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Air pollution and birth outcomes: Health impact and economic value assessment in Spain

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dc.contributor.author Canto, Marcelle Virginia
dc.contributor.author Guxens Junyent, Mònica
dc.contributor.author García-Altés, Anna
dc.contributor.author López, Maria José
dc.contributor.author Marí Dell'Olmo, Marc, 1978-
dc.contributor.author García-Pérez, Javier
dc.contributor.author Ramis, Rebeca
dc.date.accessioned 2023-03-28T05:55:54Z
dc.date.available 2023-03-28T05:55:54Z
dc.date.issued 2023
dc.identifier.citation Canto MV, Guxens M, García-Altés A, López MJ, Marí-Dell'Olmo M, García-Pérez J, Ramis R. Air pollution and birth outcomes: Health impact and economic value assessment in Spain. Int J Environ Res Public Health. 2023 Jan 27;20(3):2290. DOI: 10.3390/ijerph20032290
dc.identifier.issn 1660-4601
dc.identifier.uri http://hdl.handle.net/10230/56360
dc.description.abstract Air pollution is considered an ongoing major public health and environmental issue around the globe, affecting the most vulnerable, such as pregnant women and fetuses. The aim of this study is to estimate the health impact and economic value on birth outcomes, such as low birthweight (LBW), preterm birth (PTB), small for gestational age (SGA), attributable to a reduction of PM10 levels in Spain. Reduction based on four scenarios was implemented: fulfillment of WHO guidelines and EU limits, and an attributable reduction of 15% and 50% in annual PM10 levels. Retrospective study on 288,229 live-born singleton children born between 2009-2010, using data from Spain Birth Registry Statistics database, as well as mean PM10 mass concentrations. Our finding showed that a decrease in annual exposure to PM10 appears to be associated with a decrease in the annual cases of LBW, SGA and PTB, as well as a reduction in hospital cost attributed to been born with LBW. Improving pregnancy outcomes by reducing the number of LBW up to 5% per year, will result in an estimate associated monetary saving of 50,000 to 7,000,000 euros annually. This study agrees with previous literature and highlights the need to implement, and ensure compliance with, stricter policies that regulate the maximum exposure to outdoor PM permitted in Spain, contributing to decreased environmental health risk, especially negative birth outcomes.
dc.format.mimetype application/pdf
dc.language.iso eng
dc.publisher MDPI
dc.relation.ispartof Int J Environ Res Public Health. 2023 Jan 27;20(3):2290
dc.rights © 2023 by the authors. 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/).
dc.rights.uri https://creativecommons.org/licenses/by/4.0/
dc.title Air pollution and birth outcomes: Health impact and economic value assessment in Spain
dc.type info:eu-repo/semantics/article
dc.identifier.doi http://dx.doi.org/10.3390/ijerph20032290
dc.subject.keyword Air quality
dc.subject.keyword Low birthweight
dc.subject.keyword Particulate matter
dc.subject.keyword Preterm birth
dc.subject.keyword Small for gestational age
dc.rights.accessRights info:eu-repo/semantics/openAccess
dc.type.version info:eu-repo/semantics/publishedVersion


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