The effects of socioeconomic status and indices of physical environment on reduced birth weight and preterm births in Eastern Massachusetts

This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.Background: Air pollution and social characteristics have been shown to affect indicators of health. While use of spatial methods to estimate exposure to air pollution has increased the power to detect effects, questions have been raised about potential for confounding by social factors.Methods: A study of singleton births in Eastern Massachusetts was conducted between 1996 and 2002 to examine the association between indicators of traffic, land use, individual and area-based socioeconomic measures (SEM), and birth outcomes ( birth weight, small for gestational age and preterm births), in a two-level hierarchical model.Results: We found effects of both individual ( education, race, prenatal care index) and area-based ( median household income) SEM with all birth outcomes. The associations for traffic and land use variables were mainly seen with birth weight, with an exception for an effect of cumulative traffic density on small for gestational age. Race/ethnicity of mother was an important predictor of birth outcomes and a strong confounder for both area-based SEM and indices of physical environment. The effects of traffic and land use differed by level of education and median household income.Conclusion: Overall, the findings of the study suggested greater likelihood of reduced birth weight and preterm births among the more socially disadvantaged, and a greater risk of reduced birth weight associated with traffic exposures. Results revealed the importance of controlling simultaneously for SEM and environmental exposures as the way to better understand determinants of health.This work is supported by the Harvard Environmental Protection Agency (EPA) Center, Grants R827353 and R-832416, and National Institute for Environmental Health Science (NIEHS) ES-0002

Temporal variations of atmospheric aerosol in four European urban areas

Item does not contain fulltextPURPOSE: The concentrations of PM(10) mass, PM(2.5) mass and particle number were continuously measured for 18 months in urban background locations across Europe to determine the spatial and temporal variability of particulate matter. METHODS: Daily PM(10) and PM(2.5) samples were continuously collected from October 2002 to April 2004 in background areas in Helsinki, Athens, Amsterdam and Birmingham. Particle mass was determined using analytical microbalances with precision of 1 mug. Pre- and post-reflectance measurements were taken using smoke-stain reflectometers. One-minute measurements of particle number were obtained using condensation particle counters. RESULTS: The 18-month mean PM(10) and PM(2.5) mass concentrations ranged from 15.4 mug/m(3) in Helsinki to 56.7 mug/m(3) in Athens and from 9.0 mug/m(3) in Helsinki to 25.0 mug/m(3) in Athens, respectively. Particle number concentrations ranged from 10,091 part/cm(3) in Helsinki to 24,180 part/cm(3) in Athens with highest levels being measured in winter. Fine particles accounted for more than 60% of PM(10) with the exception of Athens where PM(2.5) comprised 43% of PM(10). Higher PM mass and number concentrations were measured in winter as compared to summer in all urban areas at a significance level p < 0.05. CONCLUSIONS: Significant quantitative and qualitative differences for particle mass across the four urban areas in Europe were observed. These were due to strong local and regional characteristics of particulate pollution sources which contribute to the heterogeneity of health responses. In addition, these findings also bear on the ability of different countries to comply with existing directives and the effectiveness of mitigation policies.1 augustus 201