Association between air pollutants and birth defects in Xiamen, China

Front Pediatr. 2023 May 25:11:1132885. doi: 10.3389/fped.2023.1132885. eCollection 2023.

Abstract

Objective: To explore the relationship between common air pollution and common birth defects, and to provide reference for the prevention of birth defects.

Methods: We conducted a case-control study in Xiamen, a city in southeastern China from 2019 to 2020. Logistics regression was used to analyze the relationship between sulfur dioxide(SO2), fine particulate matter 2.5(PM2.5), nitrogen dioxide(NO2), ozone(O3), carbon monoxide(CO) and the occurrence of common birth defects such as congenital heart disease, facial cleft, and finger deformity.

Results: SO2 significantly increased the risk of birth defects such as congenital heart disease, cleft lip and/or cleft palate, and ear deformity in the first and second months of pregnancy.

Conclusion: Exposure to common air pollutants increases the risk of birth defects, and SO2 significantly affects the occurrence of birth defects in the first two months of pregnancy.

Keywords: China; air pollution; birth defects; congenital heart disease; etiology.

Grants and funding

This work was supported by the development and construction of regional maternal and child intelligent information collaborative platform based on privacy computing (project number: 3502Z20221021).