Maternal proximity to Central Appalachia surface mining and birth outcomes

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dc.contributor.authorButtling, Lauren G.en
dc.contributor.authorMcKnight, Molly Xien
dc.contributor.authorKolivras, Korine N.en
dc.contributor.authorRanganathan, Shyamen
dc.contributor.authorGohlke, Julia M.en
dc.contributor.departmentPopulation Health Sciencesen
dc.contributor.departmentStatisticsen
dc.contributor.departmentGeographyen
dc.date.accessioned2021-08-04T14:47:36Zen
dc.date.available2021-08-04T14:47:36Zen
dc.date.issued2021-02en
dc.date.updated2021-08-04T14:47:33Zen
dc.description.abstractMaternal residency in Central Appalachia counties with coal production has been previously associated with increased rates of low birth weight (LBW). To refine the relationship between surface mining and birth outcomes, this study employs finer spatiotemporal estimates of exposure.<h4>Methods</h4>We developed characterizations of annual surface mining boundaries in Central Appalachia between 1986 and 2015 using Landsat data. Maternal address on birth records was geocoded and assigned amount of surface mining within a 5 km radius of residence (street-level). Births were also assigned the amount of surface mining within residential ZIP code tabulation area (ZCTA). Associations between exposure to active mining during gestation year and birth weight, LBW, preterm birth (PTB), and term low birth weight (tLBW) were determined, adjusting for outcome rates before active mining and available covariates.<h4>Results</h4>The percent of land actively mined within a 5 km buffer of residence (or ZCTA) was negatively associated with birth weight (5 km: β = -14.07 g; 95% confidence interval [CI] = -19.35, -8.79, <i>P</i> = 1.79 × 10<sup>-7</sup>; ZCTA: β = -9.93 g; 95% CI = -12.54, -7.33, <i>P</i> = 7.94 × 10<sup>-14</sup>). We also found positive associations between PTB and active mining within 5 km (odds ratio [OR] = 1.06; 95% CI = 1.03, 1.09, <i>P</i> = 1.43 × 10<sup>-4</sup>) and within ZCTA (OR = 1.04; 95% CI = 1.03, 1.06, <i>P</i> = 9.21 × 10<sup>-8</sup>). Positive relationships were also found between amount of active mining within 5 km or ZIP code of residence and LBW and tLBW outcomes.<h4>Conclusions</h4>Maternal residency near active surface mining during gestation may increase risk of PTB and LBW.en
dc.description.versionPublished versionen
dc.format.extentPages e128en
dc.format.mimetypeapplication/pdfen
dc.identifier.doihttps://doi.org/10.1097/ee9.0000000000000128en
dc.identifier.eissn2474-7882en
dc.identifier.issn2474-7882en
dc.identifier.issue1en
dc.identifier.otherPMC7939414 (pmc)en
dc.identifier.pmid33778360 (pubmed)en
dc.identifier.urihttp://hdl.handle.net/10919/104569en
dc.identifier.volume5en
dc.language.isoenen
dc.publisherWolters Kluwer Healthen
dc.relation.urihttps://www.ncbi.nlm.nih.gov/pubmed/33778360en
dc.rightsCreative Commons Attribution 4.0 Internationalen
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/en
dc.subjectAppalachiaen
dc.subjectBirth outcomesen
dc.subjectBirthweighten
dc.subjectCoalen
dc.subjectLow birth weighten
dc.subjectPreterm birthen
dc.subjectSurface miningen
dc.titleMaternal proximity to Central Appalachia surface mining and birth outcomesen
dc.title.serialEnvironmental epidemiologyen
dc.typeArticle - Refereeden
dc.type.dcmitypeTexten
dc.type.otherresearch-articleen
dc.type.otherJournal Articleen
dcterms.dateAccepted2020-12-23en
pubs.organisational-group/Virginia Techen
pubs.organisational-group/Virginia Tech/Natural Resources & Environmenten
pubs.organisational-group/Virginia Tech/Natural Resources & Environment/Geographyen
pubs.organisational-group/Virginia Tech/University Research Institutesen
pubs.organisational-group/Virginia Tech/University Research Institutes/Fralin Life Sciencesen
pubs.organisational-group/Virginia Tech/Natural Resources & Environment/Geography/Geography T&R facultyen
pubs.organisational-group/Virginia Tech/All T&R Facultyen
pubs.organisational-group/Virginia Tech/Natural Resources & Environment/CNRE T&R Facultyen
pubs.organisational-group/Virginia Tech/University Research Institutes/Fralin Life Sciences/Durelle Scotten
pubs.organisational-group/Virginia Tech/Report testen

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