Cited by 61Air Quality and Health ImpactsToxic Organic Pollutants ImpactEnvironmental Justice and Health Disparities

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Preterm birth and term low birth weight associated with wildfire-specific PM2.5: A cohort study in New South Wales, Australia during 2016–2019

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Abstract

Exposure to wildfire smoke has been linked with a range of health outcomes. However, to date, evidence is limited for the association between wildfire-specific PM2.5, a primary emission of wildfire smoke, and adverse birth outcomes. We aimed to estimate the risk and burden of preterm birth/term low birth weight, associated with maternal exposure to wildfire-specific PM2.5. A total of 330,884 birth records with maternal information were collected from the New South Wales Australia from 2015 to 2019, covering 523 residential communities. Daily wildfire-specific PM2.5 at a 0.25° × 0.25° (≈ 25 km × 25 km) resolution was estimated by a machine learning method combining 3-D chemical transport model (GEOS-Chem) and reanalysis meteorological data. Cox proportional hazards models were implemented to evaluate the association between wildfire-specific PM2.5 and preterm birth/term low birth weight. Number and fraction of preterm birth/term low birth weight attributable to wildfire-specific PM2.5 during pregnancy were calculated. Per one interquartile-range rise in wildfire-specific PM2.5 was found to be associated with 6.9% (HR: 1.069, 95% CI: 1.058–1.081) increased risk of preterm birth and 3.6% (HR: 1.036, 95% CI: 1.014–1.058) higher risk of term low birth weight. The most susceptible gestational window was the 2nd trimester for preterm birth whereas the 1st for term low birth weight. We estimated that 14.30% preterm births and 8.04% term low birth weight cases were attributable to maternal exposure to wildfire-specific PM2.5 during the whole pregnancy. Male infants and mothers aged ≥ 40, experiencing temperature extremes or living in the inner region, and concepted during spring had higher risks of preterm birth/term low birth weight associated with wildfire-specific PM2.5. Comparatively, mothers with advanced age have a higher risk of preterm birth while younger mothers were more likely to deliver term newborns with low birth weight, when being exposed to wildfire-specific PM2.5. Pregnancy-induced hypertension enhanced the risk of preterm birth associated with wildfire-specific PM2.5. This study strengthened robust evidence on the enhanced risk of preterm birth/term low birth weight associated with maternal exposure to wildfire-specific PM2.5. In light of higher frequency and intensity of wildfire occurrences globally, more special attention should be paid to pregnant women by policy makers.

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Metadata

Authors
Zhang, Y., Ye, T., Yu, P., Xu, R., Chen, G., Yu, W., Song, J., Guo, Y., & Li, S.
Affiliations
Monash University (AU)
Corresponding author
Li, Shanshan
Venue
Environment International
Publisher
Elsevier BV
Published
2023-04
Volume
174
Pages
107879
ISSN
0160-4120 (ISSN-L)
OpenAlex
W4327703609
Cited by
61
References
1
Citations by year
2026: 16 · 2025: 14 · 2024: 23 · 2023: 8
FWCI
6.98
Type
journal article
Language
en
Open access
Locations
  • Environment International (publishedVersion, cc-by-nc-nd)
  • PubMed (publishedVersion)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
Funders
  • Monash University (GNT2008813, GNT1163693)
  • National Health and Medical Research Council (GNT2000581, APP2000581, GNT2009866)
  • Australian Research Council (DP210102076)
  • Centre for Air Pollution, Energy and Health Research
  • Faculty of Medicine, Nursing and Health Sciences, Monash University
  • China Scholarship Council (201906210065, 201906320051)
  • NSW Ministry of Health
Topics
  • Physical Sciences › Environmental Science › Health, Toxicology and Mutagenesis › Air Quality and Health Impacts
  • Physical Sciences › Environmental Science › Health, Toxicology and Mutagenesis › Toxic Organic Pollutants Impact
  • Social Sciences › Sociology and Political Science › Environmental Justice and Health Disparities
Keywords
preterm birth, term low birth weight, wildfire smoke exposure, maternal air pollution exposure, pregnancy, birth outcomes, attributable risk, gestational hypertension, air quality and health, GEOS-Chem chemical transport model, temperature extremes, maternal age, sex differences
MeSH terms
Wildfires, Air Pollutants, Air Pollution, Australia, Birth Weight, Female, Humans, Infant, Infant, Low Birth Weight, Infant, Newborn, Male, New South Wales, Pregnancy, Smoke, Cohort Studies, Maternal Exposure, Premature Birth, Particulate Matter

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