Testing the Multiple Pathways of Residential Greenness to Pregnancy Outcomes Model in a Sample of Pregnant Women in the Metropolitan Area of Donostia-San Sebastián

Asier Anabitarte, Mikel Subiza-Pérez, Jesús Ibarluzea, Kepa Azkona, Gonzalo García-Baquero, Carme Miralles-Guasch, Jon Irazusta, Kristina W. Whitworth, Guillem Vich and Aitana Lertxundi
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Asier Anabitarte: Biodonostia Health Research Institute, Group of Environmental Epidemiology and Child Development, San Sebastian 20014, Spain
Mikel Subiza-Pérez: Biodonostia Health Research Institute, Group of Environmental Epidemiology and Child Development, San Sebastian 20014, Spain
Jesús Ibarluzea: Biodonostia Health Research Institute, Group of Environmental Epidemiology and Child Development, San Sebastian 20014, Spain
Kepa Azkona: Biodonostia Health Research Institute, Group of Environmental Epidemiology and Child Development, San Sebastian 20014, Spain
Gonzalo García-Baquero: Biodonostia Health Research Institute, Group of Environmental Epidemiology and Child Development, San Sebastian 20014, Spain
Carme Miralles-Guasch: Geography Department, Autonomous University of Barcelona, Cerdanyola del Vallès 08193, Spain
Jon Irazusta: Department of Physiology, Faculty of Medicine, University of the Basque Country (UPV/EHU), Leioa 48940, Spain
Kristina W. Whitworth: Center for Precision Environmental Health, Department of Medicine, Section of Epidemiology and Population Sciences, Baylor College of Medicine, Houston, TX 77030, USA
Guillem Vich: Geography Department, Autonomous University of Barcelona, Cerdanyola del Vallès 08193, Spain
Aitana Lertxundi: Biodonostia Health Research Institute, Group of Environmental Epidemiology and Child Development, San Sebastian 20014, Spain

IJERPH, 2020, vol. 17, issue 12, 1-23

Abstract: Residential greenness may positively impact diverse human health indicators through the reduction of air pollution, the improvement of psychological health, and the promotion of physical activity. Previous studies indicate a weak but positive association with pregnancy outcomes. Our aim was to test the multiple pathways from residential greenness to pregnancy outcomes model, using residential NO 2 concentrations, psychological health, and moderate-to-vigorous physical activity (MVPA) during the first trimester of pregnancy, in a sample of 440 pregnant women residing in Donostia, Spain. Three metrics of residential greenness were calculated around each participant’s home address: normalized difference vegetation index (NDVI) within 300 m, and green space (>5000 m 2 ) availability within 300 and 500 m. Residential NO 2 concentrations, psychological health, and MVPA were explored as mediators of the associations between these metrics and the following pregnancy outcomes: birth weight (BW), low birth weight (LBW), prematurity, small for gestational age (SGA), and large for gestational age (LGA). Educational attainment, parity, and body mass index (BMI) were treated as covariates. Counterfactual mediation analyses showed very low to null statistical support for an association between any of the greenspace metrics and pregnancy outcomes in the full sample. Green space availability (300 m) was associated with lower BW and showed a marginal protective effect against LGA.

Keywords: mediators; maternal health; natural effects models; urban exposures; GIS (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2020
References: View references in EconPapers View complete reference list from CitEc
Citations: View citations in EconPapers (1)

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