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Original article
Particulate air pollution and preeclampsia: a source-based analysis
  1. Payam Dadvand1,2,
  2. Bart Ostro3,
  3. Fulvio Amato4,
  4. Francesc Figueras5,
  5. María-Cruz Minguillón4,
  6. David Martinez1,2,
  7. Xavier Basagaña1,2,
  8. Xavier Querol4,
  9. Mark Nieuwenhuijsen1,2
  1. 1Centre for Research in Environmental Epidemiology (CREAL), Barcelona, Spain
  2. 2CIBER Epidemiologia y Salud Pública (CIBERESP), Barcelona, Spain
  3. 3Office of Environmental Health Hazard Assessment, California Environmental Protection Agency, Oakland, California, USA
  4. 4Institute of Environmental Assessment and Water Research (IDAEA), CSIC, Barcelona, Spain
  5. 5Department of Maternal-Foetal Medicine, ICGON, Hospital Clinic-IDIBAPS, University of Barcelona, Barcelona, Spain
  1. Correspondence to Dr Payam Dadvand, Centre for Research in Environmental Epidemiology (CREAL), Dr. Aiguader, 88, Barcelona 08003, Spain; pdadvand{at}creal.cat

Abstract

Objectives To investigate the association between preeclampsia and maternal exposure to ambient particulate matter (PM) with aerodynamic diameter less than 10 μm (PM10) and 2.5 μm (PM2.5) mass and sources.

Methods Our analysis was based on a hospital cohort of pregnant women (N=3182) residing in Barcelona, Spain, during 2003–2005. Positive matrix factorisation source apportionment (PMF2) was used to identify sources of PM10 and PM2.5 samples obtained by an urban background monitor, resulting in detection of eight sources. We further combined traffic-related sources (brake dust, vehicle exhaust and secondary nitrate/organics) to generate an indicator of combined traffic sources. Logistic regression models were developed to estimate the association between preeclampsia and exposure to each PM source and mass separately during the entire pregnancy and trimester one, adjusted for relevant covariates.

Results For the exposure during the entire pregnancy, we found a 44% (95% CI 7% to 94%) and a 80% (95% CI 4% to 211%) increase in the risk of preeclampsia associated with one IQR increase in exposure to PM10 brake dust and combined traffic-related sources, respectively. These findings remained consistent after an alternative source apportionment method (Multilinear Engine (ME2)) was used. The results for PM2.5 mass and sources and also exposure during trimester one were inconclusive.

Conclusions: Risk of preeclampsia was associated with exposure to PM10 brake dust and combined traffic-related sources.

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