Abstract

BackgroundRecent epidemiological studies have examined the associations between air pollution and birth outcomes. Regulatory air quality monitors often used in these studies, however, were spatially sparse and unable to capture relevant within-city variation in exposure during pregnancy.MethodsThis study developed two-week average exposure estimates for fine particles (PM2.5) and nitrogen dioxide (NO2) during pregnancy for 274,996 New York City births in 2008–2010. The two-week average exposures were constructed by first developing land use regression (LUR) models of spatial variation in annual average PM2.5 and NO2 data from 150 locations in the New York City Community Air Survey and emissions source data near monitors. The annual average concentrations from the spatial models were adjusted to account for city-wide temporal trends using time series derived from regulatory monitors. Models were developed using Year 1 data and validated using Year 2 data. Two-week average exposures were then estimated for three buffers of maternal address and were averaged into the last six weeks, the trimesters, and the entire period of gestation. We characterized temporal variation of exposure estimates, correlation between PM2.5 and NO2, and correlation of exposures across trimesters.ResultsThe LUR models of average annual concentrations explained a substantial amount of the spatial variation (R2 = 0.79 for PM2.5 and 0.80 for NO2). In the validation, predictions of Year 2 two-week average concentrations showed strong agreement with measured concentrations (R2 = 0.83 for PM2.5 and 0.79 for NO2). PM2.5 exhibited greater temporal variation than NO2. The relative contribution of temporal vs. spatial variation in the estimated exposures varied by time window. The differing seasonal cycle of these pollutants (bi-annual for PM2.5 and annual for NO2) resulted in different patterns of correlations in the estimated exposures across trimesters. The three levels of spatial buffer did not make a substantive difference in estimated exposures.ConclusionsThe combination of spatially resolved monitoring data, LUR models and temporal adjustment using regulatory monitoring data yielded exposure estimates for PM2.5 and NO2 that performed well in validation tests. The interaction between seasonality of air pollution and exposure intervals during pregnancy needs to be considered in future studies.

Highlights

  • Recent epidemiological studies have examined the associations between air pollution and birth outcomes

  • We describe the development of spatially and temporally resolved estimates of PM2.5 and Nitrogen dioxide (NO2) based on a combination of data from New York City Community Air Survey (NYCCAS) and the local regulatory network

  • Spatial estimates Across all NYCCAS sampling sites in Year 1, annual PM2.5 at street level averaged 11.3 μg/m3

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Summary

Introduction

Recent epidemiological studies have examined the associations between air pollution and birth outcomes. Regulatory air quality monitors often used in these studies, were spatially sparse and unable to capture relevant within-city variation in exposure during pregnancy. The simultaneous need to determine exposures in relevant time windows as well as the need to characterize variation in exposure associated with the spatial location of maternal residences requires accurate data on both temporal and spatial patterns in air pollutant levels. Studies of air pollution and birth outcomes commonly rely on continuous monitoring data available from regulatory or other ambient monitors [1,3]. Existing regulatory networks can provide data with high temporal resolution (e.g., daily and hourly data), these networks were generally designed to capture trends in overall ambient concentrations for the community and have sparse geographic coverage within urban areas, which can lead to significant exposure misclassification in epidemiologic studies. There is wide variability by locality and time period, few urban monitoring networks capture pollutant concentrations at more than 20 locations

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