Urban environment in pregnancy and postpartum depression: An individual participant data meta-analysis of 12 European birth cohorts
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- dc.contributor.author Cadman, Tim
- dc.contributor.author Dadvand, Payam
- dc.contributor.author Castro, Montserrat de
- dc.contributor.author Foraster Pulido, Maria, 1984-
- dc.contributor.author Fossati, Serena
- dc.contributor.author Guxens Junyent, Mònica
- dc.contributor.author Nieuwenhuijsen, Mark J.
- dc.contributor.author Vrijheid, Martine
- dc.contributor.author Pedersen, Marie
- dc.date.accessioned 2024-06-25T06:14:32Z
- dc.date.available 2024-06-25T06:14:32Z
- dc.date.issued 2024
- dc.description.abstract Background: Urban environmental exposures associate with adult depression, but it is unclear whether they are associated to postpartum depression (PPD). Objectives: We investigated associations between urban environment exposures during pregnancy and PPD. Methods: We included women with singleton deliveries to liveborn children from 12 European birth cohorts (N with minimum one exposure = 30,772, analysis N range 17,686-30,716 depending on exposure; representing 26-46 % of the 66,825 eligible women). We estimated maternal exposure during pregnancy to ambient air pollution with nitrogen dioxide (NO2) and particulate matter (PM2.5 and PM10), road traffic noise (Lden), natural spaces (Normalised Difference Vegetation Index; NDVI, proximity to major green or blue spaces) and built environment (population density, facility richness and walkability). Maternal PPD was assessed 3-18 months after birth using self-completed questionnaires. We used adjusted logistic regression models to estimate cohort-specific associations between each exposure and PPD and combined results via meta-analysis using DataSHIELD. Results: Of the 30,772 women included, 3,078 (10 %) reported having PPD. Exposure to PM10 was associated with slightly increased odds of PPD (adjusted odd ratios (OR) of 1.08 [95 % Confidence Intervals (CI): 0.99, 1.17] per inter quartile range increment of PM10) whilst associations for exposure to NO2 and PM2.5 were close to null. Exposure to high levels of road traffic noise (≥65 dB vs. < 65 dB) was associated with an OR of 1.12 [CI: 0.95, 1.32]. Associations between green spaces and PPD were close to null; whilst proximity to major blue spaces was associated with increased risk of PPD (OR 1.12, 95 %CI: 1.00, 1.26). All associations between built environment and PPD were close to null. Multiple exposure models showed similar results. Discussion: The study findings suggest that exposure to PM10, road traffic noise and blue spaces in pregnancy may increase PPD risk, however future studies should explore this causally.
- dc.format.mimetype application/pdf
- dc.identifier.citation Cadman T, Strandberg-Larsen K, Calas L, Christiansen M, Culpin I, Dadvand P, et al. Urban environment in pregnancy and postpartum depression: An individual participant data meta-analysis of 12 European birth cohorts. Environ Int. 2024 Mar;185:108453. DOI: 10.1016/j.envint.2024.108453
- dc.identifier.doi http://dx.doi.org/10.1016/j.envint.2024.108453
- dc.identifier.issn 0160-4120
- dc.identifier.uri http://hdl.handle.net/10230/60587
- dc.language.iso eng
- dc.publisher Elsevier
- dc.relation.ispartof Environ Int. 2024 Mar;185:108453
- dc.rights © 2024 The Author(s). Published by Elsevier Ltd. This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/).
- dc.rights.accessRights info:eu-repo/semantics/openAccess
- dc.rights.uri http://creativecommons.org/licenses/by/4.0/
- dc.subject.keyword Ambient air pollution
- dc.subject.keyword Built environment
- dc.subject.keyword Natural spaces
- dc.subject.keyword Postpartum depression
- dc.subject.keyword Traffic noise
- dc.subject.keyword Urban
- dc.title Urban environment in pregnancy and postpartum depression: An individual participant data meta-analysis of 12 European birth cohorts
- dc.type info:eu-repo/semantics/article
- dc.type.version info:eu-repo/semantics/publishedVersion