Infant mortality and air pollution: modifying effect by social class

J Occup Environ Med. 2004 Dec;46(12):1210-6.

Abstract

Studies link air pollution with increased mortality; however, information on infants is scarce and inconclusive.

Objective: We studied short-term PM10 exposure, relating to increased respiratory-related infant mortality, and estimated for poor living conditions.

Methods: A case-crossover approach modeled the relationship between infant mortality (1 month-1 year of age), and ambient PM10 levels on days before death in Ciudad Juarez, Mexico (1997-2001). Socioeconomic level (SES) of the deceased was defined by residence location.

Results: Overall air pollutants did not affect infant mortality (odds ratio [OR] = 1.02, 95% confidence interval [CI] = 0.94-1.11 for PM10, lag1) but low SES increased risk. Each 20 microg/m3 in PM10 (24-hour average, lag1, cumulative over 2 previous days) increased respiratory-related mortality (OR = 1.61, 95% CI = 0.97-2.66; OR = 2.56; 95% CI = 1.06-6.17, respectively). Ozone levels did not affect infant mortality for any SES.

Conclusions: Worse living conditions among lower SES concurred with increased mortality.

Publication types

  • Comparative Study
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Air Pollutants / analysis
  • Air Pollution / statistics & numerical data*
  • Humans
  • Infant
  • Infant Mortality*
  • Infant, Newborn
  • Mexico / epidemiology
  • Residence Characteristics
  • Respiratory Tract Diseases / mortality
  • Social Class*
  • Socioeconomic Factors

Substances

  • Air Pollutants