Cited by 163Air Quality and Health ImpactsEnvironmental Justice and Health DisparitiesClimate Change and Health Impacts

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Towards a fuller assessment of benefits to children's health of reducing air pollution and mitigating climate change due to fossil fuel combustion

Perera, F., Ashrafi, A., Kinney, P., Mills, D.·2019·Environmental Research

DOI 10.1016/j.envres.2018.12.016

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Abstract

Background Fossil fuel combustion by-products, including particulate matter (PM 2.5), polycyclic aromatic hydrocarbons (PAH), nitrogen dioxide (NO 2) and carbon dioxide (CO 2), are a significant threat to children's health and equality. Various policies to reduce emissions have been implemented to reduce air pollution and mitigate climate change, with sizeable estimated health and economic benefits. However, only a few adverse outcomes in children have been considered, resulting in an undercounting of the benefits to this vulnerable population.Objectives Our goal was to expand the suite of child health outcomes addressed by programs to assess health and economic benefits, such as the Environmental Protection Agency (EPA) Benefits Mapping and Analysis Program (BenMAP), by identifying concentration-response (C-R) functions for six outcomes related to PM 2.5, NO 2, PAH, and/or PM 10: preterm birth (PTB), low birthweight (LBW), autism, attention deficit hyperactivity disorder, IQ reduction, and the development of childhood asthma.Methods We conducted a systematic review of the literature published between January 1, 2000 and April 30, 2018 to identify relevant peer-reviewed case-control and cohort studies and meta-analyses. In some cases meta-analyses were available that provided reliable C-R functions and we assessed their consistency with subsequent studies. Otherwise, we reviewed all eligible studies published between our search dates.Results For each pollutant and health outcome, we present the characteristics of each selected study. We distinguish between C-R functions for endpoints having a causal or likely relationship (PTB, LBW, autism, asthma development) with the pollutants for incorporation into primary analyses and endpoints having a suggestive causal relationship with the pollutants (IQ reduction, ADHD) for secondary analyses.Conclusion We have identified C-R functions for a number of adverse health outcomes in children associated with air pollutants largely from fossil fuel combustion. Their incorporation into expanded assessments of health benefits of clean air and climate mitigation policies will provide an important incentive for preventive action.

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Authors: Perera, F., Ashrafi, A., Kinney, P., & Mills, D.
Affiliations: Columbia University (US)
Boston University (US)
Schulman, Ronca & Bucuvalas (US)
Corresponding author: Perera, F.
ORCID: Perera, F.
Ashrafi, A.
Kinney, P.
Mills, D.
Venue: Environmental Research
Publisher: Elsevier BV
Published: 2019-05
Volume: 172
Pages: 55-72
ISSN: 0013-9351 (ISSN-L)
DOI: 10.1016/j.envres.2018.12.016
OpenAlex: W2905351498
Cited by: 163
References: 112
Citations by year: 2026: 7 · 2025: 22 · 2024: 24 · 2023: 30 · 2022: 30 · 2021: 22 · 2020: 21 · 2019: 7
FWCI: 1.31
Type: journal article
Language: en
Open access: closed
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
www.elsevier.com/legal/tdmrep-license (tdm)
Locations: Environmental Research (publishedVersion)
PubMed (publishedVersion)
Funders: National Institute of Environmental Health Sciences (2P50ES09600)
Foundation for the National Institutes of Health (UG3OD023290-02)
Blanchette Hooker Rockefeller Fund
John Merck Fund
U.S. Environmental Protection Agency (RD83615401)
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 › Climate Change and Health Impacts
Keywords: air pollution, fossil fuel combustion, child health, concentration-response functions, particulate matter, nitrogen dioxide, polycyclic aromatic hydrocarbons, PM10, preterm birth, low birth weight, autism spectrum disorder, attention deficit hyperactivity disorder, childhood asthma, BenMAP, climate change mitigation, air quality policy, health equity
MeSH terms: Child Health, Air Pollution, Environmental Exposure, Female, Fossil Fuels, Humans, Pregnancy, Risk Assessment, Climate Change

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Towards a fuller assessment of benefits to children's health of reducing air pollution and mitigating climate change due to fossil fuel combustion

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