ArticlemedRxiv : the preprint server for health sciences2025
Ambient air pollution and the sex ratio at birth: a systematic review and narrative synthesis.
Article in medRxiv : the preprint server for health sciences, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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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.
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5 authors.
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Abstract
Ambient air pollution is associated with adverse pregnancy outcomes such as stillbirth, miscarriage, and preterm birth. However, its effects on the viability, implantation, and survival of conceptuses-largely unobserved before the clinical detection of pregnancy-remain poorly understood. Shifts in the sex ratio at birth (SRB) provide a sensitive, population-level indicator of sex-biased conception and pregnancy loss. This systematic review examined whether maternal exposure to ambient air pollution before conception and during pregnancy is associated with deviations in the SRB. We searched MEDLINE, Embase, and Global Health from inception to 12 February 2025 for observational studies assessing both ambient air pollution exposure and SRB. Eleven studies met the inclusion criteria, representing data from eight countries spanning 1970-2023. PM
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