Ambient air pollution is a known risk factor for adverse birth outcomes, but the role of ultrafine particles (UFPs) is not yet well understood. UFP emissions from aircraft are spread across large residential areas downwind of airports, possibly causing a considerable reproductive health burden.Birth certificate data from the California Department of Public Health was drawn from all births by mothers living in a 200 mi2 area downwind of Los Angeles International Airport (LAX) in 2011 (n=16,268). These records were used to ascertain the presence preterm birth (PTB), as well as maternal covariate information. To assess in utero exposure to UFPs, we input geocoded maternal addresses into a novel geospatial UFP dispersion model that has been validated by extensive ground-level measurements near LAX.We used multiple logistic regression, regressing PTB (live birth < 37 weeks gestation) on UFP concentrations estimated from the dispersion model. We adjusted for maternal factors like age, educational attainment, and race/ethnicity. We further adjusted for measures of air pollution from other sources, like traffic, including PM2.5, nitrogen oxides, and surface ozone to isolate the role of aircraft-related UFPs. An interaction term between UFPs and maternal nativity was included in the model.Among this birth cohort, we found an 11% increase in odds (95% CI: 1.01, 1.22) of PTB per interquartile range of UFP exposure. When stratified by maternal nativity, no increase in PTB among infants of foreign-born mothers was detected (OR = 1.02, 95% CI: 0.90, 1.16) but was detected among infants of US-born women (OR = 1.19, 95% CI: 1.06, 1.32). Effect modification by nativity was borderline statistically significant (p = 0.04).We found increased exposure to aircraft-related UFPs was associated with an elevated risk of PTB, serving as evidence of the reproductive health effects of UFP exposures from aircraft emissions. However, this relationship appears to be modified by maternal nativity.