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In Association with
The role of ambient air pollution in sudden infant death
3rd International Conference on Epidemiology & Public Health
Ian Litchfield
Posters-Accepted Abstracts: Epidemiology (Sunnyvale)
Abstract
Air pollution has been associated with increased mortality and morbidity in several studies and some have indicated its
effect could be more severe in children. This study aimed to investigate the relationship between occurrence of sudden
infant death syndrome (SIDS) and short-term variations in air pollution (based on the previous day concentrations) for
particulate matter with aerodynamic diameter of ≤ 10 μm (PM10), Ozone (O3), sulphur dioxide (SO2), carbon monoxide
(CO) and oxides of nitrogen (NOX) as well as its components NO and NO2. We investigated the association between shortterm
exposure to air pollution and SIDS mortality in infants less than a year old in a case-crossover design. Control days
were selected based on the same day of the week, month and year of the event day and we controlled for daily birth counts,
index of multiple deprivation (IMD) scores and non-linear effects of temperature using splines. We performed the analyses
using conditional Poisson regression model. The results indicated ambient air pollutants, particularly PM10 and NO2, were
associated with increased SIDS mortality. The two pollutants showed relatively consistent association which persisted across
different lag structures and after adjusting for other co-pollutants.
