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Connecting Air Pollution Exposure to Socioeconomic Status : A Cross-Sectional Study on Environmental Injustice among Pregnant Women in Scania, Sweden
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- Flanagan, Erin (author)
- Lund University,Lunds universitet,Planetär hälsa,Forskargrupper vid Lunds universitet,Planetary Health,Lund University Research Groups
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- Stroh, Emilie (author)
- Lund University,Lunds universitet,Planetär hälsa,Forskargrupper vid Lunds universitet,Planetary Health,Lund University Research Groups
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- Oudin, Anna (author)
- Umeå University,Lund University,Lunds universitet,Umeå universitet,Avdelningen för hållbar hälsa,Division of Occupational and Environmental Medicine, Department for Laboratory Medicine, Lund University, Lund, Skåne, Sweden,NanoLund: Centre for Nanoscience,Annan verksamhet, LTH,Lunds Tekniska Högskola,Planetär hälsa,Forskargrupper vid Lunds universitet,Other operations, LTH,Faculty of Engineering, LTH,Planetary Health,Lund University Research Groups
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- (creator_code:org_t)
- 2019-12-14
- 2019
- English.
- In: International Journal of Environmental Research and Public Health. - : MDPI. - 1661-7827 .- 1660-4601. ; 16:24
- Journal article (peer-reviewed)
Abstract
Subject headings
Close
- Environmental injustice, characterized by lower socioeconomic status (SES) persons being subjected to higher air pollution concentrations, was explored among pregnant women in Scania, Sweden. Understanding if the general reduction of air pollution recorded is enjoyed by all SES groups could illuminate existing inequalities and inform policy development. "Maternal Air Pollution in Southern Sweden", an epidemiological database, contains data for 48,777 pregnancies in Scanian hospital catchment areas and includes births from 1999-2009. SES predictors considered included education level, household disposable income, and birth country. A Gaussian dispersion model was used to model women's average NOX and PM2.5 exposure at home residence over the pregnancy period. Total concentrations were dichotomized into emission levels below/above respective Swedish Environmental Protection Agency (EPA) Clean Air objectives. The data were analyzed using binary logistic regression. A sensitivity analysis facilitated the investigation of associations' variation over time. Lower-SES women born outside Sweden were disproportionately exposed to higher pollutant concentrations. Odds of exposure to NOX above Swedish EPA objectives reduced over time, especially for low-SES persons. Environmental injustice exists in Scania, but it lessened with declining overall air pollution levels, implying that continued air quality improvement could help protect vulnerable populations and further reduce environmental inequalities.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Public Health, Global Health, Social Medicine and Epidemiology (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Arbetsmedicin och miljömedicin (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Occupational Health and Environmental Health (hsv//eng)
Keyword
- ambient air pollution
- nitrogen oxide
- particulate matter
- NOX
- PM2.5
- socioeconomic status
- environmental injustice
- pregnant women
- ambient air pollution
- environmental injustice
- nitrogen oxide
- NOX
- particulate matter
- PM2.5
- pregnant women
- socioeconomic status
Publication and Content Type
- ref (subject category)
- art (subject category)
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- Stroh, Emilie
- Oudin, Anna
- Malmqvist, Ebba
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