ArticleScientific reports2018
Potential influence of temperature and precipitation on preterm birth rate in Puerto Rico.
Article in Scientific reports, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 3 of them syntheses that pooled it.
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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
15 citing papers in PubMed, 3 syntheses or guidelines pooled it, 29 citations in OpenAlex.
- The effect of flooding on low birthweight and preterm birth: a systematic review and meta-analysis.BMC public health · 2026Pooled it
- Climate Change-Related Environmental Exposures and Perinatal and Maternal Health Outcomes in the U.S.International journal of environmental research and public health · 2023Pooled 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
- 'Too much, too little' - heat wave impact during pregnancy and the need for adaptation measures.Global health action · 2025Article
- Scoping review of climate drivers on maternal health: current evidence and clinical implications.AJOG global reports · 2025Review
- Development, validation and reliability of scales and items for heat wave risk assessment of pregnant women.International journal of biometeorology · 2024Article
- A Difference-In Difference Analysis of the South Carolina 2015 Extreme Floods and the Association with Maternal Health.International journal of disaster risk reduction : IJDRR · 2023Article
- Adapting to Climate Change: Leveraging Systems-Focused Multidisciplinary Research to Promote Resilience.International journal of environmental research and public health · 2022Review
- Racial Disparities in Climate Change-Related Health Effects in the United States.Current environmental health reports · 2022Review
- Effect of Elevated Ambient Temperature on Maternal, Foetal, and Neonatal Outcomes: A Scoping Review.International journal of environmental research and public health · 2022Article
- Universal Thermal Climate Index (UTCI) and adverse pregnancy outcomes in Ahvaz, Iran.Reproductive health · 2022Article
- Adverse pregnancy and perinatal outcomes in Latin America and the Caribbean: systematic review and meta-analysis.Revista panamericana de salud publica = Pan American journal of public health · 2022Review
- Short-term effects of ambient temperature on preterm birth: a time-series analysis in Xuzhou, China.Environmental science and pollution research international · 2021Article
- Cohort profile: Center for Research on Early Childhood Exposure and Development in Puerto Rico.BMJ open · 2020Article
- Time series analysis of total and direct associations between high temperatures and preterm births in Detroit, Michigan.BMJ open · 2020Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors at 3 institutions in 1 country.
Funding
Abstract
The preterm birth (PTB) rate for singletons born in the tropical Caribbean island Puerto Rico increased from 11.3% in 1994, which was comparable to rates in the U.S., to as high as 18.3% in 2006 before decreasing to 15.5% in 2012. A few studies have reported that weather extremes are associated with higher risk of preterm birth, however, the effects of ambient temperature and precipitation has not been well examined in Puerto Rico. We compiled child birth data from the National Center for Health Statistics and weather data from the National Oceanic and Atmospheric Administration from 1994 to 2012. We explored the association between the weather factors and PTB rates with a distributed lag non-linear model (DLNM). We did not find direct association of lagged effect of temperature on birth outcome over monthly timescales. Both high intensity and frequency of precipitation and high frequency of storm and flood events are associated with increased risk of PTB rates. While the weather factors do not explain the marked increase and decrease in PTB rate, we emphasize the negative effects on PTB from weather extremes particularly precipitation in Puerto Rico.
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Registered trials
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.