ArticleEnvironmental health perspectives2016
Ambient Temperature and the Risk of Preterm Birth in Guangzhou, China (2001-2011).
Article in Environmental health perspectives, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 79 papers, 6 of them syntheses that pooled it.
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Who cites it
79 citing papers in PubMed, 6 syntheses or guidelines pooled it, 168 citations in OpenAlex.
- Association between heat and air pollution (PMBMJ paediatrics open · 2025Pooled it
- Incidence and trend of preterm birth in China, 1990-2016: a systematic review and meta-analysis.BMJ open · 2020Pooled it
- A review of the impact of outdoor and indoor environmental factors on human health in China.Environmental science and pollution research international · 2020Pooled it
- Associations between high temperatures in pregnancy and risk of preterm birth, low birth weight, and stillbirths: systematic review and meta-analysis.BMJ (Clinical research ed.) · 2020Pooled it
- Heat Exposure and Maternal Health in the Face of Climate Change.International journal of environmental research and public health · 2017Pooled it
- Impact of ambient heat exposure on pregnancy outcomes in low- and middle-income countries: A systematic review.Women's health (London, England)Pooled it
- Association between extreme heat exposure and risk of preterm birth and its effect modifiers: a systematic review and meta-analysis.Journal of exposure science & environmental epidemiology · 2026Article
- Exposure to extreme temperatures may increase the risk of preterm birth: findings from a contemporary US cohort.International journal of epidemiology · 2026Article
- The role of housing instability in the association between ambient temperature and preterm birth.Environmental health : a global access science source · 2026Article
- 'Too much, too little' - heat wave impact during pregnancy and the need for adaptation measures.Global health action · 2025Article
- Ambient biothermal stress, preconceptional thyrotropin abnormalities, and the risk of preterm birth: a nationwide Chinese cohort study.Nature communications · 2025Article
- Prenatal exposure to ambient temperature and preterm birth: a historical cohort.International journal of epidemiology · 2025Article
- Exposure to low concentrations of PMBMC public health · 2025Article
- Maternal exposure to ambient temperature and risk of preterm birth in Chengdu, China, from 2017 to 2020: a cohort study.BMC public health · 2025Article
- Ambient temperature and ozone exposure increases the risk of preterm birth in Northeast China: a time series analysis.Frontiers in public health · 2025Article
- International Conference on Population and Development (ICPD) Programme of Action and climate action: an intersecting agenda.Sexual and reproductive health matters · 2024Article
- Development, validation and reliability of scales and items for heat wave risk assessment of pregnant women.International journal of biometeorology · 2024Article
- 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
- Heat impacts on human health in the Western Pacific Region: an umbrella review.The Lancet regional health. Western Pacific · 2024Review
- Immortal Time Bias With Time-Varying Exposures in Environmental Epidemiology: A Case Study in Lung Cancer Survival.American journal of epidemiology · 2023Article
19 more citing papers are in PubMed but not listed here.
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Authors and funding
13 authors at 6 institutions in 3 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundAlthough effects of weather changes on human health have been widely reported, there is limited information regarding effects on pregnant women in developing countries.
objectiveWe investigated the association between maternal exposure to ambient temperature and the risk of preterm birth (< 37 weeks of gestation) in Guangzhou, China.
methodsWe used a Cox proportional hazards model to estimate associations between preterm birth and average temperature during each week of gestation, with weekly temperature modeled as a time-varying exposure during four time windows: 1 week (the last week of the pregnancy), 4 weeks (the last 4 weeks of the pregnancy), late pregnancy (gestational week 20 onward), and the entire pregnancy. Information on singleton vaginal birth between 2001 and 2011 was collected. Daily meteorological data during the same period were obtained from the Guangzhou Meteorological Bureau.
resultsA total of 838,146 singleton vaginal births were included, among which 47,209 (5.6%) were preterm births. High mean temperatures during the 4 weeks, late pregnancy, and the entire pregnancy time windows were associated with an increased risk of preterm birth. Compared with the median temperature (24.4°C), weekly exposures during the last 4 weeks of the pregnancy to extreme cold (7.6°C, the 1st percentile) and extreme heat (31.9°C, the 99th percentile) were associated with 17.9% (95% CI: 10.2, 26.2%) and 10.0% (95% CI: 2.9, 17.6%) increased risks of preterm birth, respectively. The association between extreme heat and preterm birth was stronger for preterm births during weeks 20-31 and 32-34 than those during weeks 35-36.
conclusionsThese findings might have important implications in preventing preterm birth in Guangzhou as well as other areas with similar weather conditions. CITATION: He JR, Liu Y, Xia XY, Ma WJ, Lin HL, Kan HD, Lu JH, Feng Q, Mo WJ, Wang P, Xia HM, Qiu X, Muglia LJ. 2016. Ambient temperature and the risk of preterm birth in Guangzhou, China (2001-2011). Environ Health Perspect 124:1100-1106; http://dx.doi.org/10.1289/ehp.1509778.
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