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dc.contributorSistema FMUSP-HC: Faculdade de Medicina da Universidade de São Paulo (FMUSP) e Hospital das Clínicas da FMUSP
dc.contributor.authorSALDIVA, Silvia Regina Dias Medici
dc.contributor.authorBARROZO, Ligia Vizeu
dc.contributor.authorLEONE, Clea Rodrigues
dc.contributor.authorFAILLA, Marcelo Antunes
dc.contributor.authorBONILHA, Eliana de Aquino
dc.contributor.authorBERNAL, Regina Tomie Ivata
dc.contributor.authorOLIVEIRA, Regiani Carvalho de
dc.contributor.authorSALDIVA, Paulo Hilario Nascimento
dc.identifier.citationINTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH, v.15, n.10, article ID 2236, 16p, 2018
dc.description.abstractPremature birth is the result of a complex interaction among genetic, epigenetic, behavioral, socioeconomic, and environmental factors. We evaluated the possible associations between air pollution and the incidence of prematurity in spatial clusters of high and low prevalence in the municipality of SAo Paulo. It is a spatial case-control study. The residential addresses of mothers with live births that occurred in 2012 and 2013 were geo-coded. A spatial scan statistical test performed to identify possible low-prevalence and high-prevalence clusters of premature births. After identifying, the spatial clusters were drawn samples of cases and controls in each cluster. Mothers were interviewed face-to-face using questionnaires. Air pollution exposure was assessed by passive tubes (NO2 and O-3) as well as by the determination of trace elements' concentration in tree bark. Binary logistic regression models were applied to determine the significance of the risk of premature birth. Later prenatal care, urinary infection, and hypertension were individual risk factors for prematurity. Particles produced by traffic emissions (estimated by tree bark accumulation) and photochemical pollutants involved in the photochemical cycle (estimated by O-3 and NO2 passive tubes) also exhibited significant and robust risks for premature births. The results indicate that air pollution is an independent risk factor for prematurity.eng
dc.description.sponsorshipBrazilian National Council of Scientific and Technological Development (CNPq) (MCTI/CNPq/MS/SCME/Decit/Bill and Melinda Gates Foundation) [401616/2013-4]
dc.relation.ispartofInternational Journal of Environmental Research and Public Health
dc.subjectpremature birtheng
dc.subjectair pollutioneng
dc.subjectair monitoringeng
dc.subjectspatial analysiseng
dc.subject.otherpollen abortion rateseng
dc.subject.otherpreterm birtheng
dc.subject.othertree barkseng
dc.titleSmall-Scale Variations in Urban Air Pollution Levels Are Significantly Associated with Premature Births: A Case Study in SAo Paulo, Brazileng
dc.rights.holderCopyright MDPIeng
dc.subject.wosEnvironmental Scienceseng
dc.subject.wosPublic, Environmental & Occupational Healtheng
dc.type.categoryoriginal articleeng
dc.type.versionpublishedVersioneng, Silvia Regina Dias Medici:Secretaria Estado Saude Sao Paulo, Inst Saude, Ctr Pesquisa & Desenvolvimento SUS, Rua Santo Antonio,590 Bela Vista, BR-01314000 Sao Paulo, Brazil, Ligia Vizeu:Univ Sao Paulo, Fac Ciencias Letras & Filosofia, Dept Geog, Av Prof Luciano Gualberto Butanta, BR-05344020 Sao Paulo, Brazil; Univ Sao Paulo, Inst Estudos Avancados, Rua Praca Relogio,109 Andar Terreo Cidade Univ, BR-05508050 Sao Paulo, Brazil, Marcelo Antunes:Secretaria Municipal Saude Sao Paulo, Coordenacao Epidemiol & Informacao CEInfo, 36-5 Andar Vila Buarque, BR-01223010 Sao Paulo, Brazil, Eliana de Aquino:Secretaria Municipal Saude Sao Paulo, Coordenacao Epidemiol & Informacao CEInfo, 36-5 Andar Vila Buarque, BR-01223010 Sao Paulo, Brazil, Regina Tomie Ivata:Univ Sao Paulo, Nucleo Pesquisas Epidemiol Nutr & Saude, Fac Saude Publ, Av Dr Arnaldo,715 Cerqueira Cesar, BR-01246000 Sao Paulo, Brazil
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Artigos e Materiais de Revistas Científicas - FM/MPE
Departamento de Pediatria - FM/MPE

Artigos e Materiais de Revistas Científicas - FM/MPT
Departamento de Patologia - FM/MPT

Artigos e Materiais de Revistas Científicas - HC/ICr
Instituto da Criança - HC/ICr

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Instituto do Coração - HC/InCor

Artigos e Materiais de Revistas Científicas - LIM/05
LIM/05 - Laboratório de Poluição Atmosférica Experimental

Artigos e Materiais de Revistas Científicas - ODS/03
ODS/03 - Saúde e bem-estar

Artigos e Materiais de Revistas Científicas - ODS/11
ODS/11 - Cidades e comunidades sustentáveis

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