Neonatal intensive care admissions and exposure to satellite-derived air pollutants in the United States, 2018

Abstract In the United States (US), neonatal intensive care units (NICUs) monitor and treat newborns for a variety of adverse health concerns including preterm status, respiratory distress and restricted growth. As such, NICU admission is an integrated measure of neonatal risk. We linked 2018 US nat...

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Main Authors: Yohane Vincent Abero Phiri, Timothy Canty, Carrie Nobles, Allison M. Ring, Jing Nie, Pauline Mendola
Format: Article
Language:English
Published: Nature Portfolio 2025-01-01
Series:Scientific Reports
Online Access:https://doi.org/10.1038/s41598-024-84755-9
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author Yohane Vincent Abero Phiri
Timothy Canty
Carrie Nobles
Allison M. Ring
Jing Nie
Pauline Mendola
author_facet Yohane Vincent Abero Phiri
Timothy Canty
Carrie Nobles
Allison M. Ring
Jing Nie
Pauline Mendola
author_sort Yohane Vincent Abero Phiri
collection DOAJ
description Abstract In the United States (US), neonatal intensive care units (NICUs) monitor and treat newborns for a variety of adverse health concerns including preterm status, respiratory distress and restricted growth. As such, NICU admission is an integrated measure of neonatal risk. We linked 2018 US national birth registry NICU admission data among singleton births with satellite and modelled air pollution levels for the month prior to birth to examine whether late-pregnancy exposure to ambient air pollutants is associated with adverse neonatal health outcomes. Regardless of season, higher ambient levels of nitrogen dioxide (NO2) and fine particulate matter < 2.5 microns (PM2.5) increased the likelihood of NICU admission 30–35% for NO2 and 11–22% for PM2.5 even after adjustment for parental characteristics. Results for ozone exposure were inconsistent with largely null or reduced risk except for summer months. Despite the relatively low-moderate US exposure levels, traffic-related pollutants near the end of pregnancy appear to increase overall adverse health risks for newborns, underscoring the need to reduce prenatal exposure to ambient pollutants.
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spelling doaj-art-38390088226b4397b46c8b28037ce7632025-01-05T12:18:03ZengNature PortfolioScientific Reports2045-23222025-01-011511710.1038/s41598-024-84755-9Neonatal intensive care admissions and exposure to satellite-derived air pollutants in the United States, 2018Yohane Vincent Abero Phiri0Timothy Canty1Carrie Nobles2Allison M. Ring3Jing Nie4Pauline Mendola5Department of Epidemiology and Environmental Health, School of Public Health and Health Professions, University at BuffaloDepartment of Atmospheric and Oceanic Science, University of MarylandSchool of Public Health and Health Sciences, University of MassachusettsDepartment of Atmospheric and Oceanic Science, University of MarylandDepartment of Epidemiology and Environmental Health, School of Public Health and Health Professions, University at BuffaloDepartment of Epidemiology and Environmental Health, School of Public Health and Health Professions, University at BuffaloAbstract In the United States (US), neonatal intensive care units (NICUs) monitor and treat newborns for a variety of adverse health concerns including preterm status, respiratory distress and restricted growth. As such, NICU admission is an integrated measure of neonatal risk. We linked 2018 US national birth registry NICU admission data among singleton births with satellite and modelled air pollution levels for the month prior to birth to examine whether late-pregnancy exposure to ambient air pollutants is associated with adverse neonatal health outcomes. Regardless of season, higher ambient levels of nitrogen dioxide (NO2) and fine particulate matter < 2.5 microns (PM2.5) increased the likelihood of NICU admission 30–35% for NO2 and 11–22% for PM2.5 even after adjustment for parental characteristics. Results for ozone exposure were inconsistent with largely null or reduced risk except for summer months. Despite the relatively low-moderate US exposure levels, traffic-related pollutants near the end of pregnancy appear to increase overall adverse health risks for newborns, underscoring the need to reduce prenatal exposure to ambient pollutants.https://doi.org/10.1038/s41598-024-84755-9
spellingShingle Yohane Vincent Abero Phiri
Timothy Canty
Carrie Nobles
Allison M. Ring
Jing Nie
Pauline Mendola
Neonatal intensive care admissions and exposure to satellite-derived air pollutants in the United States, 2018
Scientific Reports
title Neonatal intensive care admissions and exposure to satellite-derived air pollutants in the United States, 2018
title_full Neonatal intensive care admissions and exposure to satellite-derived air pollutants in the United States, 2018
title_fullStr Neonatal intensive care admissions and exposure to satellite-derived air pollutants in the United States, 2018
title_full_unstemmed Neonatal intensive care admissions and exposure to satellite-derived air pollutants in the United States, 2018
title_short Neonatal intensive care admissions and exposure to satellite-derived air pollutants in the United States, 2018
title_sort neonatal intensive care admissions and exposure to satellite derived air pollutants in the united states 2018
url https://doi.org/10.1038/s41598-024-84755-9
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