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Greenspace, Air Pollution, Neighborhood Factors, and Preeclampsia in a Population-Based Case-Control Study in California

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  • Kari A. Weber

    (Department of Pediatrics, Division of Neonatal and Developmental Medicine, Stanford University School of Medicine, Stanford, CA 94305, USA)

  • Wei Yang

    (Department of Pediatrics, Division of Neonatal and Developmental Medicine, Stanford University School of Medicine, Stanford, CA 94305, USA)

  • Evan Lyons

    (Department of Earth System Science, Stanford University, Stanford, CA 94305, USA)

  • David K. Stevenson

    (Department of Pediatrics, Division of Neonatal and Developmental Medicine, Stanford University School of Medicine, Stanford, CA 94305, USA)

  • Amy M. Padula

    (Department of Obstetrics, Gynecology and Reproductive Sciences, University of California, San Francisco, CA 94143, USA)

  • Gary M. Shaw

    (Department of Pediatrics, Division of Neonatal and Developmental Medicine, Stanford University School of Medicine, Stanford, CA 94305, USA)

Abstract

To investigate preeclampsia etiologies, we examined relationships between greenspace, air pollution, and neighborhood factors. Data were from hospital records and geocoded residences of 77,406 women in San Joaquin Valley, California from 2000 to 2006. Preeclampsia was divided into mild, severe, or superimposed onto pre-existing hypertension. Greenspace within 100 and 500 m residential buffers was estimated from satellite data using normalized difference vegetation index (NDVI). Air quality data were averaged over pregnancy from daily 24-h averages of nitrogen dioxide, particulate matter <10 µm (PM 10 ) and <2.5 µm (PM 2.5 ), and carbon monoxide. Neighborhood socioeconomic (SES) factors included living below the federal poverty level and median annual income using 2000 US Census data. Odds of preeclampsia were estimated using logistic regression. Effect modification was assessed using Wald tests. More greenspace (500 m) was inversely associated with superimposed preeclampsia (OR = 0.57). High PM 2.5 and low SES were associated with mild and severe preeclampsia. We observed differences in associations between greenspace (500 m) and superimposed preeclampsia by neighborhood income and between greenspace (500 m) and severe preeclampsia by PM 10 , overall and among those living in higher SES neighborhoods. Less greenspace, high particulate matter, and high-poverty/low-income neighborhoods were associated with preeclampsia, and effect modification was observed between these exposures. Further research into exposure combinations and preeclampsia is warranted.

Suggested Citation

  • Kari A. Weber & Wei Yang & Evan Lyons & David K. Stevenson & Amy M. Padula & Gary M. Shaw, 2021. "Greenspace, Air Pollution, Neighborhood Factors, and Preeclampsia in a Population-Based Case-Control Study in California," IJERPH, MDPI, vol. 18(10), pages 1-12, May.
  • Handle: RePEc:gam:jijerp:v:18:y:2021:i:10:p:5127-:d:553296
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    References listed on IDEAS

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    1. Elaine Hoffimann & Henrique Barros & Ana Isabel Ribeiro, 2017. "Socioeconomic Inequalities in Green Space Quality and Accessibility—Evidence from a Southern European City," IJERPH, MDPI, vol. 14(8), pages 1-16, August.
    2. Joan A. Casey & Peter James & Kara E. Rudolph & Chih-Da Wu & Brian S. Schwartz, 2016. "Greenness and Birth Outcomes in a Range of Pennsylvania Communities," IJERPH, MDPI, vol. 13(3), pages 1-15, March.
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