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  1. Article ; Online: Maternal proximity to Central Appalachia surface mining and birth outcomes.

    Buttling, Lauren G / McKnight, Molly X / Kolivras, Korine N / Ranganathan, Shyam / Gohlke, Julia M

    Environmental epidemiology (Philadelphia, Pa.)

    2021  Volume 5, Issue 1, Page(s) e128

    Abstract: Maternal residency in Central Appalachia counties with coal production has been previously associated with increased rates of low birth weight (LBW). To refine the relationship between surface mining and birth outcomes, this study employs finer ... ...

    Abstract Maternal residency in Central Appalachia counties with coal production has been previously associated with increased rates of low birth weight (LBW). To refine the relationship between surface mining and birth outcomes, this study employs finer spatiotemporal estimates of exposure.
    Methods: We developed characterizations of annual surface mining boundaries in Central Appalachia between 1986 and 2015 using Landsat data. Maternal address on birth records was geocoded and assigned amount of surface mining within a 5 km radius of residence (street-level). Births were also assigned the amount of surface mining within residential ZIP code tabulation area (ZCTA). Associations between exposure to active mining during gestation year and birth weight, LBW, preterm birth (PTB), and term low birth weight (tLBW) were determined, adjusting for outcome rates before active mining and available covariates.
    Results: The percent of land actively mined within a 5 km buffer of residence (or ZCTA) was negatively associated with birth weight (5 km: β = -14.07 g; 95% confidence interval [CI] = -19.35, -8.79,
    Conclusions: Maternal residency near active surface mining during gestation may increase risk of PTB and LBW.
    Language English
    Publishing date 2021-01-25
    Publishing country United States
    Document type Journal Article
    ISSN 2474-7882
    ISSN (online) 2474-7882
    DOI 10.1097/EE9.0000000000000128
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Associations Between Surface Mining Airsheds and Birth Outcomes in Central Appalachia at Multiple Spatial Scales.

    McKnight, Molly X / Kolivras, Korine N / Buttling, Lauren G / Gohlke, Julia M / Marr, Linsey C / Pingel, Thomas J / Ranganathan, Shyam

    GeoHealth

    2022  Volume 6, Issue 10, Page(s) e2022GH000696

    Abstract: A considerable body of research exists outlining ecological impacts of surface coal mining, but less work has explicitly focused on human health, and few studies have examined potential links between health and surface coal mining at fine spatial scales. ...

    Abstract A considerable body of research exists outlining ecological impacts of surface coal mining, but less work has explicitly focused on human health, and few studies have examined potential links between health and surface coal mining at fine spatial scales. In particular, relationships between individual birth outcomes and exposure to air contaminants from coal mining activities has received little attention. Central Appalachia (portions of Virginia, West Virginia, Kentucky, and Tennessee, USA), our study area, has a history of resource extraction, and epidemiologic research notes that the region experiences a greater level of adverse health outcomes compared to the rest of the country that are not fully explained by socioeconomic and behavioral factors. The purpose of this study is to examine associations between surface mining and birth outcomes at four spatial scales: individual, Census tract, county, and across county-sized grid cells. Notably, this study is among the first to examine these associations at the individual scale, providing a more direct measure of exposure and outcome. Airsheds were constructed for surface mines using an atmospheric trajectory model. We then implemented linear (birthweight) and logistic (preterm birth [PTB]) regression models to examine associations between airsheds and birth outcomes, which were geocoded to home address for individual analyses and then aggregated for areal unit analyses, while controlling for a number of demographic variables. This study found that surface mining airsheds are significantly associated with PTB and decreased birthweight at all four spatial scales, suggesting that surface coal mining activities impact birth outcomes via airborne contaminants.
    Language English
    Publishing date 2022-10-01
    Publishing country United States
    Document type Journal Article
    ISSN 2471-1403
    ISSN (online) 2471-1403
    DOI 10.1029/2022GH000696
    Database MEDical Literature Analysis and Retrieval System OnLINE

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