Ambient air pollution and birth defects in brisbane, australia.

BACKGROUND: Birth defects are a major public health concern as they are the leading cause of neonatal and infant mortality. Observational studies have linked environmental pollution to adverse birth outcomes, including congenital anomalies. This study examined potential associations between ambient...

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Main Authors: Craig A Hansen, Adrian G Barnett, Bin B Jalaludin, Geoffrey G Morgan
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2009-01-01
Series:PLoS ONE
Online Access:http://europepmc.org/articles/PMC2671139?pdf=render
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author Craig A Hansen
Adrian G Barnett
Bin B Jalaludin
Geoffrey G Morgan
author_facet Craig A Hansen
Adrian G Barnett
Bin B Jalaludin
Geoffrey G Morgan
author_sort Craig A Hansen
collection DOAJ
description BACKGROUND: Birth defects are a major public health concern as they are the leading cause of neonatal and infant mortality. Observational studies have linked environmental pollution to adverse birth outcomes, including congenital anomalies. This study examined potential associations between ambient air pollution and congenital heart defects and cleft lip or palate among births in Brisbane, Australia (1998-2004). METHODS: Ambient air pollution levels were averaged over weeks 3-8 of pregnancy among 150,308 births. Using a case-control design, we used conditional logistic regression and matched cases to 5 controls. Analyses were conducted using all births, and then births where the mother resided within 6 and 12 kilometers of an ambient air quality monitor. FINDINGS: When analyzing all births there was no indication that ambient air pollution in Brisbane was associated with a higher risk of cardiac defects. Among births where the mother resided within 6 kilometers of an ambient air quality monitor, a 5 ppb increase in O(3) was associated with an increased risk of pulmonary artery and valve defects (OR 2.96, 95% CI: 1.34, 7.52) while a 0.6 ppb increase in SO(2) was associated with an increased risk of aortic artery and valve defects (OR 10.76, 95% CI: 1.50, 179.8). For oral cleft defects among all births, the only adverse association was between SO(2) and cleft lip with or without cleft palate (OR 1.27, 95% CI: 1.01, 1.62). However, various significant inverse associations were also found between air pollutants and birth defects. CONCLUSIONS: This study found mixed results and it is difficult to conclude whether ambient air pollution in Brisbane has an adverse association with the birth defects examined. Studies using more detailed estimates of air pollution exposure are needed.
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spelling doaj.art-8f4a57e7f37e46ff9d3424bc618d406c2022-12-22T00:13:14ZengPublic Library of Science (PLoS)PLoS ONE1932-62032009-01-0144e540810.1371/journal.pone.0005408Ambient air pollution and birth defects in brisbane, australia.Craig A HansenAdrian G BarnettBin B JalaludinGeoffrey G MorganBACKGROUND: Birth defects are a major public health concern as they are the leading cause of neonatal and infant mortality. Observational studies have linked environmental pollution to adverse birth outcomes, including congenital anomalies. This study examined potential associations between ambient air pollution and congenital heart defects and cleft lip or palate among births in Brisbane, Australia (1998-2004). METHODS: Ambient air pollution levels were averaged over weeks 3-8 of pregnancy among 150,308 births. Using a case-control design, we used conditional logistic regression and matched cases to 5 controls. Analyses were conducted using all births, and then births where the mother resided within 6 and 12 kilometers of an ambient air quality monitor. FINDINGS: When analyzing all births there was no indication that ambient air pollution in Brisbane was associated with a higher risk of cardiac defects. Among births where the mother resided within 6 kilometers of an ambient air quality monitor, a 5 ppb increase in O(3) was associated with an increased risk of pulmonary artery and valve defects (OR 2.96, 95% CI: 1.34, 7.52) while a 0.6 ppb increase in SO(2) was associated with an increased risk of aortic artery and valve defects (OR 10.76, 95% CI: 1.50, 179.8). For oral cleft defects among all births, the only adverse association was between SO(2) and cleft lip with or without cleft palate (OR 1.27, 95% CI: 1.01, 1.62). However, various significant inverse associations were also found between air pollutants and birth defects. CONCLUSIONS: This study found mixed results and it is difficult to conclude whether ambient air pollution in Brisbane has an adverse association with the birth defects examined. Studies using more detailed estimates of air pollution exposure are needed.http://europepmc.org/articles/PMC2671139?pdf=render
spellingShingle Craig A Hansen
Adrian G Barnett
Bin B Jalaludin
Geoffrey G Morgan
Ambient air pollution and birth defects in brisbane, australia.
PLoS ONE
title Ambient air pollution and birth defects in brisbane, australia.
title_full Ambient air pollution and birth defects in brisbane, australia.
title_fullStr Ambient air pollution and birth defects in brisbane, australia.
title_full_unstemmed Ambient air pollution and birth defects in brisbane, australia.
title_short Ambient air pollution and birth defects in brisbane, australia.
title_sort ambient air pollution and birth defects in brisbane australia
url http://europepmc.org/articles/PMC2671139?pdf=render
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