Evidence map›Paper›PMID 29433021›Full record

ArticleEnvironmental research2018

Residential green space and birth outcomes in a coastal setting.

Kimberly B Glazer, Melissa N Eliot, Valery A Danilack, Lynn Carlson, Maureen G Phipps, Payam Dadvand, David A Savitz, Gregory A Wellenius

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In one paragraph

Article in Environmental research, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 4 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

21 citing papers in PubMed, 4 syntheses or guidelines pooled it.

  1. Beneficial Use Impairments, Degradation of Aesthetics, and Human Health: A Review.International journal of environmental research and public health · 2022
    Pooled it
  2. Pooled it
  3. Pooled it
  4. A Systematic Review and Meta-Analysis of Associations between Green and Blue Spaces and Birth Outcomes.International journal of environmental research and public health · 2020
    Pooled it
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  12. Impacts of Urban Blue-Green Space on Residents' Health: A Bibliometric Review.International journal of environmental research and public health · 2022
    Review
  13. Associations between Greenspaces and Individual Health: A Longitudinal Study in China.International journal of environmental research and public health · 2022
    Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Kimberly B GlazerDepartment of Epidemiology, Brown University School of Public Health, 121 South Main Street, Box G-S121, Floor 2, Providence, RI 02903, USA. Electronic address: kimberly_glazer@brown.edu.
Melissa N EliotDivision of Research, Women & Infants Hospital, 101 Dudley Street, Providence, RI, USA.
Valery A DanilackDepartment of Epidemiology, Brown University School of Public Health, 121 South Main Street, Box G-S121, Floor 2, Providence, RI 02903, USA; Division of Research, Women & Infants Hospital, 101 Dudley Street, Providence, RI, USA.
Lynn CarlsonDepartment of Earth, Environmental, and Planetary Sciences, Brown University, 85 Waterman Street, IBES 143, Providence, RI, USA.
Maureen G PhippsDepartment of Epidemiology, Brown University School of Public Health, 121 South Main Street, Box G-S121, Floor 2, Providence, RI 02903, USA; Department of Obstetrics and Gynecology, Warren Alpert Medical School of Brown University, Providence, RI, USA; Department of Obstetrics and Gynecology, Women & Infants Hospital, Providence, RI, USA.
Payam DadvandISGlobal, Centre for Research in Environmental Epidemiology (CREAL), Barcelona Biomedical Research Park, Dr. Aiguader, 88, 08003 Barcelona, Spain; Pompeu Fabra University, Barcelona, Catalonia, Spain; Ciber on Epidemiology and Public Health (CIBERESP), Madrid, Spain.
David A SavitzDepartment of Epidemiology, Brown University School of Public Health, 121 South Main Street, Box G-S121, Floor 2, Providence, RI 02903, USA; Department of Obstetrics and Gynecology, Warren Alpert Medical School of Brown University, Providence, RI, USA.
Gregory A WelleniusDepartment of Epidemiology, Brown University School of Public Health, 121 South Main Street, Box G-S121, Floor 2, Providence, RI 02903, USA.

Funding

Science/Technical CoreP2CHD041020 · NICHD · BROWN UNIVERSITY · PI ZHENCHAO QIAN · 2016 to 2026
$7.6M
Comparative Effectiveness of Interventions for Labor InductionK01HS025013 · AHRQ · WOMEN AND INFANTS HOSPITAL-RHODE ISLAND · PI DANILACK, VALERY · 2016 to 2020
$535k
Residential Air Pollution and PreeclampsiaR21ES023073 · NIEHS · BROWN UNIVERSITY · PI WELLENIUS, GREGORY A · 2013 to 2014
$466k
AHRQ HHS K01 HS025013NICHD NIH HHS P2C HD041020NIEHS NIH HHS R21 ES023073
6 · The paper itself

Abstract

backgroundResidential green space may improve birth outcomes, with prior studies reporting higher birthweight among infants of women living in greener areas. However, results from studies evaluating associations between green space and preterm birth have been mixed. Further, the potential influence of residential proximity to water, or 'blue space', on health has not previously been evaluated.

objectivesTo evaluate associations between green and blue space and birth outcomes in a coastal area of the northeastern United States.

methodsUsing residential surrounding greenness (measured by Normalized Difference Vegetation Index [NDVI]) and proximity to recreational facilities, coastline, and freshwater as measures of green and blue space, we examined associations with preterm birth (PTB), term birthweight, and term small for gestational age (SGA) among 61,640 births in Rhode Island. We evaluated incremental adjustment for socioeconomic and environmental metrics.

resultsIn models adjusted for individual - and neighborhood-level markers of socioeconomic status (SES), an interquartile range (IQR) increase in NDVI was associated with a 12% higher (95% CI: 4, 20%) odds of PTB and, conversely, living within 500 m of a recreational facility was associated with a 7% lower (95% CI: 1, 13%) odds of PTB. These associations were eliminated after further adjustment for town of residence. NDVI was associated with higher birthweight (7.4 g, 95% CI: 0.4-14.4 g) and lower odds of SGA (OR = 0.92, 95% CI: 0.87-0.98) when adjusted for individual-level markers of SES, but not when further adjusted for neighborhood SES or town. Living within 500 m of a freshwater body was associated with a higher birthweight of 10.1 g (95% CI: 2.0, 18.2) in fully adjusted models.

conclusionsFindings from this study do not support the hypothesis that residential green space is associated with reduced risk of preterm birth or higher birthweight after adjustment for individual and contextual socioeconomic factors, but variation in results with incremental adjustment raises questions about the optimal degree of control for confounding by markers of SES. We found that living near a freshwater body was associated with higher birthweight. This result is novel and bears further investigation in other settings and populations.

Indexed as

EnvironmentEnvironment DesignPremature BirthAdultCitiesFemaleHumansInfant, NewbornMedicareNew EnglandPregnancyRhode IslandRiskUnited StatesBlue spaceEpidemiologyGreen spaceNDVIPregnancy outcomes

Identifiers

PMID29433021
PMCPMC5878729

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.