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Prenatal and postnatal early life exposure to greenness and particulate matter of different size fractions in relation to childhood rhinitis: A multi-center study in China
Shanxi Univ, Inst Environm Sci, Taiyuan 030006, Peoples R China..
Fudan Univ, Sch Publ Hlth, Dept Environm Hlth, NHC Key Lab Hlth Technol Assessment, Shanghai 200032, Peoples R China..
Shanxi Univ, Inst Environm Sci, Taiyuan 030006, Peoples R China..
Shanxi Univ, Inst Environm Sci, Taiyuan 030006, Peoples R China..
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2024 (English)In: Science of the Total Environment, ISSN 0048-9697, E-ISSN 1879-1026, Vol. 938, article id 173402Article in journal (Refereed) Published
Abstract [en]

The impact of early life exposure to residential greenness on childhood rhinitis and its interaction with particulate matter (PM) of different size fractions remain inconsistent. Herein, we recruited 40,486 preschool children from randomly selected daycare centers in 7 cities in China from 2019 to 2020, and estimated exposure to residential greenness by the normalized difference vegetation index (NDVI) with a 500 m buffer. Exposure to ambient PM (PM1, PM2.5, and PM10) was evaluated using a satellite-based prediction model (daily, at a resolution of 1 km × 1 km). By mixed-effect logistic regression, NDVI values during pregnancy, in the first (0–1 year old) and the second (1–2 years old) year of life were negatively associated with lifetime rhinitis (LR) and current rhinitis (CR) (P < 0.001). PM in the same time windows was associated with increased risks of LR and CR in children, with smaller size fraction of PM showing greater associations. The negative associations between prenatal and postnatal NDVI and LR and CR in preschool children remained robust after adjusting for concomitant exposure to PM, whereas the associations of postnatal NDVI and rhinitis showed significant interactions with PM. At lower levels of PM, postnatal NDVI remained negatively associated with rhinitis and was partly mediated by PM (10.0–40.9 %), while at higher levels of PM, the negative associations disappeared or even turned positive. The cut-off levels of PM were identified for each size fraction of PM. In conclusion, prenatal exposure to greenness had robust impacts in lowering the risk of childhood rhinitis, while postnatal exposure to greenness depended on the co-exposure levels to PM. This study revealed the complex interplay of greenness and PM on rhinitis in children. The exposure time window in prenatal or postnatal period and postnatal concomitant PM levels played important roles in influencing the associations between greenness, PM and rhinitis.

Place, publisher, year, edition, pages
Elsevier, 2024. Vol. 938, article id 173402
Keywords [en]
Allergy, Air pollution, Children, Greenness, Interaction
National Category
Occupational Health and Environmental Health
Identifiers
URN: urn:nbn:se:uu:diva-534373DOI: 10.1016/j.scitotenv.2024.173402ISI: 001249391600001PubMedID: 38797418OAI: oai:DiVA.org:uu-534373DiVA, id: diva2:1881933
Part of project
Outdoor air pollution and indoor environment in homes and school in China: effects on asthma, rhinitis, dermatitis and respiratory health in preschool children and students, Swedish Research Council
Funder
Swedish Research Council, 2017-05845Available from: 2024-07-04 Created: 2024-07-04 Last updated: 2024-07-04Bibliographically approved

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Svartengren, MagnusNorbäck, Dan

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