IDEAS home Printed from https://ideas.repec.org/a/gam/jijerp/v18y2021i3p1252-d490091.html
   My bibliography  Save this article

The Neonatal Environment and Health Outcomes (NEHO) Birth Cohort Study: Behavioral and Socioeconomic Characteristics and Drop-Out Rate from a Longitudinal Birth Cohort in Three Industrially Contaminated Sites in Southern Italy

Author

Listed:
  • Silvia Ruggieri

    (Institute for Biomedical Research and Innovation, National Research Council of Italy, 90146 Palermo, Italy
    Both authors equally contributed to the present work.)

  • Sabina Maltese

    (Institute for Biomedical Research and Innovation, National Research Council of Italy, 90146 Palermo, Italy
    Both authors equally contributed to the present work.)

  • Gaspare Drago

    (Institute for Biomedical Research and Innovation, National Research Council of Italy, 90146 Palermo, Italy)

  • Fabio Cibella

    (Institute for Biomedical Research and Innovation, National Research Council of Italy, 90146 Palermo, Italy)

  • Simona Panunzi

    (Institute for System Analysis and Computer Science—BioMatLab, National Research Council of Italy, 00168 Rome, Italy)

Abstract

Pregnant women living in industrially contaminated sites (ICSs) are exposed to environmental contaminants through different pathways, and thus children’s health may be affected by pollutants. We created the Neonatal Environment and Health Outcomes (NEHO) longitudinal birth cohort in three ICSs in the Mediterranean area of southern Italy, collecting comprehensive information on personal data and lifestyles by questionnaire. Through multiple correspondence analysis, we identified possible clusters of enrolled women, and a neural network classifier analysis (NNCA) was performed to identify variables capable of predicting the attrition rate of the study. NEHO recruited 845 mother–child pairs over two years. The mothers’ mean age was 31.1 ± 5.2 SD years. We found significant differences in socioeconomic status (SES) among the three evaluated ICS, and an overall 11.1% prevalence of mothers who actively smoked during pregnancy. Active smoking during pregnancy was strongly associated with the lowest socioeconomic level ( p < 0.0001). By means of the NNCA, we found that smoking during pregnancy and the lowest education level characterized the cluster with the highest attrition rate ( p < 0.001). Our results demonstrate that reason for public health concern still exists regarding smoking during pregnancy and that SES influences both lifestyles, producing negative pregnancy outcomes and a higher survey attrition rate.

Suggested Citation

  • Silvia Ruggieri & Sabina Maltese & Gaspare Drago & Fabio Cibella & Simona Panunzi, 2021. "The Neonatal Environment and Health Outcomes (NEHO) Birth Cohort Study: Behavioral and Socioeconomic Characteristics and Drop-Out Rate from a Longitudinal Birth Cohort in Three Industrially Contaminat," IJERPH, MDPI, vol. 18(3), pages 1-24, January.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:3:p:1252-:d:490091
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/1660-4601/18/3/1252/pdf
    Download Restriction: no
    File URL: https://www.mdpi.com/1660-4601/18/3/1252/
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Brender, J.D. & Maantay, J.A. & Chakraborty, J., 2011. "Residential proximity to environmental hazards and adverse health outcomes," American Journal of Public Health, American Public Health Association, vol. 101(SUPPL. 1), pages 37-52.
    2. Nicola Heslehurst & Louise Hayes & Daniel Jones & James Newham & Joan Olajide & Louise McLeman & Catherine McParlin & Caroline de Brun & Liane Azevedo, 2020. "The effectiveness of smoking cessation, alcohol reduction, diet and physical activity interventions in changing behaviours during pregnancy: A systematic review of systematic reviews," PLOS ONE, Public Library of Science, vol. 15(5), pages 1-26, May.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Silvia Ruggieri & Sabina Maltese & Gaspare Drago & Simona Panunzi & Fabio Cibella & Fabrizio Bianchi & Fabrizio Minichilli & Liliana Cori, 2021. "Measuring Risk Perception in Pregnant Women in Heavily Polluted Areas: A New Methodological Approach from the NEHO Birth Cohort," IJERPH, MDPI, vol. 18(20), pages 1-18, October.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Harik, G. & Alameddine, I. & Zurayk, R. & El-Fadel, M., 2023. "Uncertainty in forecasting land cover land use at a watershed scale: Towards enhanced sustainable land management," Ecological Modelling, Elsevier, vol. 486(C).
    2. Aubree Driver & Crystal Mehdizadeh & Samuel Bara-Garcia & Coline Bodenreider & Jessica Lewis & Sacoby Wilson, 2019. "Utilization of the Maryland Environmental Justice Screening Tool: A Bladensburg, Maryland Case Study," IJERPH, MDPI, vol. 16(3), pages 1-21, January.
    3. Gomez-Vidal, Cristina & Gomez, Anu Manchikanti, 2021. "Invisible and unequal: Unincorporated community status as a structural determinant of health," Social Science & Medicine, Elsevier, vol. 285(C).
    4. Sarah Alves & Joan Tilghman & Arlene Rosenbaum & Devon C. Payne-Sturges, 2012. "U.S. EPA Authority to Use Cumulative Risk Assessments in Environmental Decision-Making," IJERPH, MDPI, vol. 9(6), pages 1-23, May.
    5. Maria Uhl & Ricardo R. Santos & Joana Costa & Osvaldo Santos & Ana Virgolino & David S. Evans & Cora Murray & Maurice Mulcahy & Dorothy Ubong & Ovnair Sepai & Joana Lobo Vicente & Michaela Leitner & S, 2021. "Chemical Exposure: European Citizens’ Perspectives, Trust, and Concerns on Human Biomonitoring Initiatives, Information Needs, and Scientific Results," IJERPH, MDPI, vol. 18(4), pages 1-17, February.
    6. Uttama Barua & Mehedi Ahmed Ansary & Ishrat Islam & Hafiz Suliman Munawar & Mohammad Mojtahedi, 2023. "Multi-Criteria Earthquake Risk Sensitivity Mapping at the Local Level for Sustainable Risk-Sensitive Land Use Planning (RSLUP)," Sustainability, MDPI, vol. 15(9), pages 1-24, May.
    7. Laura Andrea Rodriguez-Villamizar & Feisar Enrique Moreno-Corzo & Ana María Valbuena-Garcia & Claudia Janeth Uribe Pérez & Mary Ruth Brome Bohórquez & Héctor Iván García García & Luis Eduardo Bravo & , 2020. "Childhood Leukemia in Small Geographical Areas and Proximity to Industrial Sources of Air Pollutants in Three Colombian Cities," IJERPH, MDPI, vol. 17(21), pages 1, October.
    8. Boyce, James K. & Zwickl, Klara & Ash, Michael, 2016. "Measuring environmental inequality," Ecological Economics, Elsevier, vol. 124(C), pages 114-123.
    9. Lee, Eun Kyung & Donley, Gwendolyn & Ciesielski, Timothy H. & Freedman, Darcy A. & Cole, Megan B., 2023. "Spatial availability of federally qualified health centers and disparities in health services utilization in medically underserved areas," Social Science & Medicine, Elsevier, vol. 328(C).
    10. Prince O. Njoku & Joshua N. Edokpayi & John O. Odiyo, 2019. "Health and Environmental Risks of Residents Living Close to a Landfill: A Case Study of Thohoyandou Landfill, Limpopo Province, South Africa," IJERPH, MDPI, vol. 16(12), pages 1-27, June.
    11. Cole, Helen V.S. & Anguelovski, Isabelle & Connolly, James J.T. & García-Lamarca, Melissa & Perez-del-Pulgar, Carmen & Shokry, Galia & Triguero-Mas, Margarita, 2021. "Adapting the environmental risk transition theory for urban health inequities: An observational study examining complex environmental riskscapes in seven neighborhoods in Global North cities," Social Science & Medicine, Elsevier, vol. 277(C).
    12. Natalia Landeros & Soledad Duk & Carolina Márquez & Bárbara Inzunza & Ian S. Acuña-Rodríguez & Liliana A. Zúñiga-Venegas, 2022. "Genotoxicity and Reproductive Risk in Workers Exposed to Pesticides in Rural Areas of Curicó, Chile: A Pilot Study," IJERPH, MDPI, vol. 19(24), pages 1-12, December.
    13. Laura Lorenz & Franziska Krebs & Farah Nawabi & Adrienne Alayli & Stephanie Stock, 2022. "Preventive Counseling in Routine Prenatal Care—A Qualitative Study of Pregnant Women’s Perspectives on a Lifestyle Intervention, Contrasted with the Experiences of Healthcare Providers," IJERPH, MDPI, vol. 19(10), pages 1-24, May.
    14. Yuqin Jiao & Julie K. Bower & Wansoo Im & Nicholas Basta & John Obrycki & Mohammad Z. Al-Hamdan & Allison Wilder & Claire E. Bollinger & Tongwen Zhang & Luddie Sr. Hatten & Jerrie Hatten & Darryl B. H, 2015. "Application of Citizen Science Risk Communication Tools in a Vulnerable Urban Community," IJERPH, MDPI, vol. 13(1), pages 1-24, December.
    15. Sara E. Grineski & Timothy W. Collins & Jayajit Chakraborty & Marilyn Montgomery, 2017. "Hazard Characteristics and Patterns of Environmental Injustice: Household‐Level Determinants of Environmental Risk in Miami, Florida," Risk Analysis, John Wiley & Sons, vol. 37(7), pages 1419-1434, July.
    16. Xun Gong & Shenggang Yang & Min Zhang, 2017. "Not Only Health: Environmental Pollution Disasters and Political Trust," Sustainability, MDPI, vol. 9(4), pages 1-28, April.
    17. Sheena E. Martenies & Chad W. Milando & Guy O. Williams & Stuart A. Batterman, 2017. "Disease and Health Inequalities Attributable to Air Pollutant Exposure in Detroit, Michigan," IJERPH, MDPI, vol. 14(10), pages 1-24, October.
    18. James K. Boyce & Klara Zwickl & Michael Ash, 2014. "Three Measures of Environmental Inequality," Working Papers Series 12, Institute for New Economic Thinking.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:gam:jijerp:v:18:y:2021:i:3:p:1252-:d:490091. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: MDPI Indexing Manager (email available below). General contact details of provider: https://www.mdpi.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.