Residential mobility during pregnancy and the potential for ambient air pollution exposure misclassification
Abstract
Studies of environmental exposures and adverse birth outcomes often rely on maternal address at birth obtained from the birth certificate to classify exposure. Although the gestational age of interest is often early pregnancy, maternal addresses are not available for women who move during pregnancy when using maternal addresses abstracted from birth certificates. The aim of this study was to explore the extent of ambient air pollutant exposure misclassification due to maternal residential mobility during pregnancy among the subgroup of a New York birth cohort. The authors obtained the maternal addresses at birth from the New York Birth Certificate, and the maternal addresses by gestational age from the National Birth Defect Prevention Study for New York participants for the study period 1997-2002. Among the 1324 mothers, 172 (13.0%) moved once during pregnancy and 46 (3.5%) moved at least twice. When accounting for multiple addresses among some individuals, of the 218 mothers who moved, 38 (2.9%) moved in the 3rd to 8th weeks after conception (critical period, not exclusive from the 1st trimester), 80 (6.0%) moved in the 1st trimester, 112 (8.5%) in the 2nd trimester, and 51 (3.9%) in the 3rd trimester. Air monitoring data from the New York Department of Environmental Conservation were used as surrogates to compute the ambient ozone and PM(10) exposures for mothers with complete residential data. This study estimates exposure using maternal address at birth obtained from birt…
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Four (80%) of the included articles explored the impact of residential mobility on exposure assessment.
“Four (80%) of the included articles explored the impact of residential mobility on exposure assessment; that is, whether patients’ moving impacted the results of studies looking at environmental outcomes.15,16,56,57”
From The quality of social determinants data in the electronic health record: a systematic review (2021) · cites this paper as [15]
Three studies concluded that a single patient address was sufficient when patients may have moved several times over the study period.
“When confronted with data from patients who may have moved several times over the study period, 3 studies concluded that a single patient address was sufficient;15,56,57”
From The quality of social determinants data in the electronic health record: a systematic review (2021) · cites this paper as [15]
Two studies concluded that address at birth was adequate for research on the effect of early exposures.
“while the other 2 concluded that address at birth was adequate for research on the effect of early exposures.15,57”
From The quality of social determinants data in the electronic health record: a systematic review (2021) · cites this paper as [15]
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“While studies of residential mobility and pregnancy are limited, research suggests that most mothers who move during pregnancy move short distances within the same community and that gestational exposures for PM10 and ozone are similar when based on address at delivery versus addresses from interviews during pregnancy…”
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“In addition, examining the influence of maternal mobility on exposure misclassification in New York State, researchers recently reported that low maternal mobility and moving within the same general area resulted in little change in exposure estimates when using birth addresses versus residential history collected in…”
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“Previous research has demonstrated that 9-34% of mothers move during pregnancy and moves occur over short distances in the same region and more often in the second and third trimesters (Chen et al. 2010; Bell and Belanger 2012).”
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“Because our study population was drawn from a longitudinal cohort, in which participants received their prenatal care and delivered in the same hospital, we believe that it is reasonable to assume that most women in our study either did not move or moved only within the same neighborhood (or zip code) during pregnancy…”
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“Approximately 20% of women from Los Angeles County change residence during pregnancy (44); however, they typically stay within the same neighborhood, resulting in only small changes in air pollution exposures (45, 46).”
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“While approximately 20% of Los Angeles County women move during pregnancy (27), they typically stay within the same neighborhood, so monitoring station-based exposure estimates do not change substantially (66, 67).”
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“Another study in New York State (excluding NYC) found that 16.5% of women changed addresses but moved on average only 10.4 miles (median: 2.6) (Chen et al., 2010).”
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“However, 2 recently published US studies have reported that maternal relocation during pregnancy did not lead to a significant change in the assigned maternal exposure to air pollution (62, 63).”
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“Based on reports from the United States (13%), Canada (12%), and Australia (19%), a substantial proportion of the population moves during pregnancy (Chen et al. 2010; Fell et al. 2004; Raynes-Greenow et al. 2008), which may decrease the accuracy of exposure assessment and introduce nondifferential…”
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“…toward the null due to nondi ff erential exposure misclassi fi cation, and that moving distances during pregnancy are typically relatively short and within the same county (Bell and Belanger 2012; Chen et al. 2010; Hodgson et al. 2015; Lupo et al. 2010; Miller et al. 2010; Pennington et al. 2017).”
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“During pregnancy 9–34% of mothers move, resulting in corresponding changes in exposure that may not be recalled well (Bell and Belanger, 2012; Chen et al., 2010; Chen et al., 2016).”
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“…have reported that exposure does not differ significantly if using maternal residential address at delivery rather than address at conception, implying that use of the former is adequate to estimate exposure during the critical early stages of pregnancy (Chen et al., 2010; Lupo et al., 2010).”
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“Various studies have found that the majority of moves are local and occur over short distances, and therefore do not have an effect on estimates of air pollution exposures (Chen et al., 2010; Kalkstein and Valimont, 1986; Lupo et al., 2010).”
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“Across studies, ≤ 30 % of mothers moved during pregnancy and moving distances were relatively short and within the same county (Bell and Belanger 2012; Chen et al. 2010; Hodgson et al. 2015; Lupo et al. 2010; Miller et al. 2010; Pennington et al. 2017).”
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“We did not have information on maternal mobility and assumed that each woman's residential address was the same throughout pregnancy, or if she did move, her level of exposure remained the same throughout each month of pregnancy (Chen et al., 2010) resulting in Berkson and classical error, with classical error resulti…”
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“This study has several strengths, including the geographic scope of the NBDPS and the availability of complete residential histories, which aids in reducing exposure misclassification due to residential mobility and relying solely on residence at the time of delivery to assign exposure [46,47].”
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“2012 3339 (22) 170 (23) 38 (26) 132 (22)”
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“…different temperature exposure (Bell and Belanger, 2012); 2) Most women do not move, though an estimated 9 – 32% may move (Bell and Belanger, 2012; Chen et al., 2010); 3) New residential location is unlikely chosen on its temperature regime, so the misclassification error is non-differential.”
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“However, it is possible that individuals moved during these times, previous research has shown that residential mobility is unlikely to have substantially affected the associations we observed [55, 56].”
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“2010 in New York demonstrated that the poor mobility is not able to cause misclassification.”
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“Residential mobility during pregnancy may be associated with exposure misclassification and therefore may introduce bias [28].”
BackgroundPrenatal Exposure to Ambient Air Pollution and Cerebral Palsy
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Villeneuve, P., Lam, S., Tjepkema, M., Pinault, L., Crouse, D. L., Osornio-Vargas, A., Hystad, P., Jerrett, M., Lavigne, É., & Stieb, D. (2021) · Environmental Research · doi:10.1016/j.envres.2021.112344 · Cited by 23 · see citing works
Cárceles-Álvarez, A., Ortega-García, J. A., López-Hernández, F. A., Orozco‐Llamas, M., Espinosa-López, B., Tobarra-Sánchez, E., & Alvarez, L. (2017) · Environmental Research · doi:10.1016/j.envres.2017.04.019 · Cited by 23
A geographic analysis of individual and environmental risk factors for hypospadias births
Winston, J., Meyer, R., & Emch, M. (2014) · Birth defects research. Clinical and molecular teratology · doi:10.1002/bdra.23306 · Cited by 23 · see citing works
“Yet a study of exposure to air pollution using New York data found that only 16.5% of mothers moved during pregnancy, and most moved within such short distances that exposure assignments did not change substantially (Chen et al, 2010).”
BackgroundInfluentialTran, K. V., Casey, J. A., Cushing, L., & Morello-Frosch, R. (2021) · Environmental Epidemiology · doi:10.1097/ee9.0000000000000172 · Cited by 22 · see citing works
Mcguinn, L., Windham, G., Messer, L., Di, Q., Schwartz, J., Croen, L., Moody, E. J., Rappold, A., Richardson, D., Neas, L., et al. (2018) · Environmental Epidemiology · doi:10.1097/ee9.0000000000000067 · Cited by 22 · see citing works
“Total 252 (37) 427 (50) 235 (35) 269 (31) 187 (28) 159 (19) Sex Male 203 (81) 228 (53) 194 (83) 150 (56) 154 (82) 75 (47) Female 49 (19) 199 (47) 41 (17) 119 (44) 33 (18) 84 (53) Maternal race/ethnicity Non-Hispanic white 190 (75) 364 (85) 142 (60) 182 (68) 46 (25) 65 (41) Other 62 (25) 63 (15) 93 (40) 87 (32) 141 (75…”
Ambient PM2.5 Aluminum and Elemental Carbon and Placental Abruption Morbidity
Ibrahimou, B., Albatineh, A., Salihu, H., & Gasana, J. (2017) · Journal of Occupational and Environmental Medicine · doi:10.1097/jom.0000000000000927 · Cited by 21 · see citing works
“It is further reported that there no substantial change in exposure assessment due to the fact that most relocations happen in a short distance from the previous address resulting in a little change in emission sources.(41) To our knowledge, this is the first study to report an association between ambient PM2.”
BackgroundTraffic-related metrics and adverse birth outcomes: A systematic review and meta-analysis
Wang, L., Guo, P., Tong, H., Wang, A., Chang, Y., Guo, X., Gong, J., Song, C., Wu, L., Wang, T., et al. (2020) · Environmental Research · doi:10.1016/j.envres.2020.109752 · Cited by 21 · see citing works
Extreme winter temperature and birth defects: a population-based case-control study.
Zutphen, A. R. V., Hsu, W., & Lin, S. (2014) · Environmental Research · doi:10.1016/j.envres.2013.11.006 · Cited by 20 · see citing works
Self-citationHao, H., Yoo, S.-R., Strickland, M., Darrow, L., D'Souza, R., Warren, J. L., Moss, S. E., Wang, H.-Q., Zhang, H.-S., & Chang, H. H. (2023) · Scientific Reports · doi:10.1038/s41598-023-48329-5 · Cited by 19 · see citing works
“Previous research reported exposure misclassification due to pregnant women’s home address change was limited because most pregnant women did not move throughout their pregnancy 53,54 .”
BackgroundHeo, S., Afanasyeva, Y., Trasande, L., Bell, M. L., & Ghassabian, A. (2023) · Environmental Epidemiology · doi:10.1097/ee9.0000000000000273 · Cited by 26 · see citing works
“30,45 For example, our analysis found exposure misclassification in residential greenness using the satellite imagery data of EVI but results for errors may change under different estimates for spatial proximity to green-ness (e.g., nearest park).”
BackgroundMethodA nationwide study of maternal exposure to ambient ozone and term birth weight in the United States
Sun, S., Wang, J., Cao, W., Wu, L., Tian, Y., Sun, F., Zhang, Z., Ge, Y., Du, J., Li, X., et al. (2022) · Environment International · doi:10.1016/j.envint.2022.107554 · Cited by 22 · see citing works
Air pollution and limb defects: a matched-pairs case-control study in Taiwan.
Lin, Y.-T., Lee, Y., Jung, C.-R., Jaakkola, J., & Hwang, B. (2014) · Environmental Research · doi:10.1016/j.envres.2014.04.028 · Cited by 19
Peckham-Gregory, E., Ton, M., Rabin, K., Danysh, H. E., Scheurer, M., & Lupo, P. (2019) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph16112029 · Cited by 18
Estimated Maternal Pesticide Exposure from Drinking Water and Heart Defects in Offspring
Kim, J., Swartz, M., Langlois, P., Romitti, P., Weyer, P., Mitchell, L., Luben, T., Ramakrishnan, A., Malik, S., Lupo, P., et al. (2017) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph14080889 · Cited by 17
Self-citationSilva, N. D. P., Reis, R. D. S., Cunha, R. G., Oliveira, J. F. P., Santos, M. D. O., Pombo-de-Oliveira, M. S., & de Camargo, B. (2016) · PLoS ONE · doi:10.1371/journal.pone.0164398 · Cited by 17 · see citing works
Johnson, M., Mazur, L. E., Fisher, M. M., Fraser, W. D., Sun, L., Hystad, P., & Gandhi, C. K. (2024) · Environmental Health Perspectives · doi:10.1289/ehp12880 · Cited by 18 · see citing works
Jiang, W., Yu, G., Wang, C., Yin, S., Huang, Y., Chen, Q., Sun, K., & Zhang, J. (2023) · International Journal of Hygiene and Environmental Health · doi:10.1016/j.ijheh.2023.114238 · Cited by 16 · see citing works
Bloemsma, L., Dabelea, D., Thomas, D. S., Peel, J., Adgate, J., Allshouse, W., Martenies, S. E., Magzamen, S., & Starling, A. (2020) · International Journal of Obesity · doi:10.1038/s41366-021-01003-0 · Cited by 15 · see citing works
“Two studies in New York and Texas found that the likelihood of misclassification of air pollution exposure due to residential mobility during pregnancy is small [48, 49].”
BackgroundResidential mobility and childhood leukemia
Amoon, A. T., Oksuzyan, S., Crespi, C. M., Arah, O., Cockburn, M., Vergara, X., & Kheifets, L. (2018) · Environmental Research · doi:10.1016/j.envres.2018.03.016 · Cited by 15
“Exposure misclassification due to mobility in particular has been expressed as a concern in birth outcome studies (Chen et al., 2010; Lupo et al., 2010; Madsen et al., 2010; Schulman et al., 1993).”
Guo, J., Ruan, Y., Wang, Y., Wang, H., Ma, S., Wan, X., Zhou, X., Tang, Z., He, Y., Zou, Z., et al. (2024) · Environmental Science & Technology · doi:10.1021/acs.est.3c10306 · Cited by 12 · see citing works
Chen, G., Sun, X., Wang, J., Dong, M., Ye, Y., Liu, X., Sun, J., Xiao, J., He, G., Hu, J., et al. (2021) · Environmental Research Letters · doi:10.1088/1748-9326/abe4f8 · Cited by 15 · see citing works
“For example, use of the address recorded on the birth certificate versus the true residential address [37].”
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“There is potential for large exposure misclassification from using address at birth or having inaccurate or incomplete address histories, depending on both the characteristics of the move (for example, from city to rural village or within a city)(13) and the spatial and temporal variability of the pollutant under stud…”
BackgroundResidential mobility during pregnancy in Urban Gansu, China
Tang, Z.-F., Zhang, H.-R., Bai, H.-Y., Chen, Y., Zhao, N., Zhou, M., Cui, H., Lerro, C., Lin, X.-J., Lv, L., et al. (2018) · Health and Place · doi:10.1016/j.healthplace.2018.08.021 · Cited by 14 · see citing works
“The majority of moves were relatively short distances, similar to previous findings (Hodgson et al., 2009; Chen et al., 2010).”
InfluentialModeling geographic risk of complex congenital heart defects in Eastern Wisconsin.
Cronk, C., Gangnon, R., Cossette, S., McElroy, J., & Pelech, A. (2011) · Birth defects research. Clinical and molecular teratology · doi:10.1002/bdra.20828 · Cited by 14 · see citing works
“Most but not all studies suggest limited exposure misclassification due to residential mobility (Shaw and Malcoe, 1992; Fell et al., 2004; Canfield et al., 2006b; Chen et al., 2010; Lupo et al., 2010).”
BackgroundZhang, Y.-W., Huang, W.-Z., Xu, R.-B., Ye, T.-T., Chen, G.-B., Yue, X., Coêl, M. D. S. Z. S., Saldiva, P., Song, J.-N., Guo, Y.-M., et al. (2024) · Journal of Hazardous Materials · doi:10.1016/j.jhazmat.2024.136290 · Cited by 13 · see citing works
Payne-Sturges, D., Puett, R. C., & Cory‐Slechta, D. A. (2022) · Environmental Health · doi:10.1186/s12940-022-00856-w · Cited by 14 · see citing works
Mapping outdoor habitat and abnormally small newborns to develop an ambient health hazard index
Nielsen, C. C., Amrhein, C., & Osornio-Vargas, Á. R. (2017) · International Journal of Health Geographics · doi:10.1186/s12942-017-0117-5 · Cited by 13 · see citing works
“Although there is concern that the mother did not live at that postal code for the entire pregnancy, previous research determined low mobility during pregnancy and any relatively short distances moved did not substantially change the exposure assignment [67].”
BackgroundYi, L., Yan, X., O’Connor, S. G., Cabison, J., Rosales, M., Chu, D., Chavez, T., Johnson, M. R., Mason, T. B., Eckel, S. P., et al. (2023) · The Science of The Total Environment · doi:10.1016/j.scitotenv.2024.170551 · Cited by 13 · see citing works
Association between air pollutants and birth defects in Xiamen, China
Huang, Z., Qiu, Y., Qi, J., Ma, X., Cheng, Q., & Wu, J. (2023) · Frontiers in Pediatrics · doi:10.3389/fped.2023.1132885 · Cited by 13 · see citing works
“A New York State cohort study similarly showed that a mother’s address at birth can be a good substitute for a mother’s address during pregnancy, with a higher level of consistency observed (37).”
Background
- Authors
- Chen, L., Bell, E. M., Caton, A. R., Druschel, C. M., & Lin, S.
- Affiliations
- New York State Department of Health (US)
- University at Albany, State University of New York (US)
- Corresponding author
- Chen, Lei
- Venue
- Environmental Research
- Publisher
- Elsevier BV
- Published
- 2010-02
- Volume
- 110
- Issue
- 2
- Pages
- 162-168
- ISSN
- 0013-9351 (ISSN-L)
- OpenAlex
- W2040468712
- Cited by
- 163
- References
- 0
- Citations by year
- 2026: 6 · 2025: 9 · 2024: 12 · 2023: 14 · 2022: 10 · 2021: 15 · 2020: 16 · 2019: 10 · 2018: 8 · 2017: 11 · 2016: 8 · 2015: 7 · 2014: 5 · 2013: 12 · 2012: 9
- FWCI
- 4.74
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Environmental Research (publishedVersion)
- PubMed (publishedVersion)
- Funders
- U.S. Public Health Service (U50/CCU223184)
- Topics
- Physical Sciences › Environmental Science › Health, Toxicology and Mutagenesis › Air Quality and Health Impacts
- Social Sciences › Sociology and Political Science › Environmental Justice and Health Disparities
- Physical Sciences › Environmental Science › Health, Toxicology and Mutagenesis › Health, Environment, Cognitive Aging
- Keywords
- ambient air pollution exposure, exposure misclassification, maternal interview, ozone exposure, PM10 exposure, birth cohort
- MeSH terms
- Congenital Abnormalities, Adult, Air Pollutants, Birth Certificates, Environmental Exposure, Female, Humans, Infant, Newborn, New York, Ozone, Population Dynamics, Pregnancy, Cohort Studies, Maternal Exposure, Particulate Matter, Young Adult
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