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Association of ambient air pollution with depressive and anxiety symptoms in pregnant women: A prospective cohort study

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Abstract
Background: Air pollution is associated with depressive and anxiety symptoms in the general population. However, this relationship among pregnant women remains largely unknown.
Objective: To evaluate the association between pregnancy air pollution exposure and maternal depressive and anxiety symptoms during the third trimester assessed using the Center for Epidemiologic Studies-Depression and State-Trait Anxiety Inventory scales, respectively.
Methods: We analyzed 1481 pregnant women from a cohort study in Seoul. Maternal exposure to particulate matter with an aerodynamic diameter <2.5 μm (PM2.5) and <10 μm (PM10), as well as to nitrogen dioxide (NO2) and ozone (O3) for each trimester and the entire pregnancy was assessed at participant's residential address by land use regression models. We estimated the relative risk (RR) and corresponding confidence interval (CI) of the depressive and anxiety symptoms associated with an interquartile range (IQR) increase in PM2.5, PM10, NO2, and O3 using modified Poisson regression.
Results: In single-pollutant models, an IQR increase in PM2.5, PM10, and NO2 during the second trimester was associated with an increased risk of depressive symptoms (PM2.5 RR = 1.15, 95% CI: 1.04, 1.27; PM10 RR = 1.13, 95% CI: 1.04, 1.23; NO2 RR = 1.15, 95% CI: 1.03, 1.29) after adjusting for relevant covariates. Similarly, an IQR increase in O3 during the third trimester was associated with an increased risk of depressive symptoms (RR = 1.09, 95% CI: 1.01, 1.18), while the IQR increase in O3 during the first trimester was associated with a decreased risk (RR = 0.89, 95% CI: 0.82, 0.96). Exposure to PM2.5, PM10, and NO2 during the second trimester was significantly associated with anxiety symptoms. The associations with PM2.5 and O3 in single-and multi-pollutant models were consistent.
Conclusions: Our findings indicate that increased levels of particulate matter, NO2, and O3 during pregnancy may elevate the risk of depression or anxiety in pregnant women.
Author(s)
Dirga KumarLamichhane정대영신의진이경숙이소연안강모김경원신윤호서동인홍수종김환철
Issued Date
2021
Type
Article
Keyword
Air pollutionAnalysisAnxietyDepressionDepressionMentalEnvironmentEnvironmental aspectsEnvironmental healthNitrogen dioxidePollutantsPreganacyPregnant womenPsychological aspects
DOI
10.1016/j.ijheh.2021.113823
URI
https://oak.ulsan.ac.kr/handle/2021.oak/7726
https://ulsan-primo.hosted.exlibrisgroup.com/primo-explore/fulldisplay?docid=TN_cdi_proquest_miscellaneous_2559434131&amp;context=PC&amp;vid=ULSAN&amp;lang=ko_KR&amp;search_scope=default_scope&amp;adaptor=primo_central_multiple_fe&amp;tab=default_tab&amp;query=any,contains,Association%20of%20ambient%20air%20pollution%20with%20depressive%20and%20anxiety%20symptoms%20in%20pregnant%20women:%20A%20prospective%20cohort%20study&amp;offset=0&amp;pcAvailability=true
Publisher
INTERNATIONAL JOURNAL OF HYGIENE AND ENVIRONMENTAL HEALTH
Location
독일
Language
영어
ISSN
1438-4639
Citation Volume
237
Citation Number
0
Citation Start Page
113823
Citation End Page
113823
Appears in Collections:
Medicine > Medicine
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