Interaction effects of night-time temperature and PM2.5 on preterm birth in Huai River Basin, China

Nocturnal temperature is observed increasing with global warming. However, evidence on night-time non-optimal temperature on the risk of preterm birth (PTB) is limited, and the potential interactions with air pollution on PTB has not been well clarified. We therefore conducted a population-based ret...

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Main Authors: Huanhuan Zhang, Xiaoan Zhang, Demin Feng, Zhan Gao, Yuting Gong, Junxi Zhang, Shuaixing Song, Zengli Yu, Cunrui Huang
Format: Article
Language:English
Published: Elsevier 2023-01-01
Series:Environment International
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S0160412023000028
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author Huanhuan Zhang
Xiaoan Zhang
Demin Feng
Zhan Gao
Yuting Gong
Junxi Zhang
Shuaixing Song
Zengli Yu
Cunrui Huang
author_facet Huanhuan Zhang
Xiaoan Zhang
Demin Feng
Zhan Gao
Yuting Gong
Junxi Zhang
Shuaixing Song
Zengli Yu
Cunrui Huang
author_sort Huanhuan Zhang
collection DOAJ
description Nocturnal temperature is observed increasing with global warming. However, evidence on night-time non-optimal temperature on the risk of preterm birth (PTB) is limited, and the potential interactions with air pollution on PTB has not been well clarified. We therefore conducted a population-based retrospective cohort study to evaluate the effect of night-time temperature extremes on the risk of PTB and its interaction with air pollution. Records of 196,780 singleton births from 4 counties in Huai River Basin (2013–2018) were obtained. Gridded data on night-time temperature were collected from a high-quality Chinese Air Quality Reanalysis dataset. We used a multivariate logistic regression to evaluate the effects of night-time heat and cold exposure on the risk of PTB as well as its subtypes. Potential interactions between night-time temperature extremes and fine particulate matter < 2.5 µm (PM2.5) were examined using the relative excess risk due to interaction (RERI). We found that the risk of PTB was positively associated with third trimester night-time extremely heat and cold exposure, with adjusted OR of 1.898 (95 %CI: 1.655–2.177) and 2.044 (95 %CI: 1.786–2.339). Similar effects were observed for PTB subtypes, moderately PTB (mPTB) and very PTB (vPTB). Synergistic effects (RERI greater than 0) of each trimester night-time temperature extremes exposure and PM2.5 on PTB were observed. We identified consistent positive interactions between night-time temperature extremes and PM2.5 on mPTB. No significant interaction of night-time temperature extremes and PM2.5 on vPTB was found. In conclusion, this large retrospective cohort study found that third trimester night-time heat and cold exposure significantly increased the risk of PTB and its subtypes. There is a synergistic effect between night-time temperature extremes and high PM2.5 levels on PTB and mPTB. In the context of climate warming, our results add new evidence to the current understanding of night-time non-optimal temperature exposure on PTB.
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spelling doaj.art-5c7c6674a7e648dc81b0ea687faf82ca2023-01-19T04:16:29ZengElsevierEnvironment International0160-41202023-01-01171107729Interaction effects of night-time temperature and PM2.5 on preterm birth in Huai River Basin, ChinaHuanhuan Zhang0Xiaoan Zhang1Demin Feng2Zhan Gao3Yuting Gong4Junxi Zhang5Shuaixing Song6Zengli Yu7Cunrui Huang8The Fifth Affiliated Hospital of Zhengzhou University, Zhengzhou University, Zhengzhou, China; School of Public Health, Zhengzhou University, Zhengzhou, ChinaThe Third Affiliated Hospital of Zhengzhou University, Zhengzhou, Zhengzhou, ChinaThe Third Affiliated Hospital of Zhengzhou University, Zhengzhou, Zhengzhou, ChinaThe Fifth Affiliated Hospital of Zhengzhou University, Zhengzhou University, Zhengzhou, ChinaSchool of Public Health, Zhengzhou University, Zhengzhou, ChinaNHC Key Laboratory of Birth Defects Prevention &amp; Henan Key Laboratory of Population Defects Prevention, Zhengzhou, ChinaSchool of Public Health, Zhengzhou University, Zhengzhou, ChinaThe Fifth Affiliated Hospital of Zhengzhou University, Zhengzhou University, Zhengzhou, China; NHC Key Laboratory of Birth Defects Prevention &amp; Henan Key Laboratory of Population Defects Prevention, Zhengzhou, China; Corresponding author at: The Fifth Affiliated Hospital of Zhengzhou University, No.3 Kangfu Front Street, Zhengzhou 450014, China.Vanke School of Public Health, Tsinghua University, Beijing, ChinaNocturnal temperature is observed increasing with global warming. However, evidence on night-time non-optimal temperature on the risk of preterm birth (PTB) is limited, and the potential interactions with air pollution on PTB has not been well clarified. We therefore conducted a population-based retrospective cohort study to evaluate the effect of night-time temperature extremes on the risk of PTB and its interaction with air pollution. Records of 196,780 singleton births from 4 counties in Huai River Basin (2013–2018) were obtained. Gridded data on night-time temperature were collected from a high-quality Chinese Air Quality Reanalysis dataset. We used a multivariate logistic regression to evaluate the effects of night-time heat and cold exposure on the risk of PTB as well as its subtypes. Potential interactions between night-time temperature extremes and fine particulate matter < 2.5 µm (PM2.5) were examined using the relative excess risk due to interaction (RERI). We found that the risk of PTB was positively associated with third trimester night-time extremely heat and cold exposure, with adjusted OR of 1.898 (95 %CI: 1.655–2.177) and 2.044 (95 %CI: 1.786–2.339). Similar effects were observed for PTB subtypes, moderately PTB (mPTB) and very PTB (vPTB). Synergistic effects (RERI greater than 0) of each trimester night-time temperature extremes exposure and PM2.5 on PTB were observed. We identified consistent positive interactions between night-time temperature extremes and PM2.5 on mPTB. No significant interaction of night-time temperature extremes and PM2.5 on vPTB was found. In conclusion, this large retrospective cohort study found that third trimester night-time heat and cold exposure significantly increased the risk of PTB and its subtypes. There is a synergistic effect between night-time temperature extremes and high PM2.5 levels on PTB and mPTB. In the context of climate warming, our results add new evidence to the current understanding of night-time non-optimal temperature exposure on PTB.http://www.sciencedirect.com/science/article/pii/S0160412023000028Preterm birthTemperature extremesFine particulate matterCombined effect
spellingShingle Huanhuan Zhang
Xiaoan Zhang
Demin Feng
Zhan Gao
Yuting Gong
Junxi Zhang
Shuaixing Song
Zengli Yu
Cunrui Huang
Interaction effects of night-time temperature and PM2.5 on preterm birth in Huai River Basin, China
Environment International
Preterm birth
Temperature extremes
Fine particulate matter
Combined effect
title Interaction effects of night-time temperature and PM2.5 on preterm birth in Huai River Basin, China
title_full Interaction effects of night-time temperature and PM2.5 on preterm birth in Huai River Basin, China
title_fullStr Interaction effects of night-time temperature and PM2.5 on preterm birth in Huai River Basin, China
title_full_unstemmed Interaction effects of night-time temperature and PM2.5 on preterm birth in Huai River Basin, China
title_short Interaction effects of night-time temperature and PM2.5 on preterm birth in Huai River Basin, China
title_sort interaction effects of night time temperature and pm2 5 on preterm birth in huai river basin china
topic Preterm birth
Temperature extremes
Fine particulate matter
Combined effect
url http://www.sciencedirect.com/science/article/pii/S0160412023000028
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