ArticleEnvironment international2015
Ambient air pollutant PM10 and risk of preterm birth in Lanzhou, China.
Article in Environment international, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 43 papers, 5 of them syntheses that pooled it.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
43 citing papers in PubMed, 5 syntheses or guidelines pooled it.
- Association between atmospheric particulate matter pollution during pregnancy and premature birth in China: a meta-analysis.Frontiers in public health · 2025Pooled it
- Exposure to ambient air pollutions and its association with adverse birth outcomes: a systematic review and meta-analysis of epidemiological studies.Frontiers in public health · 2024Pooled it
- Incidence and trend of preterm birth in China, 1990-2016: a systematic review and meta-analysis.BMJ open · 2020Pooled it
- The association between ambient air pollution and selected adverse pregnancy outcomes in China: A systematic review.The Science of the total environment · 2017Pooled it
- Ambient air pollution and adverse birth outcomes: a systematic review and meta-analysis.Journal of Zhejiang University. Science. BPooled it
- Associations between prenatal exposure to ambient air pollutants and preterm birth in the Atlanta African American maternal-child cohort.Environmental health : a global access science source · 2026Article
- The impact of extreme air pollution on preterm birth in twin pregnancies: identifying susceptible exposure windows.Annals of medicine · 2025Article
- Maternal iron and zinc and preterm labor risk: A nested case-control study based on the Lanzhou Birth Cohort Study (BBCS) in China.Asia Pacific journal of clinical nutrition · 2025Article
- Disparities in the association between ambient temperature and preterm birth according to individual and regional characteristics: a nationwide time-stratified case-crossover study.Environmental health : a global access science source · 2024Article
- EV-miRNA associated with environmental air pollution exposures in the MADRES cohort.Environmental epigenetics · 2024Article
- Exploring the association between atmospheric pollutants and preterm birth risk in a river valley city.Frontiers in public health · 2024Article
- Research prioritisation on prevention and management of preterm birth in low and middle-income countries (LMICs) with a special focus on Bangladesh using the Child Health and Nutrition Research Initiative (CHNRI) method.Journal of global health · 2023Article
- Structural racism, air pollution and the association with adverse birth outcomes in the United States: the value of examining intergenerational associations.Frontiers in epidemiology · 2023Review
- Effects of Benzo[a]pyrene-DNA adducts, dietary vitamins, folate, and carotene intakes on preterm birth: a nested case-control study from the birth cohort in China.Environmental health : a global access science source · 2022Article
- Prenatal air pollution exposure increases the risk of macrosomia: evidence from a prospective cohort study in the coastal area of China.Environmental science and pollution research international · 2022Article
- Exposure to Ambient Air Pollutant PMBioMed research international · 2022Article
- Maternal Folic Acid Supplementation, Dietary Folate Intake, and Low Birth Weight: A Birth Cohort Study.Frontiers in public health · 2022Article
- Smog and risk of maternal and fetal birth outcomes: A retrospective study in Baoding, China.Open medicine (Warsaw, Poland) · 2022Article
- Long-term impact of ambient air pollution on preterm birth in Xuzhou, China: a time series study.Environmental science and pollution research international · 2021Article
- Association between Iron Supplementation, Dietary Iron Intake and Risk of Moderate Preterm Birth: A Birth Cohort Study in China.Iranian journal of public health · 2021Article
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Authors and funding
40 authors.
Funding
Abstract
importanceExposure to ambient particulate matter during pregnancy has been suggested as a risk factor for preterm birth. However results from limited epidemiologic studies have been inconclusive. Very few studies have been conducted in areas with high air pollution levels.
objectiveWe investigated the hypothesis that high level exposure to particulate matter with aerodynamic diameter no larger than 10μm (PM10) during pregnancy increases the risk of preterm birth.
methodsA birth cohort study was carried out between 2010 and 2012 in Lanzhou, China, including 8969 singleton live births with available information on daily PM10 levels from four monitoring stations, individual exposures during pregnancy were calculated using inverse-distance weighting based on both home and work addresses. Unconditional logistic regression modeling was used to examine the associations between PM10 exposure and risk of preterm birth and its clinical subtypes.
resultsIncreased risk of very preterm birth was associated with exposure to PM10 during the last two months of pregnancy (OR, 1.07; 95%CI, 1.02-1.13 per 10μg/m(3) increase for last four weeks before delivery; 1.09; 1.02-1.15 for last six weeks before delivery; 1.10; 1.03-1.17 for last eight weeks before delivery). Compared to the U.S. National Ambient Air Quality Standard (150μg/m(3)), higher exposure level (≥150μg/m(3)) of PM10 during entire pregnancy was associated with an increased risk of preterm birth (1.48; 1.22-1.81) and the association was higher for medically indicated preterm birth (1.80, 1.24-2.62) during entire pregnancy and for very preterm during last 6weeks before delivery (2.03, 1.11-3.72). CONCLUSIONS AND RELEVANCE: Our study supports the hypothesis that exposure to high levels of ambient PM10 increases the risk of preterm birth. Our study also suggests that the risk may vary by clinical subtypes of preterm birth and exposure time windows. Our findings are relevant for health policy makers from China and other regions with high levels of air pollution to facilitate the efforts of reducing air pollution level in order to protect public health.
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