ArticleWorld medical & health policy2018
Examining Joint Effects of Air Pollution Exposure and Social Determinants of Health in Defining "At-Risk" Populations Under the Clean Air Act: Susceptibility of Pregnant Women to Hypertensive Disorders of Pregnancy.
Article in World medical & health policy, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers.
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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.
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.
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Who cites it
32 citing papers in PubMed.
- The combined impact of chemical and non-chemical stressors on adverse health outcomes: an overview of reviews from the epidemiological literature and experimental animal studies.Journal of exposure science & environmental epidemiology · 2026Review
- Maternal Heat Shock Protein as a Potential Biomarker of Adaptation to Heat Stress during Pregnancy and Its Relation to Preterm Birth.Environmental science & technology · 2026Article
- Environmental and planetary health education for healthcare professionals: A social imperative.Future healthcare journal · 2026Article
- Climate Change and Reproductive Health.Endocrine reviews · 2025Review
- Air pollution exposure during pregnancy and low birth weight and macrosomia: the role of gestational diabetes mellitus.Reproductive health · 2025Article
- Impact of air quality policy scenarios on pollution inequalities in a UK metropolitan area.Frontiers in public health · 2025Article
- Impact of climate change and environmental adversities on maternal and fetal health: the role of clinical practices and providers in mitigating effects and prioritising women's health in the UK.Frontiers in global women's health · 2025Review
- Organophosphate ester flame retardant chemicals and maternal depression during pregnancy.Environmental research · 2024Article
- Independent and joint effects of neighborhood-level environmental and socioeconomic exposures on body mass index in early childhood: The environmental influences on child health outcomes (ECHO) cohort.Environmental research · 2024Article
- Asthma and landscape fire smoke: A Thoracic Society of Australia and New Zealand position statement.Respirology (Carlton, Vic.) · 2023Review
- Effects of Air Pollution Exposure during Preconception and Pregnancy on Gestational Diabetes Mellitus.Toxics · 2023Article
- Before the first breath: why ambient air pollution and climate change should matter to neonatal-perinatal providers.Journal of perinatology : official journal of the California Perinatal Association · 2023Review
- Associations between Air Pollution Exposure and Blood Pressure during Pregnancy among PRINCESA Cohort Participants.Toxics · 2023Article
- Housing: Fragile buffer to wildfire smoke in pregnancy.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2023Article
- Mapping Health Fragility and Vulnerability in Air Pollution-Monitoring Networks in Dallas-Fort Worth.International journal of environmental research and public health · 2023Article
- A science-based agenda for health-protective chemical assessments and decisions: overview and consensus statement.Environmental health : a global access science source · 2023Article
- Current practice and recommendations for advancing how human variability and susceptibility are considered in chemical risk assessment.Environmental health : a global access science source · 2023Review
- Cellular mechanisms linking to outdoor and indoor air pollution damage during pregnancy.Frontiers in endocrinology · 2023Review
- The impact of prolonged landscape fire smoke exposure on women with asthma in Australia.BMC pregnancy and childbirth · 2022Article
- Using non-parametric Bayes shrinkage to assess relationships between multiple environmental and social stressors and neonatal size and body composition in the Healthy Start cohort.Environmental health : a global access science source · 2022Article
Corrections and comments
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Authors and funding
12 authors.
Funding
Abstract
Pregnant women are uniquely susceptible to adverse effects of air pollution exposure due to vulnerabilities and health consequences during pregnancy (e.g., hypertensive disorders of pregnancy [HDP]) compared to the general population. Because the Clean Air Act (CAA) creates a duty to protect at-risk groups, the regulatory assessment of at-risk populations has both policy and scientific foundations. Previously, pregnant women have not been specially protected in establishing the margin of safety for the ozone and particulate matter (PM) standards. Due to physiological changes, pregnant women can be at greater risk of adverse effects of air pollution and should be considered an at-risk population. Women with preexisting conditions, women experiencing poverty, and groups that suffer systematic discrimination may be particularly susceptible to cardiac effects of air pollutants during pregnancy. We rigorously reviewed 11 studies of over 1.3 million pregnant women in the United States to characterize the relationship between ozone or PM exposure and HDP. Findings were generally mixed, with a few studies reporting a joint association between ozone or PM and social determinants or pre-existing chronic health conditions related to HDP. Adequate evidence associates exposure to PM with an adverse effect of HDP among pregnant women not evident among non-gravid populations.
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Registered trials
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