Cited by 53Air Quality and Health ImpactsAsthma and respiratory diseasesEnvironmental Justice and Health Disparities

Prenatal Ambient Ultrafine Particle Exposure and Childhood Asthma in the Northeastern United States

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Wright, Rosalind J., Hsu, Hsiao-Hsien Leon, Chiu, Yueh-Hsiu Mathilda, Coull, Brent A., Simon, Matthew C., Hudda, Neelakshi, Schwartz, Joel, Kloog, Itai +1 more·2021·American Journal of Respiratory and Critical Care Medicine

Abstract

Rationale: Ambient ultrafine particles (UFPs; with an aerodynamic diameter Objectives: We used daily UFP exposure estimates to identify windows of susceptibility of prenatal UFP exposure related to asthma in children, accounting for sex-specific effects. Methods: Analyses included 376 mother-child dyads followed since pregnancy. Daily UFP exposure during pregnancy was estimated by using a spatiotemporally resolved particle number concentration prediction model. Bayesian distributed lag interaction models were used to identify windows of susceptibility for UFP exposure and examine whether effect estimates varied by sex. Incident asthma was determined at the first report of asthma (3.6 ± 3.2 yr). Covariates included maternal age, education, race, and obesity; child sex; nitrogen dioxide (NO 2 ) and temperature averaged over gestation; and postnatal UFP exposure. Measurements and Main Results: Women were 37.8% Black and 43.9% Hispanic, with 52.9% reporting having an education at the high school level or lower; 18.4% of children developed asthma. The cumulative odds ratio (95% confidence interval) for incident asthma per doubling of the UFP exposure concentration across pregnancy was 4.28 (1.41-15.7), impacting males and females similarly. Bayesian distributed lag interaction models indicated sex differences in the windows of susceptibility, with the highest risk of asthma seen in females exposed to higher UFP concentrations during late pregnancy. Conclusions: Prenatal UFP exposu…

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Crossref · 10.1164/rccm.202010-3743oc

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References 51 · Cited by 53

Authors
Wright, R. J., Hsu, H.-H. L., Chiu, Y.-H. M., Coull, B. A., Simon, M. C., Hudda, N., Schwartz, J., Kloog, I., & Durant, J. L.
Affiliations
  • Icahn School of Medicine at Mount Sinai (US)
  • Department of Environmental Medicine and Public Health and
  • Department of Biostatistics and
  • Volpe National Transportation Systems Center (US)
  • Tufts University (US)
  • Harvard University (US)
Corresponding author
Wright, Rosalind J.
Venue
American Journal of Respiratory and Critical Care Medicine
Published
2021-10-01
Volume
204
Issue
7
Pages
788-796
ISSN
  • 1073-449X (ISSN-L)
  • 1535-4970
OpenAlex
W3161667109
Cited by
53
References
51
Citations by year
2026: 4 · 2025: 13 · 2024: 10 · 2023: 9 · 2022: 11 · 2021: 6
FWCI
3.56
Type
journal article
Language
en
Open access
Locations
  • American Journal of Respiratory and Critical Care Medicine (publishedVersion)
  • PubMed Central (publishedVersion)
  • PubMed (publishedVersion)
Funders
  • National Institutes of Health (UL1TR001433, UL1TR004419, UH3OD023337)
  • National Institute on Aging (P01AG023394)
  • National Heart, Lung, and Blood Institute (R01HL095606, R01HL114396, R01HL080674, P50HL105185, U01HL072494)
  • National Institute of Environmental Health Sciences (R01ES030302, P30ES000002, R01ES010932, P30ES023515)
  • National Center for Advancing Translational Sciences
  • National Institute on Minority Health and Health Disparities (R01MD006086)
Topics
  • Physical Sciences › Environmental Science › Health, Toxicology and Mutagenesis › Air Quality and Health Impacts
  • Health Sciences › Medicine › Physiology › Asthma and respiratory diseases
  • Social Sciences › Sociology and Political Science › Environmental Justice and Health Disparities
Keywords
ultrafine particles, prenatal exposure, childhood asthma, air pollution, windows of susceptibility, sex differences, maternal exposure, particle number concentration, nitrogen dioxide, ambient temperature, children's respiratory health, northeastern United States
MeSH terms
Adolescent, Adult, Air Pollutants, Air Pollution, Asthma, Bayes Theorem, Child, Child, Preschool, Female, Humans, Infant, Male, New England, Pregnancy, Prenatal Exposure Delayed Effects, Risk Factors, Sex Factors, Incidence, Logistic Models, Odds Ratio, Maternal Exposure, Particulate Matter, Young Adult

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