2025
Associations between PM2.5 exposure and birth outcomes and effect modification by extreme heat events during pregnancy in a North Carolina cohort
Krajewski A, Alman B, Vaidyanathan A, Warren J, Luben T, Rappazzo K. Associations between PM2.5 exposure and birth outcomes and effect modification by extreme heat events during pregnancy in a North Carolina cohort. Atmospheric Environment 2025, 362: 121500. DOI: 10.1016/j.atmosenv.2025.121500.Peer-Reviewed Original ResearchBirth outcomesPreterm birthPM2.5 exposureExposure to extreme heat eventsPoor health outcomesBirth registry dataEffect measure modificationAdverse birth outcomesInteraction termsNorth Carolina cohortEntire pregnancyHealth outcomesGeocoded addressesSingleton birthsMeasure modificationEffect modificationBirth recordsCensus tractsRegistry dataTLBWRisk differenceNeonatal mortalityEnvironmental exposuresExposure dataWeeks gestation
2024
Influenza Activity and Preterm Birth in the Atlanta Metropolitan Area: A Time-Series Analysis from 2010 to 2017
Zheng X, Wang T, Hao H, D’Souza R, Strickland M, Warren J, Darrow L, Chang H. Influenza Activity and Preterm Birth in the Atlanta Metropolitan Area: A Time-Series Analysis from 2010 to 2017. Epidemiology 2024, 36: 141-148. PMID: 39588975, PMCID: PMC11785485, DOI: 10.1097/ede.0000000000001819.Peer-Reviewed Original ResearchInfluenza-like illnessExposure lagTest positivityPreterm birthPregnant peopleRisk of adverse birth outcomesIncreased risk of adverse birth outcomesInfluenza activityAssociated with increased risk of preterm birthInterquartile range increaseAdverse birth outcomesTime-varying confoundersComposite measureRisk of preterm birthShort-term associationsAssociated with increased riskPublic health burdenPoisson log-linear modelSymptoms of influenza-like illnessEstimate associationsBirth outcomesEffect modificationAnnual influenza epidemicsRange increaseMaternal characteristics
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