Evidence map›Paper›PMID 33778352›Full record

ArticleEnvironmental epidemiology (Philadelphia, Pa.)2020

Residential proximity to major roads and fecundability in a preconception cohort.

Amelia K Wesselink, Kipruto Kirwa, Elizabeth E Hatch, Perry Hystad, Adam A Szpiro, Joel D Kaufman, Jonathan I Levy, Ellen M Mikkelsen, Sabah M Quraishi, Kenneth J Rothman and 1 more

Abstract read
In one paragraph

Article in Environmental epidemiology (Philadelphia, Pa.), 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 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

17 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Dynamic Associations between Ambient PMEnvironment & health (Washington, D.C.) · 2026
    Article
  3. Racialized economic segregation in relation to fecundability in a preconception cohort study.Journal of urban health : bulletin of the New York Academy of Medicine · 2026
    Article
  4. Article
  5. Residential Exposure to PMPaediatric and perinatal epidemiology · 2025
    Article
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  16. The effect of short term exposure to outdoor air pollution on fertility.Reproductive biology and endocrinology : RB&E · 2021
    Article
  17. Article
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

11 authors.

Amelia K WesselinkDepartment of Epidemiology, Boston University School of Public Health, Boston, Massachusetts.
Kipruto KirwaDepartment of Environmental and Occupational Health Sciences, University of Washington School of Public Health, Seattle, Washington.
Elizabeth E HatchDepartment of Epidemiology, Boston University School of Public Health, Boston, Massachusetts.
Perry HystadCollege of Public Health and Human Sciences, Oregon State University, Corvalis, Oregon.
Adam A SzpiroDepartment of Environmental and Occupational Health Sciences, University of Washington School of Public Health, Seattle, Washington.
Joel D KaufmanDepartment of Environmental and Occupational Health Sciences, University of Washington School of Public Health, Seattle, Washington.
Jonathan I LevyDepartment of Environmental Health, Boston University School of Public Health, Boston, Massachusetts.
Ellen M MikkelsenDepartment of Clinical Epidemiology, Aarhus University Hospital, Aarhus, Denmark.
Sabah M QuraishiDepartment of Environmental and Occupational Health Sciences, University of Washington School of Public Health, Seattle, Washington.
Kenneth J RothmanDepartment of Epidemiology, Boston University School of Public Health, Boston, Massachusetts.
Lauren A WiseDepartment of Epidemiology, Boston University School of Public Health, Boston, Massachusetts.

Funding

XENOBIOTIC BIOTRANSFORMATION AND DISPOSITIONP30ES007033 · NIEHS · UNIVERSITY OF WASHINGTON · PI Sheela Sathyanarayana · 1995 to 2026
$42.5M
An internet-based preconception cohort study in North America and DenmarkR01HD086742 · NICHD · BOSTON UNIVERSITY MEDICAL CAMPUS · PI LAUREN A WISE · 2016 to 2026
$6.7M
A preconception cohort study of air pollution, fertility, and miscarriageR01ES028923 · NIEHS · BOSTON UNIVERSITY MEDICAL CAMPUS · PI LAUREN A WISE, Amelia Kent Wesselink · 2018 to 2026
$4.3M
An internet based prospective study of time to pregnancyR01HD060680 · NICHD · BOSTON UNIVERSITY MEDICAL CAMPUS · PI HATCH, ELIZABETH E · 2010 to 2014
$2.6M
A Pilot Study Of Internet Recruitment and follow-up among Reproductive Age WomenR21HD050264 · NICHD · BOSTON UNIVERSITY MEDICAL CAMPUS · PI HATCH, ELIZABETH E · 2006 to 2007
$399k
Feasibility of an internet-based study of time-to-pregnancy in the United StatesR21HD072326 · NICHD · BOSTON UNIVERSITY MEDICAL CAMPUS · PI WISE, LAUREN A · 2013 to 2014
$337k
NICHD NIH HHS R01 HD060680NICHD NIH HHS R01 HD086742NICHD NIH HHS R21 HD050264NICHD NIH HHS R21 HD072326NIEHS NIH HHS P30 ES007033NIEHS NIH HHS R01 ES028923
6 · The paper itself

Abstract

Emerging evidence from animal and human studies indicates that exposure to traffic-related air pollution may adversely affect fertility.

methodsAmong 7,342 female pregnancy planners from the United States and 1,448 from Canada, we examined the association between residential proximity to major roads and fecundability, the per-cycle probability of conception. From 2013 to 2019, women 21-45 years old who were trying to conceive without fertility treatment completed an online baseline questionnaire and follow-up questionnaires every 8 weeks for up to 12 months or until pregnancy. We geocoded residential addresses reported at baseline and during follow-up, and calculated distance to nearest major roads and length of major roads within buffers of 50, 100, 300, and 400 meters around the residence as proxies for traffic-related air pollution. We used proportional probabilities regression models to estimate fecundability ratios (FRs) and 95% confidence intervals (CIs), adjusting for individual- and neighborhood-level characteristics.

resultsIn the United States, the FR comparing women who lived <50 meters with those who lived ≥400 meters from the closest major road was 0.88 (95% CI = 0.80, 0.98). The association among Canadian women was similar in magnitude, but less precise (FR = 0.93; 95% CI = 0.74, 1.16). Likewise, length of major roads within buffers of 50 and 100 meters was associated with lower fecundability in both countries; associations were attenuated within larger buffers.

conclusionsThese results are consistent with the hypothesis that traffic-related air pollution or other near-road exposures may adversely affect fecundability.

Indexed as

FecundabilityFertilityPreconception cohortRoad proximityTraffic-related air pollution

Identifiers

PMID33778352
PMCPMC7941774

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LicenceCC BY-NC-ND
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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.