Traffic-Related Air Pollution and Perinatal Mortality: A Case–Control Study
2009

Traffic-Related Air Pollution and Perinatal Mortality

Sample size: 631 publication 10 minutes Evidence: moderate

Author Information

Author(s): de Medeiros Andréa Paula Peneluppi, Gouveia Nelson, Machado Reinaldo Paul Pérez, de Souza Miriam Regina, Alencar Gizelton Pereira, Novaes Hillegonda Maria Dutilh, de Almeida Márcia Furquim

Primary Institution: University São Paulo

Hypothesis

Is there an association between traffic-related air pollution and perinatal mortality?

Conclusion

Motor vehicle exhaust exposures may be a risk factor for perinatal mortality.

Supporting Evidence

  • Mothers exposed to the highest quartile of traffic density had a 50% increased risk of early neonatal death.
  • Perinatal mortality is influenced by socioeconomic conditions and maternal health factors.
  • Previous studies have linked air pollution to low birth weight and preterm birth.

Takeaway

Living near busy roads can make babies more likely to die before or shortly after birth.

Methodology

A case-control study was conducted in 14 districts of São Paulo, Brazil, assessing traffic-related air pollution exposure and perinatal mortality.

Potential Biases

Potential for nondifferential misclassification of exposure and residual confounding by unmeasured factors.

Limitations

The study may have misclassified exposure due to reliance on residential addresses and did not account for mobility during pregnancy.

Participant Demographics

The study included mothers of perinatal deaths and controls from the same geographic area, with varying socioeconomic conditions.

Statistical Information

P-Value

1.47

Confidence Interval

0.67–3.19

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1289/ehp.11679

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