ArticleInnovation (Cambridge (Mass.))2022
Effects of greenness on preterm birth: A national longitudinal study of 3.7 million singleton births.
Article in Innovation (Cambridge (Mass.)), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
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Who cites it
14 citing papers in PubMed, 36 citations in OpenAlex.
- Transforming urban parks into comprehensive-health- promoting spaces.Frontiers in public health · 2026Article
- Interactive and joint associations of prenatal ozone and PMBMC public health · 2025Article
- Prenatal greenness exposure and the decreased risk of low birthweight and small for gestational age: modification and mediation effects of air pollution.BMC public health · 2025Article
- Prenatal exposure to residential greenness, fetal growth, and birth outcomes: a cohort study in New York City.American journal of epidemiology · 2025Article
- Early-life residential greenness and sleep disturbances in preschoolers across 551 cities of China.Eco-Environment & Health · 2025Article
- Article
- The influence of socioeconomic status on the association between residential greenness and gestational diabetes mellitus in an urban setting: a multicenter study.BMC public health · 2025Article
- Identifying the critical windows and joint effects of greenness and particulate matter exposures for preterm birth: a retrospective study across Guangdong Province in China from 2014 to 2018.BMC public health · 2025Article
- Establishing a Multifaceted Comprehensive Maternity Cohort Facilitates Understanding of How Environmental Exposures Impact Perinatal Health.Environment & health (Washington, D.C.) · 2024Review
- Urban residential greenness and cancer mortality: Evaluating the causal mediation role of air pollution in a large cohort.Environmental pollution (Barking, Essex : 1987) · 2024Article
- Disparities in the association between ambient temperature and preterm birth according to individual and regional characteristics: a nationwide time-stratified case-crossover study.Environmental health : a global access science source · 2024Article
- Effects of land cover and air pollution on the risk of preterm births.Revista de saude publica · 2024Article
- Surrounding greenness is associated with lower risk and burden of low birth weight in Iran.Nature communications · 2023Article
- China's unwavering determination in protecting pregnancy and perinatal health.Innovation (Cambridge (Mass.)) · 2022Article
Corrections and comments
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Authors and funding
20 authors at 4 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Exposure to greenness may lead to a wide range of beneficial health outcomes. However, the effects of greenness on preterm birth (PTB) are inconsistent, and limited studies have focused on the subcategories of PTB. A total of 3,751,672 singleton births from a national birth cohort in mainland China were included in this study. Greenness was estimated using the satellite-based Normalized Difference Vegetation Index (NDVI) and Enhanced Vegetation Index with 500-m and 1,000-m buffers around participants' addresses. The subcategories of PTB (20-36 weeks) included extremely PTB (EPTB, 20-27 weeks), very PTB (VPTB, 28-31 week), and moderate-to-late PTB (MPTB, 32-36 weeks). Gestational age (GA) was included as another birth outcome. We used logistic regression models and multiple linear regression models to analyze these associations throughout the entire pregnancy. We found inverse associations between greenness and PTB and positive associations between greenness and GA. Specifically, an increase of 0.1 NDVI exposure within a 500-m buffer throughout the entire pregnancy was significantly associated with decreases in PTB (odds ratio [OR], 0.930; 95% confidence interval [CI], 0.927-0.932), EPTB (OR, 0.820; 95% CI, 0.801-0.839), VPTB (OR, 0.913; 95% CI, 0.908-0.919), MPTB (OR, 0.934; 95% CI, 0.931-0.936), and an increase in GA (β = 0.050; 95% CI, 0.049-0.051 weeks). These results suggest the potential protective effects of greenness on PTB and its subcategories: MPTB, VPTB, and EPTB in China.
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