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dc.rights.licenseopenen_US
dc.contributor.authorADELAIDE, Lucie
dc.contributor.authorNAKAMURA, Aurelie
dc.contributor.authorGUILBERT, Ariane
hal.structure.identifierBordeaux population health [BPH]
dc.contributor.authorVANDENTORREN, Stephanie
dc.contributor.authorSTEMPFELET, Morgane
dc.contributor.authorHOUGH, Ian
dc.contributor.authorSEYVE, Emie
dc.contributor.authorLAUNOY, Guy
dc.contributor.authorLAUNAY, Ludivine
dc.contributor.authorCHARLES, Marie-Aline
dc.contributor.authorCHEVRIER, Cecile
dc.contributor.authorMONFORT, Christine
dc.contributor.authorHEUDE, Barbara
dc.contributor.authorTAFFLET, Muriel
dc.contributor.authorBAYAT, Sam
dc.contributor.authorKLOOG, Itai
dc.contributor.authorLEPEULE, Johanna
dc.contributor.authorPASCAL, Mathilde
dc.date.accessioned2025-04-18T07:31:33Z
dc.date.available2025-04-18T07:31:33Z
dc.date.issued2025-03-31
dc.identifier.issn1432-1254en_US
dc.identifier.urihttps://oskar-bordeaux.fr/handle/20.500.12278/206263
dc.description.abstractEnHeat exposure in pregnancy has been associated with mother-child health. However, characterization of exposure to heat in pregnant women and its associated factors, such as air pollution, vegetation or social stressors, is lacking. We aimed to describe heat exposure according to air pollution and vegetation co-exposures, individual social position and socio-economic context of residence among French pregnant women. We studied 12,235 pregnant women from four mother-child cohorts. Exposure to heat (intensity, duration, severity), particulate matter, nitrogen dioxide (NO(2)), ozone (O(3)), and vegetation during summer were estimated at the women's residences. Socio-economic context of residence was assessed using the European Deprivation Index (EDI). Cumulative overexposure to heat, air pollution and vegetation were estimated according to reference values. Three profiles of heat exposure, multi-exposure and individual social position, were created using multivariate analysis and unsupervised clustering. Associations of the profiles of heat exposure and multi-exposure with air pollution, vegetation, individual social position and EDI were described using Wilcoxon tests and polytomous regressions. About one-third of pregnant women had a high heat exposure profile combining intense, severe and durable exposure. Depending on the location and year of pregnancy, 27-88% of women were overexposed to heat, air pollution and lack of vegetation. The relationships between profiles of heat and multi-exposure with air pollution, vegetation and individual social position and socioeconomic context of residence depended on the geographical and temporal context. No clear differential exposure pattern across social strata was found. Co-exposure to heat, air pollution and lack of vegetation is common among French pregnant women. Protective measures against summer heat would apply to all pregnant women, as heat exposure represents a universal risk, regardless of socioeconomic status. This research supports future epidemiological studies on combined effects of heat and co-exposures on pregnancy outcomes.
dc.language.isoENen_US
dc.subject.enEnvironmental disparities
dc.subject.enGreen spaces
dc.subject.enParticulate matter
dc.subject.enPregnancy
dc.subject.enSocial inequities
dc.subject.enTemperature
dc.title.enExploring heat risk in pregnant women: do environmental and social inequalities amplify heat exposure?
dc.title.alternativeInt J Biometeorolen_US
dc.typeArticle de revueen_US
dc.identifier.doi10.1007/s00484-025-02895-7en_US
dc.subject.halSciences du Vivant [q-bio]/Santé publique et épidémiologieen_US
dc.identifier.pubmed40163253en_US
bordeaux.journalInternational Journal of Biometeorologyen_US
bordeaux.hal.laboratoriesBordeaux Population Health Research Center (BPH) - UMR 1219en_US
bordeaux.institutionUniversité de Bordeauxen_US
bordeaux.institutionINSERMen_US
bordeaux.teamPHARES_BPHen_US
bordeaux.peerReviewedouien_US
bordeaux.inpressnonen_US
hal.popularnonen_US
hal.audienceInternationaleen_US
hal.exportfalse
dc.rights.ccPas de Licence CCen_US
bordeaux.COinSctx_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.jtitle=International%20Journal%20of%20Biometeorology&rft.date=2025-03-31&rft.eissn=1432-1254&rft.issn=1432-1254&rft.au=ADELAIDE,%20Lucie&NAKAMURA,%20Aurelie&GUILBERT,%20Ariane&VANDENTORREN,%20Stephanie&STEMPFELET,%20Morgane&rft.genre=article


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