OR = 1.013, 95% CI (1.002, 1.025). When focusing on respiratory-causes, the risk of post-neonatal death related to long-term exposure to PM 10 reached a pooled-OR = 1.134, 95% CI (1.011, 1.271). Regarding Sudden Infant Death Syndrome (SIDS), the risk also increased significantly: pooled-OR = 1.045, 95% CI (1.01, 1.08) per 10 µg/m 3 ), but no specific gestational windows of exposure were identified. Conclusion : In spite of a few number of epidemiological studies selected in the present literature review, our finding is in favor of a significant increase of infant death with the increase of air pollution exposure during either the pregnancy period or the first year of a newborn’s life. Our findings have to be interpreted with caution due to weaknesses that could affect the strength of the associations and then the formulation of accurate conclusions. Future studies are called to overcome these limitations; in particular, (i) the definition of infant adverse outcome, (ii) exposure assessment, and (iii) critical windows of exposure, which could affect the strength of association.

Suggested Citation

  • Wahida Kihal-Talantikite & Guadalupe Perez Marchetta & Séverine Deguen, 2020. "Infant Mortality Related to NO 2 and PM Exposure: Systematic Review and Meta-Analysis," IJERPH, MDPI, vol. 17(8), pages 1-24, April.
    • Handle: RePEc:gam:jijerp:v:17:y:2020:i:8:p:2623-:d:344276
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    References listed on IDEAS

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    1. Eva Arceo & Rema Hanna & Paulina Oliva, 2016. "Does the Effect of Pollution on Infant Mortality Differ Between Developing and Developed Countries? Evidence from Mexico City," Economic Journal, Royal Economic Society, vol. 126(591), pages 257-280, March.
    2. Sam Heft-Neal & Jennifer Burney & Eran Bendavid & Marshall Burke, 2018. "Robust relationship between air quality and infant mortality in Africa," Nature, Nature, vol. 559(7713), pages 254-258, July.
    3. Cindy M. Padilla & Wahida Kihal-Talantikit & Verónica M. Vieira & Séverine Deguen, 2016. "City-Specific Spatiotemporal Infant and Neonatal Mortality Clusters: Links with Socioeconomic and Air Pollution Spatial Patterns in France," IJERPH, MDPI, vol. 13(6), pages 1-21, June.
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    Cited by:

    1. Valentin Simoncic & Christophe Enaux & Séverine Deguen & Wahida Kihal-Talantikite, 2020. "Adverse Birth Outcomes Related to NO 2 and PM Exposure: European Systematic Review and Meta-Analysis," IJERPH, MDPI, vol. 17(21), pages 1-70, November.
    2. Séverine Deguen & Guadalupe Perez Marchetta & Wahida Kihal-Talantikite, 2020. "Measuring Burden of Disease Attributable to Air Pollution Due to Preterm Birth Complications and Infant Death in Paris Using Disability-Adjusted Life Years (DALYs)," IJERPH, MDPI, vol. 17(21), pages 1-15, October.
    3. Tugce Pekdogan & Mihaela Tinca Udriștioiu & Silvia Puiu & Hasan Yildizhan & Martin Hruška, 2023. "A Multi-Country Statistical Analysis Covering Turkey, Slovakia, and Romania in an Educational Framework," Sustainability, MDPI, vol. 15(24), pages 1-16, December.
    4. Xuejun Feng & Jinxing Shen & Haoming Yang & Kang Wang & Qiming Wang & Zhongguo Zhou, 2020. "Time–Frequency Analysis of Particulate Matter (PM 10 ) Concentration in Dry Bulk Ports Using the Hilbert–Huang Transform," IJERPH, MDPI, vol. 17(16), pages 1-15, August.

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