Preventive Effect of Residential Green Space on Infantile Atopic Dermatitis Associated with Prenatal Air Pollution Exposure
Open accessAbstract
Few birth cohort studies have examined the role of traffic-related air pollution (TRAP) in the development of infantile atopic dermatitis (AD), but none have investigated the role of preventive factors such as green spaces. The aim of this study was to investigate whether exposure to nitrogen dioxide (NO2) and particulate matter with an aerodynamic diameter of <10 μm (PM10) during pregnancy is associated with increased risk of development of AD in 6-month-old children and also to examine how this association changes with residential green space. This study used prospective data from 659 participants of the Mothers and Children’s Environmental Health study. Subjects were geocoded to their residential addresses and matched with air pollution data modeled using land-use regression. Information on infantile AD was obtained by using a questionnaire administered to the parents or guardians of the children. The association between infantile AD and exposure to NO2 and PM10 was determined using logistic regression models. We assessed the effects of residential green spaces using stratified analyses and by entering product terms into the logistic regression models. The risk of infantile AD significantly increased with an increase in air pollution exposure during the first trimester of pregnancy. The adjusted odds ratio (OR) and 95% confidence interval (CI) were 1.219 (1.023–1.452) per 10 μg/m3 increase in PM10 and 1.353 (1.027–1.782) per 10 ppb increase in NO2. An increase in the green space within 200 m of residence was associated with a decreased risk of AD (OR = 0.996, 95% CI: 0.993–0.999). The stratified analysis of residential green space revealed stronger associations between infantile AD and PM10 and NO2 exposure during the first trimester in the areas in the lower tertiles of green space. This study indicated that exposure to TRAP during the first trimester of pregnancy is associated with infantile AD. Less residential green space may intensify the association between TRAP exposure and infantile AD.
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Lee et al. found that less residential green space may enhance the association between traffic-related air pollution exposure and infantile atopic dermatitis.
“Lee et al. [89] found that less residential green space may enhance the association between traffic-related AP exposure and infantile AD.”
From Air Pollution and Skin Diseases: A Systematic Review of Epidemiological Evidence (2026) · cites this paper as [89]
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A small area analysis of acute exposure to temperatures and mental health in North Carolina
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Air Pollution and Skin Diseases: A Systematic Review of Epidemiological Evidence
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Effect of indoor house dust mite concentration on canine atopic dermatitis
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Atopic Dermatitis Much More Than Skin Disease
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- Authors
- Lee, J.-Y., Lamichhane, D., Lee, M., Ye, S., Kwon, J.-H., Park, M.-S., Kim, H.-C., Leem, J.-H., Hong, Y.-C., Kim, Y., Ha, M., & Ha, E.
- Affiliations
- Ewha Womans University (KR)
- Inha University (KR)
- Korea University (KR)
- Taean Environmental Health Center, Taean 32144, Korea
- Seoul National University (KR)
- University of Ulsan (KR)
- Dankook University (KR)
- Department of Occupational and Environmental Medicine, College of Medicine, Ewha Womans University, Seoul 03760, Korea
- ORCID
- Venue
- International Journal of Environmental Research and Public Health
- Publisher
- MDPI AG
- Published
- 2018-01-09
- Volume
- 15
- Issue
- 1
- Pages
- 102
- ISSN
- 1660-4601 (ISSN-L)
- PMC
- PMC5800201
- OpenAlex
- W2783151243
- Cited by
- 61
- References
- 46
- Citations by year
- 2026: 3 · 2025: 12 · 2024: 6 · 2023: 12 · 2022: 3 · 2021: 8 · 2020: 8 · 2019: 8 · 2018: 1
- FWCI
- 3.09
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- International Journal of Environmental Research and Public Health (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- RePEc: Research Papers in Economics (submittedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Funders
- National Research Foundation
- Ministry of Environment
- National Research Foundation of Korea
- Topics
- Physical Sciences › Environmental Science › Health, Toxicology and Mutagenesis › Air Quality and Health Impacts
- Physical Sciences › Environmental Science › Health, Toxicology and Mutagenesis › Urban Green Space and Health
- Social Sciences › Sociology and Political Science › Environmental Justice and Health Disparities
- Keywords
- infantile eczema, traffic-related air pollution, prenatal air pollution exposure, nitrogen dioxide, PM10, residential green space, first trimester, land use regression
- MeSH terms
- Adult, Air Pollutants, Air Pollution, Vehicle Emissions, Dermatitis, Atopic, Environmental Exposure, Female, Humans, Infant, Male, Nitrogen Dioxide, Pregnancy, Prenatal Exposure Delayed Effects, Prospective Studies, Surveys and Questionnaires, Particulate Matter, Republic of Korea
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
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