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Air pollution

LA air toxics, especially PAHs, track preterm birth

Wilhelm M, Ghosh JK, Su J, et al. · Environmental health : a global access science source · 2011

Open access · cc by · source: Europe PMC

In Los Angeles, entire-pregnancy PAHs associated with ~30% higher preterm-birth odds; ammonium nitrate PM2.5 and several traffic markers also raised odds.

Study at a glance

Design
Case-control — Population-based case-control of LA preterm birth near MATES monitors with traffic toxics
N
N=241415 · 241,415 births after exclusions from 276,891 birth records; analyses often restricted nearer monitors
Population
Births in Los Angeles County near MATES air-toxics monitors
Outcome
Preterm birth odds related to PAHs, traffic markers, and source-apportioned PM2.5

Structured fields used in claim comparison tables when every cited study has a complete layer.

Key findings

Preterm prevalence 9.2%. Total PAHs and several PAH species ~30% odds increases (benzo(a)pyrene 13%) but small PAH samples. IQR increases in ammonium nitrate PM2.5 and 9–13% odds rises for benzene, diesel/EC/OC, and biomass-burning PM2.5.

Methodology

Population-based case-control of births near MATES monitors used three exposure sources (stations, LUR, source-apportioned PM) in conditional logistic models of preterm birth.

Limitations

PAHs were measured at only two stations for shorter periods; residual SES confounding and spatial monitor coverage limit causal claims for a single toxin.

How this study connects

Role on claims

Each row is a claim on a concept or method page where this paper supports, challenges, or qualifies the statement. Roles are hand-checked — not a model guess.

  • SupportsAir pollutionconcept

    This library holds 9 empirical papers on air pollution with measured outcomes rather than reviews.

    Evidence for the claim as stated.

  • SupportsAir pollutionconcept

    In Los Angeles, entire-pregnancy PAHs associated with ~30% higher preterm-birth odds; ammonium nitrate PM2.5 and several traffic markers also raised odds.

    Evidence for the claim as stated.

  • SupportsLogistic Regressionmethod

    A Los Angeles case-control of births near MATES monitors (preterm prevalence 9.2%) used stations, land-use regression and source-apportioned PM in conditional logistic models. Total PAHs and several PAH species showed ~30% odds increases (benzo(a)pyrene 13%), but PAH samples were small and limited to two stations. IQR increases in ammonium nitrate PM₂.₅ and 9–13% odds rises appeared for benzene, diesel/EC/OC and biomass-burning PM₂.₅.

    Evidence for the claim as stated.

  • SupportsLogistic Regressionmethod

    Two preterm-birth analyses both sit near a 9% outcome and do not report the same contrast. Los Angeles finds ~30% PAH odds increases (benzo(a)pyrene 13%) plus 9–13% for several PM sources, with PAH data from only two stations. PROTECT reports RR 1.014 per IQR of pregnancy PM₂.₅ at a mean of 6.8 μg/m³. Odds ratios and risk ratios are not interchangeable, and the exposure products (PAH stations versus municipality monitors) are not the same assignment.

    Evidence for the claim as stated.

  • Los Angeles preterm-birth models drew on MATES monitors, LUR and source-apportioned PM (preterm prevalence 9.2%). Total PAHs and several species showed ~30% odds increases (benzo(a)pyrene 13%) but PAH samples were small and limited to two stations for shorter periods. IQR increases in ammonium nitrate PM₂.₅ and 9–13% odds rises appeared for benzene, diesel/EC/OC and biomass-burning PM₂.₅.

    Evidence for the claim as stated.

  • SupportsLand-Use Regressionmethod

    LUR can be one of several exposure assignments in the same case-control study. Los Angeles preterm-birth analyses used monitors, LUR, and source-apportioned PM: preterm prevalence 9.2%, with ~30% odds increases for total PAHs (benzo(a)pyrene 13%) but small PAH samples, plus IQR associations for ammonium nitrate PM₂.₅ and 9–13% odds rises for benzene, diesel/EC/OC and biomass-burning PM₂.₅.

    Evidence for the claim as stated.

  • SupportsLand-Use Regressionmethod

    These papers do not agree on which traffic-related layer carries the signal. Rome’s analysis is built on NO₂ LUR as the exposure; the neurologic cohort finds air pollution associated with some diagnoses and not others, with greenness attenuating and noise mostly null; the LA preterm paper’s PAH signal is limited by two stations and shorter sampling. Treating 'LUR showed pollution is bad' as a single result hides those splits.

    Evidence for the claim as stated.

Open questions

Tensions this paper is part of

From concept pages' “where studies disagree.” Disagreement means the same question; scope means different assays, populations, or outcomes.

  • Scope difference — different assays, populations, or outcomes

    Two preterm-birth analyses both sit near a 9% outcome and do not report the same contrast. Los Angeles finds ~30% PAH odds increases (benzo(a)pyrene 13%) plus 9–13% for several PM sources, with PAH data from only two stations. PROTECT reports RR 1.014 per IQR of pregnancy PM₂.₅ at a mean of 6.8 μg/m³. Odds ratios and risk ratios are not interchangeable, and the exposure products (PAH stations versus municipality monitors) are not the same assignment.

  • Scope difference — different assays, populations, or outcomes

    These papers do not agree on which traffic-related layer carries the signal. Rome’s analysis is built on NO₂ LUR as the exposure; the neurologic cohort finds air pollution associated with some diagnoses and not others, with greenness attenuating and noise mostly null; the LA preterm paper’s PAH signal is limited by two stations and shorter sampling. Treating 'LUR showed pollution is bad' as a single result hides those splits.

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Same topic cluster — not a recommendation engine.