The influence of the built environment on adverse birth outcomes.
The influence of the built environment on adverse birth outcomes.
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DOI：
10.3233/npm-16112
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发表时间：
2017-01-01
影响因子：
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通讯作者：
Seabrook, J A
中科院分区：
文献类型：
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作者：
Woods, N;Gilliland, J;Seabrook, J A
不良的出生结果与新生儿发病率和死亡率以及成年后患冠心病、非胰岛素依赖型糖尿病和高血压的风险较高有关。虽然已经有大量的研究调查产妇和环境因素之间的关联对不良的出生结果，一个风险因素，没有得到充分的理解，是建筑环境的影响。检索MEDLINE、Scopus和科克伦，以查找评估建筑环境对早产（PTB）、低出生体重（LBW）和小于胎龄儿（SGA）影响的文章。总共有41项研究符合我们的纳入标准，并被分为九个类别：道路，绿色，发电厂，加油站/威尔斯，废物管理，电力线，邻里条件，食品环境和工业。最常见的构建环境变量是道路/交通，包括17/41（41%）的综述文章，其中12/17（71%）发现高交通暴露与不良出生结局之间存在显著的小至中度关联。
Adverse birth outcomes are associated with neonatal morbidity and mortality, and higher risk for coronary heart disease, non-insulin-dependent diabetes and hypertension in adulthood. Although there has been considerable research investigating the association between maternal and environmental factors on adverse birth outcomes, one risk factor, not fully understood, is the influence of the built environment. A search of MEDLINE, Scopus, and Cochrane was conducted to find articles assessing the influence of the built environment on preterm birth (PTB), low birth weight (LBW), and small-for-gestational-age (SGA). In total, 41 studies met our inclusion criteria, and were organized into nine categories: Roadways, Greenness, Power Plants, Gas Stations/Wells, Waste Management, Power Lines, Neighborhood Conditions, Food Environment, and Industry. The most common built environmental variable was roads/traffic, encompassing 17/41 (41%) of the articles reviewed, of which 12/17 (71%) found a significant small to moderate association between high traffic exposure and adverse birth outcomes.