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Ambient air pollution and the risk of stillbirth in New Jersey
Descriptive
TypeOfResource
Text
TitleInfo
(ID = T-1)
Title
Ambient air pollution and the risk of stillbirth in New Jersey
Identifier
ETD_2960
Identifier
(type = hdl)
http://hdl.rutgers.edu/1782.1/rucore10001600001.ETD.000056340
Language
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(authority = ISO639-2);
(type = code)
eng
Genre
(authority = marcgt)
theses
Subject
(ID = SBJ-1);
(authority = RUETD)
Topic
Public Health
Subject
(ID = SBJ-2);
(authority = ETD-LCSH)
Topic
Air--Pollution--New Jersey
Subject
(ID = SBJ-3);
(authority = ETD-LCSH)
Topic
Environmental health--New Jersey
Subject
(ID = SBJ-4);
(authority = ETD-LCSH)
Topic
Stillbirth--New Jersey
Subject
(ID = SBJ-5);
(authority = ETD-LCSH)
Topic
Pregnancy--Complications--New Jersey
Subject
(ID = SBJ-6);
(authority = ETD-LCSH)
Topic
Perinatal death--New Jersey
Abstract
(type = abstract)
Introduction The purpose of this study was to examine the secular trends in the rates of stillbirth by race and ethnicity and to examine the risk of stillbirth with increase in ambient air pollution in each of the three trimesters of pregnancy and with short term increase in ambient air pollution. Materials and Methods We used New Jersey births and fetal deaths records linked to hospital discharge data for 1997-2005. Gestational age specific stillbirth rates were calculated by fetus at risk approach and Cox proportional hazard model was used to estimate the risk of stillbirth. We used logistic regression models to estimate the risk of stillbirth associated with incremental increase in ambient air pollution in each of the three trimesters. The association of transient increase in ambient air pollution with the risk of stillbirth was analyzed with a time stratified case crossover design using conditional logistic regression. Results The rate of stillbirth was 4.4 per 1000 total births (3.4 for white non-Hispanics, 7.9 for black non-Hispanics and 4.4 for Hispanics /1000 total births) in NJ for the period 1997 to 2005. The rates of stillbirth decreased only for white non-Hispanics but remained unchanged for other race/ethnicity groups. In the first trimester, increased risk of stillbirth was associated with interquartile range increase in PM2.5 (OR 1.14, 95% CI, 1.00, 1.31) and NO2 (OR 1.10, 95% CI, 1.00, 1.21) and SO2 (OR 1.12, 95% CI, 1.00, 1.25) and with PM2.5 ( OR 1.20, 95% CI, 1.04, 1.37) in the second trimester and with SO2 in both 2nd trimester (OR 1.21, 95% CI, 1.03, 1.29) and the 3rd trimester (OR 1.18, 95% CI, 1.00, 1.28). There was an increased risk of stillbirth for each interquartile range increase in 2nd day concentration of SO2 (RR 1.12, 95% CI, 1.02-1.23) and CO (RR 1.20, 95% CI, 1.04-1.38). Conclusion We found an increased risk of stillbirth associated with increase in ambient air pollution in all three trimesters of pregnancy and with short term increase in ambient air pollution. Understanding the biological mechanism for the association of criteria pollutants with the risk of stillbirth merits attention.
PhysicalDescription
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electronic resource
Extent
xviii, 99 p. : ill.
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application/pdf
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text/xml
Note
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Ph.D.
Note
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Includes bibliographical references
Note
(type = vita)
Includes vita
Note
(type = statement of responsibility)
by Ambarina S. Faiz
Name
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Faiz
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Ambarina
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1961-
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author
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Ambarina Faiz
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Rhoads
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(type = given)
George G
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chair
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Advisory Committee
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George G Rhoads
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Rich
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David
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internal member
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Advisory Committee
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David Rich
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DEMISSIE
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KITAW
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Lakota
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outside member
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Advisory Committee
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Lakota Kruse
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Rutgers University
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degree grantor
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Graduate School - New Brunswick
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school
OriginInfo
DateCreated
(qualifier = exact)
2010
DateOther
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(type = degree)
2010-10
Place
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(type = code)
xx
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TitleInfo
Title
Rutgers University Electronic Theses and Dissertations
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ETD
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Title
Graduate School - New Brunswick Electronic Theses and Dissertations
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rucore19991600001
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(displayLabel = Rutgers, The State University of New Jersey)
NjNbRU
Identifier
(type = doi)
doi:10.7282/T3TM79VB
Genre
(authority = ExL-Esploro)
ETD doctoral
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Rights
RightsDeclaration
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The author owns the copyright to this work.
Copyright
Status
Copyright protected
Availability
Status
Open
Reason
Permission or license
RightsHolder
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(type = personal)
Name
FamilyName
Faiz
GivenName
Ambarina
Role
Copyright Holder
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Type
Permission or license
DateTime
2010-09-30 12:00:58
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Name
Ambarina Faiz
Affiliation
Rutgers University. Graduate School - New Brunswick
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Author Agreement License
Detail
I hereby grant to the Rutgers University Libraries and to my school the non-exclusive right to archive, reproduce and distribute my thesis or dissertation, in whole or in part, and/or my abstract, in whole or in part, in and from an electronic format, subject to the release date subsequently stipulated in this submittal form and approved by my school. I represent and stipulate that the thesis or dissertation and its abstract are my original work, that they do not infringe or violate any rights of others, and that I make these grants as the sole owner of the rights to my thesis or dissertation and its abstract. I represent that I have obtained written permissions, when necessary, from the owner(s) of each third party copyrighted matter to be included in my thesis or dissertation and will supply copies of such upon request by my school. I acknowledge that RU ETD and my school will not distribute my thesis or dissertation or its abstract if, in their reasonable judgment, they believe all such rights have not been secured. I acknowledge that I retain ownership rights to the copyright of my work. I also retain the right to use all or part of this thesis or dissertation in future works, such as articles or books.
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Technical
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application/x-tar
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1024000
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