Abstract

Incineration is a solution to waste problems; however, it has adverse effects on human health. Our study aimed to investigate the direct and indirect effects of living near an incinerator and breastfeeding on children’s development at 6, 18, 36 and 66 months, and 8 years of age. The Taiwan Birth Cohort Study dataset used included randomized community data on 19,519 children from 6 months to 8 years old. The Taiwan Birth Cohort Study Developmental Instrument was used to measure children’s development at different developmental ages. The results of our study showed that living within 3 km of an incinerator had a negative effect on children’s 6-month development, however the effect dissipated after 18 months. Having been breastfed and living in the city had a more persistent and pervasive positive effect on children’s development. Conversely, living in the city had an adverse effect on children’s social-communication and emotional development when they were 8 years old; possibly due to the Chinese cultural characteristic of collectivism. Further follow-up of the long-term interactive effects of proximity to an incinerator and breastfeeding on children’s development and health is needed.

Highlights

  • Incineration is a solution to waste problems; it has adverse effects on human health

  • In the Netherlands, Weisglas-Kuperus et al found that exposure to background levels of dioxins and polychlorinated biphenyls (PCBs) through breastfeeding had a negative effect on the immune system[9]

  • Our birth cohort study from 6 months to 8 years of age found that living within 3 km of an incinerator had a temporary adverse effect on 6-month social development

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Summary

Introduction

Incineration is a solution to waste problems; it has adverse effects on human health. Our study aimed to investigate the direct and indirect effects of living near an incinerator and breastfeeding on children’s development at 6, 18, 36 and 66 months, and 8 years of age. The Taiwan Birth Cohort Study (TBCS) found that 18-month-old children who lived near an incinerator and were breastfed had an increased risk of typical developmental delay, autism spectrum disorder, attention deficit hyperactivity disorder, and other socio-emotional www.nature.com/scientificreports disability disorders compared with those who did not live near incinerators[10]. The aim of our study was to follow-up on the pathway relationship of living near an incinerator, and the possible indirect effect of breastfeeding on children’s development at 6, 18, 36 and 66 months, and 8 years of age using the TBCS dataset, which included a national household sample of 19,519 children and families in Taiwan

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