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Perinatal Health Inequalities in the Industrial Region of Estonia: A Birth Registry-Based Study

Despite the increasing number of studies on industrially contaminated sites (ICS) and their health effects, there are very few studies on perinatal health outcomes in ICSs. In the present study, we examined the perinatal health inequalities by comparing adverse birth outcomes (ABOs) in the oil shale...

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Autores principales: Dahal, Usha, Veber, Triin, Åström, Daniel Oudin, Tamm, Tanel, Albreht, Leena, Teinemaa, Erik, Orru, Kati, Orru, Hans
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9516979/
https://www.ncbi.nlm.nih.gov/pubmed/36141830
http://dx.doi.org/10.3390/ijerph191811559
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author Dahal, Usha
Veber, Triin
Åström, Daniel Oudin
Tamm, Tanel
Albreht, Leena
Teinemaa, Erik
Orru, Kati
Orru, Hans
author_facet Dahal, Usha
Veber, Triin
Åström, Daniel Oudin
Tamm, Tanel
Albreht, Leena
Teinemaa, Erik
Orru, Kati
Orru, Hans
author_sort Dahal, Usha
collection PubMed
description Despite the increasing number of studies on industrially contaminated sites (ICS) and their health effects, there are very few studies on perinatal health outcomes in ICSs. In the present study, we examined the perinatal health inequalities by comparing adverse birth outcomes (ABOs) in the oil shale industry region of Ida-Viru County in Estonia with national-level figures and investigated the effects of maternal environmental and sociodemographic factors. Based on the 208,313 birth records from 2004–2018, Ida-Viru ICS has a birth weight 124.5 g lower than the average of 3544 g in Estonia. A higher prevalence of preterm birth (4.3%) and low birth weight (4.8%) in Ida-Viru ICS is found compared to 3.3% on both indicators at the national level. Multiple logistic regression analysis shows the statistically significant association of ABOs with fine particle (PM(2.5)) air pollution, mother’s ethnicity, and education throughout Estonia. However, in Ida-Viru ICS, the ABOs odds are remarkably higher in these characteristics except for the mother’s ethnicity. Furthermore, the ABOs are associated with the residential proximity to ICS. Thus, the Ida-Viru ICS has unequally higher odds of adverse perinatal health across the environmental and sociodemographic factors. In addition to reducing the air pollutants, policy actions on social disparities are vital to address the country’s unjustly higher perinatal health inequalities, especially in the Ida-Viru ICS.
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spelling pubmed-95169792022-09-29 Perinatal Health Inequalities in the Industrial Region of Estonia: A Birth Registry-Based Study Dahal, Usha Veber, Triin Åström, Daniel Oudin Tamm, Tanel Albreht, Leena Teinemaa, Erik Orru, Kati Orru, Hans Int J Environ Res Public Health Article Despite the increasing number of studies on industrially contaminated sites (ICS) and their health effects, there are very few studies on perinatal health outcomes in ICSs. In the present study, we examined the perinatal health inequalities by comparing adverse birth outcomes (ABOs) in the oil shale industry region of Ida-Viru County in Estonia with national-level figures and investigated the effects of maternal environmental and sociodemographic factors. Based on the 208,313 birth records from 2004–2018, Ida-Viru ICS has a birth weight 124.5 g lower than the average of 3544 g in Estonia. A higher prevalence of preterm birth (4.3%) and low birth weight (4.8%) in Ida-Viru ICS is found compared to 3.3% on both indicators at the national level. Multiple logistic regression analysis shows the statistically significant association of ABOs with fine particle (PM(2.5)) air pollution, mother’s ethnicity, and education throughout Estonia. However, in Ida-Viru ICS, the ABOs odds are remarkably higher in these characteristics except for the mother’s ethnicity. Furthermore, the ABOs are associated with the residential proximity to ICS. Thus, the Ida-Viru ICS has unequally higher odds of adverse perinatal health across the environmental and sociodemographic factors. In addition to reducing the air pollutants, policy actions on social disparities are vital to address the country’s unjustly higher perinatal health inequalities, especially in the Ida-Viru ICS. MDPI 2022-09-14 /pmc/articles/PMC9516979/ /pubmed/36141830 http://dx.doi.org/10.3390/ijerph191811559 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Dahal, Usha
Veber, Triin
Åström, Daniel Oudin
Tamm, Tanel
Albreht, Leena
Teinemaa, Erik
Orru, Kati
Orru, Hans
Perinatal Health Inequalities in the Industrial Region of Estonia: A Birth Registry-Based Study
title Perinatal Health Inequalities in the Industrial Region of Estonia: A Birth Registry-Based Study
title_full Perinatal Health Inequalities in the Industrial Region of Estonia: A Birth Registry-Based Study
title_fullStr Perinatal Health Inequalities in the Industrial Region of Estonia: A Birth Registry-Based Study
title_full_unstemmed Perinatal Health Inequalities in the Industrial Region of Estonia: A Birth Registry-Based Study
title_short Perinatal Health Inequalities in the Industrial Region of Estonia: A Birth Registry-Based Study
title_sort perinatal health inequalities in the industrial region of estonia: a birth registry-based study
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9516979/
https://www.ncbi.nlm.nih.gov/pubmed/36141830
http://dx.doi.org/10.3390/ijerph191811559
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