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dc.contributor.authorGiorgis-Allemand, Lise-
dc.contributor.authorPedersen, Marie-
dc.contributor.authorBernard, Claire-
dc.contributor.authorAguilera, Inmaculada-
dc.contributor.authorBeelen, Rob M. J-
dc.contributor.authorChatzi, Leda-
dc.contributor.authorCirach, Marta-
dc.contributor.authorDanilevičiutė, Asta-
dc.contributor.authorDėdelė, Audrius-
dc.contributor.authorEijsden, Manon van-
dc.contributor.authorEstarlich, Marisa-
dc.contributor.authorFernández-Somoano, Ana-
dc.contributor.authorFernández, Mariana F-
dc.contributor.authorForastiere, Francesco-
dc.contributor.authorGehring, Ulrike-
dc.contributor.authorGražulevičienė, Regina-
dc.contributor.authorGruzieva, Olena-
dc.contributor.authorHeude, Barbara-
dc.contributor.authorHoek, Gerard-
dc.contributor.authorHoogh, Kees de-
dc.contributor.authorHooven, Edith H. van den-
dc.contributor.authorHåberg, Siri E-
dc.contributor.authorIñiguez, Carmen-
dc.contributor.authorJaddoe, Vincent W. V-
dc.contributor.authorKorek, Michal-
dc.contributor.authorLertxundi, Aitana-
dc.contributor.authorLepeule, Johanna-
dc.contributor.authorNafstad, Per-
dc.contributor.authorNystad, Wenche-
dc.contributor.authorPatelarou, Evridiki-
dc.contributor.authorPorta, Daniela-
dc.contributor.authorPostma, Dirkje S-
dc.contributor.authorRaaschou-Nielsen, Ole-
dc.contributor.authorRudnai, Peter-
dc.contributor.authorSiroux, Valérie-
dc.contributor.authorSunyer, Jordi-
dc.contributor.authorStephanou, Euripides G-
dc.contributor.authorSørensen, Mette-
dc.contributor.authorEriksen, Kirsten-
dc.contributor.authorTuffnell, Derek-
dc.contributor.authorVarró, Mihály J-
dc.contributor.authorVrijkotte, Tanja G. M-
dc.contributor.authorWijga, Alet H-
dc.contributor.authorWright, John-
dc.contributor.authorNieuwenhuijsen, Mark J-
dc.contributor.authorPershagen, Göran-
dc.contributor.authorBrunekreef, Bert-
dc.contributor.authorKogevinas, Manolis-
dc.contributor.authorSlama, Rémy-
dc.description.abstractAtmospheric pollutants and meteorological conditions are suspected to be causes of preterm birth. We aimed to characterize their possible association with the risk of preterm birth (defined as birth occurring before 37 completed gestational weeks). We pooled individual data from 13 birth cohorts in 11 European countries (71,493 births from the period 1994–2011, European Study of Cohorts for Air Pollution Effects (ESCAPE)). City-specific meteorological data from routine monitors were averaged over time windows spanning from 1 week to the whole pregnancy. Atmospheric pollution measurements (nitrogen oxides and particulate matter) were combined with data from permanent monitors and land-use data into seasonally adjusted land-use regression models. Preterm birth risks associated with air pollution and meteorological factors were estimated using adjusted discrete-time Cox models. The frequency of preterm birth was 5.0%. Preterm birth risk tended to increase with first-trimester average atmospheric pressure (odds ratio per 5-mbar increase = 1.06, 95% confidence interval: 1.01, 1.11), which could not be distinguished from altitude. There was also some evidence of an increase in preterm birth risk with first-trimester average temperature in the −5°C to 15°C range, with a plateau afterwards (spline coding, P = 0.08). No evidence of adverse association with atmospheric pollutants was observed. Our study lends support for an increase in preterm birth risk with atmospheric pressureen
dc.description.sponsorshipAplinkotyros katedra-
dc.description.sponsorshipVytauto Didžiojo universitetas-
dc.format.extentp. 247-258-
dc.relation.ispartofAmerican journal of epidemiology. Cary, NC : Oxford University Press, 2017, Vol. 185, iss. 4-
dc.relation.isreferencedbyScience Citation Index Expanded (Web of Science)-
dc.relation.isreferencedbyAcademic Search Complete (EBSCO)-
dc.relation.isreferencedbyCINAHL Complete (EBSCO)-
dc.relation.isreferencedbyProQuest Central-
dc.relation.isreferencedbyOxford Journals Online-
dc.relation.isreferencedbyPubMed Central-
dc.subjectAtmospheric pollutionen
dc.subjectAtmospheric pressureen
dc.subjectCohort studiesen
dc.subjectMeteorological conditionsen
dc.subjectPooled analysisen
dc.subjectPreterm birthen
dc.subject.classificationStraipsnis Clarivate Analytics Web of Science / Article in Clarivate Analytics Web of Science (S1)-
dc.subject.otherEkologija ir aplinkotyra / Ecology and environmental sciences (N012)-
dc.titleThe influence of meteorological factors and atmospheric pollutants on the risk of preterm birthen
dc.typeresearch article-
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