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A Quasi-Experimental Analysis of Maternal Altitude Exposure and Infant Birth Weight

Bibliographic Data

ID11023558
AuthorsSammy Zahran (0000-0002-4607-0851, Sammy Zahran and Bruce G. Link are with the Department of Epidemiology, Columbia University, Mailman School of Public Health, New York, NY. Ian M. Breunig is with the Pharmaceutical Health Services Research Department, University of Maryland, School of Pharmacy, Baltimore. Jeffrey G. Snodgrass is with the Department of Anthropology, and Stephan Weiler is with the Department of Economics, Colorado State University, Fort Collins.), Ian Michael Breunig (0000-0001-7708-7077, University of Maryland, Baltimore), Bruce G Link (0000-0001-9980-7450, University of Maryland, Baltimore), Lexi Harari (0000-0001-7980-5407, Sammy Zahran and Bruce G. Link are with the Department of Epidemiology, Columbia University, Mailman School of Public Health, New York, NY. Ian M. Breunig is with the Pharmaceutical Health Services Research Department, University of Maryland, School of Pharmacy, Baltimore. Jeffrey G. Snodgrass is with the Department of Anthropology, and Stephan Weiler is with the Department of Economics, Colorado State University, Fort Collins.), J G Snodgra (0000-0003-2725-8063, Sammy Zahran and Bruce G. Link are with the Department of Epidemiology, Columbia University, Mailman School of Public Health, New York, NY. Ian M. Breunig is with the Pharmaceutical Health Services Research Department, University of Maryland, School of Pharmacy, Baltimore. Jeffrey G. Snodgrass is with the Department of Anthropology, and Stephan Weiler is with the Department of Economics, Colorado State University, Fort Collins.), Jeffrey G Snodgrass, Stephan Weiler (0000-0002-0102-0850, Sammy Zahran and Bruce G. Link are with the Department of Epidemiology, Columbia University, Mailman School of Public Health, New York, NY. Ian M. Breunig is with the Pharmaceutical Health Services Research Department, University of Maryland, School of Pharmacy, Baltimore. Jeffrey G. Snodgrass is with the Department of Anthropology, and Stephan Weiler is with the Department of Economics, Colorado State University, Fort Collins.)
Year2014
Volume104
IssueS1
PagesS166-S174
Publication date2014-02-01
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueAmerican Journal of Public Health (JOURNAL)
Journal identifiersISSN: 0090-0036 • E-ISSN: 1541-0048
PublisherAmerican Public Health Association (PUBLISHER • US)
DOI10.2105/ajph.2013.301725
PMID24354824
OpenAlexW1993836967
LanguageEN
Citations received2
References cited29

Objectives. We analyzed singleton births to determine the relationship between birth weight and altitude exposure. Methods. We analyzed 715 213 singleton births across 74 counties from the western states of Arizona, California, Colorado, Idaho, Montana, Nevada, New Mexico, Oregon, Utah, and Washington from January 1, 2000, to December 31, 2000. Birth data were obtained from the Division of Vital Statistics, National Center for Health Statistics, for registered births. Results. Regression analyses supported previous research by showing that a 1000-meter increase in maternal altitude exposure in pregnancy was associated with a 75.9-gram reduction in birth weight (95% confidence interval = −84.1, −67.6). Quantile regression models indicated significant and near-uniform depressant effects from altitude exposure across the conditional distribution of birth weight. Bivariate sample-selection models showed that a 1000-meter increase in altitude exposure, over and above baseline residential altitude, decreased birth weight by an additional 58.8 grams (95% confidence interval = −98.4, −19.2). Conclusions. Because of calculable health care–related costs associated with lower birth weight, our reported results might be of interest to clinicians practicing at higher altitudes

Altitude (triangle) · Birth weight · Bivariate analysis · Confidence interval · Effects of high altitude on humans · Pregnancy · Singleton · Statistics · Demography · Gestational Diabetes Research and Management · Maternal Mental Health During Pregnancy and Postpartum · Mathematics · Medicine · Pregnancy and preeclampsia studies

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Unique citing works2
Citations per year0,33
Citation span2020 - 2021 (2)
Citation velocityhistorical
Highly citedNo
Citation typesNeutral: 2

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