ArticleEnvironmental research2019
Unconventional natural gas development and adverse birth outcomes in Pennsylvania: The potential mediating role of antenatal anxiety and depression.
Article in Environmental research, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.
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Who cites it
21 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Oil and Gas Development and Adverse Birth Outcomes: A Qualitative and Quantitative Bias Analysis of the Epidemiologic Literature.Current environmental health reports · 2026Pooled it
- High populations near fossil fuel energy infrastructure across the supply chain and implications for an equitable energy transition.Environmental research letters : ERL [Web site] · 2025Article
- IMPACT OF BOOM-AND-BUST ECONOMIES FROM OIL AND GAS DEVELOPMENT ON PSYCHIATRIC HOSPITALIZATIONS AMONG MEDICAID BENEFICIARIES.Environmental research, health : ERH · 2025Article
- Association of maternal metal exposure and psychological status with adverse pregnancy outcomes: a nested case-control study.Frontiers in public health · 2025Article
- The Causal Effect of Increasing Area-Level Income on Birth Outcomes and Pregnancy-Related Health: Estimates From the Marcellus Shale Boom Economy.Demography · 2024Article
- Invited Perspective: Drilling Down into the Mechanisms Linking Oil and Gas Development to Adverse Perinatal Health Outcomes.Environmental health perspectives · 2024Article
- Residential Proximity to Oil and Gas Development and Mental Health in a North American Preconception Cohort Study: 2013-2023.American journal of public health · 2024Article
- Residential proximity to unconventional oil and gas development and birth defects in Ohio.Environmental research · 2023Article
- It's electric! An environmental equity perspective on the lifecycle of our energy sources.Environmental epidemiology (Philadelphia, Pa.) · 2023Article
- Associations between occurrence of birth defects and hydraulic fracturing activities in Barnett shale region, Texas.Heliyon · 2023Article
- Temporal Trends of Racial and Socioeconomic Disparities in Population Exposures to Upstream Oil and Gas Development in California.GeoHealth · 2023Article
- Manmade earthquakes and healthcare visits for anxiety disorders in Oklahoma, 2010-2019.Environmental epidemiology (Philadelphia, Pa.) · 2023Article
- Assessing Exposure to Unconventional Oil and Gas Development: Strengths, Challenges, and Implications for Epidemiologic Research.Current environmental health reports · 2022Review
- The association of unconventional natural gas development with diagnosis and treatment of internalizing disorders among adolescents in Pennsylvania using electronic health records.Environmental research · 2022Article
- Associations between residential proximity to oil and gas extraction and hypertensive conditions during pregnancy: a difference-in-differences analysis in Texas, 1996-2009.International journal of epidemiology · 2022Article
- Associations between Residential Proximity to Oil and Gas Drilling and Term Birth Weight and Small-for-Gestational-Age Infants in Texas: A Difference-in-Differences Analysis.Environmental health perspectives · 2021Article
- Educational note: addressing special cases of bias that frequently occur in perinatal epidemiology.International journal of epidemiology · 2021Article
- Oil and gas production and spontaneous preterm birth in the San Joaquin Valley, CA: A case-control study.Environmental epidemiology (Philadelphia, Pa.) · 2020Article
- Shale Gas Development and Community Distress: Evidence from England.International journal of environmental research and public health · 2020Article
- Critical evaluation of human health risks due to hydraulic fracturing in natural gas and petroleum production.Archives of toxicology · 2020Review
Corrections and comments
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Authors and funding
8 authors.
Funding
Abstract
backgroundStudies have reported associations between unconventional natural gas development (UNGD) and adverse birth outcomes. None have evaluated potential mediating mechanisms.
objectivesTo evaluate associations between (1) UNGD and antenatal anxiety and depression and (2) antenatal anxiety and depression and preterm birth (<37 weeks gestation) and reduced term birth weight, (3) stochastic direct and indirect effects of UNGD on preterm birth and term birth weight operating through antenatal anxiety and depression, and (4) effect modification by family-level socioeconomic status.
methodsThis retrospective cohort study included mothers without prevalent anxiety or depression at time of conception, who delivered at Geisinger in Pennsylvania between January 2009-January 2013. We assembled phase-specific UNGD activity data from public sources. Mothers were categorized as exposed (quartile 4) or unexposed (quartiles 1-3) based on average daily inverse distance-squared UNGD activity metric between conception and the week prior to anxiety or depression (cases) or the pregnancy-average daily metric (non-cases). We estimated associations with a doubly robust estimator (targeted minimum loss-based estimation) and adjusted for potential individual- and community-level confounding variables.
resultsAnalyses included 8,371 births to 7,715 mothers, 12.2% of whom had antenatal anxiety or depression. We found 4.3 additional cases of antenatal anxiety or depression per 100 women (95% CI: 1.5, 7.0) under the scenario where all mothers lived in the highest quartile of UNGD activity versus quartiles 1-3. The risk difference appeared larger among mothers receiving Medical Assistance (indicator of low family income) compared to those who did not, 5.6 (95% CI: 0.5, 10.6) versus 2.9 (95% CI: -0.7, 6.5) additional cases of antenatal anxiety or depression per 100 women. We found no relationship between antenatal anxiety or depression and adverse birth outcomes and no mediation effect either overall or when stratifying by Medical Assistance.
conclusionWe observed a relationship between UNGD activity and antenatal anxiety and depression, which did not mediate the overall association between UNGD activity and adverse birth outcomes.
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