Evidence map›Paper›PMID 42530525›Full record

ArticlePaediatric and perinatal epidemiology2026

Associations of Pre-Pregnancy and Prenatal Outdoor Nighttime Light, Green Space and Neighbourhood Walkability With Preterm Birth: Results From Ruian Birth Cohort Study.

Qiuqiu Mu, Jiawei Fang, Yixian Zheng, Chengxiu Zhu, Peijun Chen, Yexinyi Zhou, Yinyin He, Wenyi Zhang, Chenjun Tang, Jing Guo and 3 more

Abstract read
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In one paragraph

Article in Paediatric and perinatal epidemiology, 2026. 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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1 · What the graph read from it

What it found

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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.

2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

13 authors.

Qiuqiu MuThe Third Affiliated Hospital of Wenzhou Medical University, Wenzhou, Zhejiang, China.
Jiawei FangDepartment of Public Health, Zhejiang University School of Medicine, Hangzhou, Zhejiang, China.ORCID https://orcid.org/0009-0000-3421-817X
Yixian ZhengThe Third Affiliated Hospital of Wenzhou Medical University, Wenzhou, Zhejiang, China.
Chengxiu ZhuThe Third Affiliated Hospital of Wenzhou Medical University, Wenzhou, Zhejiang, China.
Peijun ChenThe Third Affiliated Hospital of Wenzhou Medical University, Wenzhou, Zhejiang, China.
Yexinyi ZhouDepartment of Public Health, Zhejiang University School of Medicine, Hangzhou, Zhejiang, China.
Yinyin HeDepartment of Public Health, Zhejiang University School of Medicine, Hangzhou, Zhejiang, China.
Wenyi ZhangDepartment of Public Health, Zhejiang University School of Medicine, Hangzhou, Zhejiang, China.
Chenjun TangDepartment of Public Health, Zhejiang University School of Medicine, Hangzhou, Zhejiang, China.
Jing GuoSchool of Public Health, Zhejiang Chinese Medical University, Hangzhou, Zhejiang, China.ORCID https://orcid.org/0000-0002-2177-6970
Guangdi ChenDepartment of Public Health, Zhejiang University School of Medicine, Hangzhou, Zhejiang, China.ORCID https://orcid.org/0000-0003-3480-4907
Lin LinThe Third Affiliated Hospital of Wenzhou Medical University, Wenzhou, Zhejiang, China.
Wenjun DuThe Third Affiliated Hospital of Wenzhou Medical University, Wenzhou, Zhejiang, China.

Funding

National Natural Science Foundation of China U22A20358Wenzhou Science and Technology Bureau Y20220408Zhejiang Provincial Program for the Cultivation of High-Level Innovative Health Talents 2020-18
6 · The paper itself

Abstract

backgroundEpidemiological studies have reported associations between the built environment and adverse pregnancy outcomes, but research examining sensitive time windows and the potential interaction effects between exposures remains limited.

objectivesTo examine how built environment relates to preterm birth (PTB) and potential interaction effects between exposures.

methodsBased on 2418 pregnant women from the Ruian Birth Cohort Study (RBCS), we assessed pre-pregnancy and prenatal artificial light at night (ALAN), normalised difference vegetation index (NDVI) and neighbourhood walkability in relation to PTB risk via Cox regression models, and examined interactions and sensitive periods.

resultsPre-pregnancy and prenatal NDVI were associated with decreased preterm risk [Hazard ratio (HR)

conclusionsALAN showed a non-linear association with PTB risk: low to moderate levels were linked to increased risk, whilst high ALAN levels did not increase risk. Green space was linked to lower PTB risk. Negative additive interactions were found between ALAN and green space, as well as between ALAN and neighbourhood walkability, indicating that the associations of green space and neighbourhood walkability and PTB were stronger when ALAN was at higher levels.

Indexed as

Built EnvironmentNeighborhood CharacteristicsPremature BirthWalkingAdultBirth CohortFemaleHumansInfant, NewbornPregnancyResidence CharacteristicsRisk Factorsartificial light at nightcohort studygreen spaceneighbourhood walkabilitypreterm birth

Identifiers

PMID42530525
PMCPMC13522659

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