A rapidly growing body of research has recently shown beneficial health effect of urban green environment and natural spaces. Latin America is the world’s most urbanized region, with largest social and economic inequities, facing important challenges in city design, and availability of green spaces. Here, we examine the association between residential surrounding greenness and pregnancy outcomes in a Temuco, a mid-size city in Chile. To our knowledge, this is the first study of this kind in Latin America.A retrospective cohort is being conformed using pregnancy records from the main public Hospital in Temuco during 2009 – 2016, including sociodemographic and medical inputs. Pregnancy outcomes included: preeclampsia and gestational diabetes, for the mother; and preterm birth, low birth weight, term birth weight, small for gestational age, birth weight, gestational age and head circumference, for the newborn. Home address was georeferenced using the Google map geocoding API. Greenness was estimated for each address by using the NDVI from satellite data in buffers of 100, 300 and 500m. Separate logistic multivariate models were fitted for each outcome adjusted for potential confounders. Effects were estimated for changes in one interquartile range (IQR) in surrounding greenness.From expected 16,000 total records, preliminary results are shown for the first 9800 (2009-2013). Overall, analyses show decreased risks of gestational diabetes (OR 0.97 IC95% 0.85 – 1.10 for 300m buffer), preterm birth (OR 0.94 IC95% 0.78 – 1.15 for 300m buffer), low birth weight (OR 0.94 IC95% 0.77 – 1.16 for 300m buffer), and small for gestational age (OR 0.99 IC95% 0.86 – 1.13 for 300m buffer) associated with an IQR increase in NDVI.Preliminary findings point to beneficial impact of surrounding greenness in fetal growth, although not reaching statistical significance. Analysis will be repeated once data entry is complete (end of April).
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