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Preventive Effect of Residential Green Space on Infantile Atopic Dermatitis Associated with Prenatal Air Pollution Exposure

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  • Ji-Young Lee

    (Department of Occupational and Environmental Medicine, College of Medicine, Ewha Womans University, Seoul 03760, Korea)

  • Dirga Kumar Lamichhane

    (Department of Occupational and Environmental Medicine, School of Medicine, Inha University, Incheon 22212, Korea)

  • Myeongjee Lee

    (Department of Occupational and Environmental Medicine, College of Medicine, Ewha Womans University, Seoul 03760, Korea)

  • Shinhee Ye

    (Department of Occupational and Environmental Medicine, College of Medicine, Ewha Womans University, Seoul 03760, Korea)

  • Jung-Hyun Kwon

    (Department of Pediatrics, College of Medicine, Korea University, Seoul 02841, Korea)

  • Myung-Sook Park

    (Taean Environmental Health Center, Taean 32144, Korea)

  • Hwan-Cheol Kim

    (Department of Occupational and Environmental Medicine, School of Medicine, Inha University, Incheon 22212, Korea)

  • Jong-Han Leem

    (Department of Occupational and Environmental Medicine, School of Medicine, Inha University, Incheon 22212, Korea)

  • Yun-Chul Hong

    (Department of Preventive Medicine, College of Medicine, Seoul National University, Seoul 02841, Korea)

  • Yangho Kim

    (Department of Occupational and Environmental Medicine, Ulsan University Hospital, College of Medicine, University of Ulsan, Ulsan 44033, Korea)

  • Mina Ha

    (Department of Preventive Medicine, College of Medicine, Dankook University, Cheonan 31116, Korea)

  • Eunhee Ha

    (Department of Occupational and Environmental Medicine, College of Medicine, Ewha Womans University, Seoul 03760, Korea)

Abstract

Few birth cohort studies have examined the role of traffic-related air pollution (TRAP) in the development of infantile atopic dermatitis (AD), but none have investigated the role of preventive factors such as green spaces. The aim of this study was to investigate whether exposure to nitrogen dioxide (NO 2 ) and particulate matter with an aerodynamic diameter of <10 μm (PM 10 ) during pregnancy is associated with increased risk of development of AD in 6-month-old children and also to examine how this association changes with residential green space. This study used prospective data from 659 participants of the Mothers and Children’s Environmental Health study. Subjects were geocoded to their residential addresses and matched with air pollution data modeled using land-use regression. Information on infantile AD was obtained by using a questionnaire administered to the parents or guardians of the children. The association between infantile AD and exposure to NO 2 and PM 10 was determined using logistic regression models. We assessed the effects of residential green spaces using stratified analyses and by entering product terms into the logistic regression models. The risk of infantile AD significantly increased with an increase in air pollution exposure during the first trimester of pregnancy. The adjusted odds ratio (OR) and 95% confidence interval (CI) were 1.219 (1.023–1.452) per 10 μg/m 3 increase in PM 10 and 1.353 (1.027–1.782) per 10 ppb increase in NO 2 . An increase in the green space within 200 m of residence was associated with a decreased risk of AD (OR = 0.996, 95% CI: 0.993–0.999). The stratified analysis of residential green space revealed stronger associations between infantile AD and PM 10 and NO 2 exposure during the first trimester in the areas in the lower tertiles of green space. This study indicated that exposure to TRAP during the first trimester of pregnancy is associated with infantile AD. Less residential green space may intensify the association between TRAP exposure and infantile AD.

Suggested Citation

  • Ji-Young Lee & Dirga Kumar Lamichhane & Myeongjee Lee & Shinhee Ye & Jung-Hyun Kwon & Myung-Sook Park & Hwan-Cheol Kim & Jong-Han Leem & Yun-Chul Hong & Yangho Kim & Mina Ha & Eunhee Ha, 2018. "Preventive Effect of Residential Green Space on Infantile Atopic Dermatitis Associated with Prenatal Air Pollution Exposure," IJERPH, MDPI, vol. 15(1), pages 1-11, January.
    • Handle: RePEc:gam:jijerp:v:15:y:2018:i:1:p:102-:d:126101
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    References listed on IDEAS

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    1. Janet Currie & Matthew Neidell, 2005. "Air Pollution and Infant Health: What Can We Learn from California's Recent Experience?," The Quarterly Journal of Economics, President and Fellows of Harvard College, vol. 120(3), pages 1003-1030.
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    Cited by:

    1. Usaku Reuben & Ahmad F. Ismail & Abdul L. Ahmad & Humphrey M. Maina & Aziah Daud, 2019. "Occupational and Environmental Risk Factors Influencing the Inducement of Erythema among Nigerian Laboratory University Workers with Multiple Chemical Exposures," IJERPH, MDPI, vol. 16(8), pages 1-13, April.
    2. Yuping Dong & Helin Liu & Tianming Zheng, 2021. "Association between Green Space Structure and the Prevalence of Asthma: A Case Study of Toronto," IJERPH, MDPI, vol. 18(11), pages 1-25, May.
    3. Raj P. Fadadu & Katrina Abuabara & John R. Balmes & Jon M. Hanifin & Maria L. Wei, 2023. "Air Pollution and Atopic Dermatitis, from Molecular Mechanisms to Population-Level Evidence: A Review," IJERPH, MDPI, vol. 20(3), pages 1-21, January.

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