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. Author manuscript; available in PMC: 2014 Jul 1.
Published in final edited form as: Paediatr Perinat Epidemiol. 2013 Apr 21;27(4):329–339. doi: 10.1111/ppe.12055

Table 3.

Adjusteda odds ratios (aOR) and 95% confidence intervals (CI) of congenital heart defects and exposure to pollutantsb and traffic densityc for N cases (N=1641).

Exposure levelsb Heterotaxia d-Transposition of the great arteries Tetralogy of Fallot Double outlet right ventricle - other Double outlet right ventricle - TGA
N AOR (95% CI) N AOR (95% CI) N AOR (95% CI) N AOR (95% CI) N AOR (95% CI)
CO (ppm) 0.13–0.39 16 Reference 12 Reference 22 Reference 6 Reference 5 Reference
0.40–0.52 4 0.2 (0.1,0.7) 9 0.8 (0.3,1.9) 17 0.8 (0.4,1.6) 3 0.5 (0.1,1.9) 2 NC
0.53–0.71 14 0.8 (0.4,1.7) 16 1.4 (0.6,3.0) 21 1.0 (0.5,1.9) 2 NC 3 0.6 (0.1,2.5)
0.72–1.37 14 0.8 (0.4,1.8) 12 0.9 (0.4,2.2) 19 0.9 (0.5,1.8) 2 NC 4 0.8 (0.2,3.2)
NO (ppb) 0.69–4.14 15 Reference 12 Reference 23 Reference 4 Reference 2 --
4.15–8.15 12 0.7 (0.3,1.6) 12 1.0 (0.5,2.4) 20 0.8 (0.4,1.6) 4 1.0 (0.2,4.0) 2 NC
8.16–20.19 14 0.8 (0.4,1.8) 20 1.6 (0.7,3.4) 27 1.1 (0.6,2.1) 3 0.6 (0.1,2.9) 6 NC
20.20–67.34 13 0.8 (0.4,1.7) 10 0.8 (0.4,2.0) 18 0.8 (0.4,1.5) 3 0.7 (0.1,3.2) 4 NC
NO2 (ppb) 2.40–13.36 13 Reference 10 Reference 18 Reference 3 Reference 4 Reference
13.37–16.81 20 1.4 (0.7,3.0) 16 1.6 (0.7,3.6) 34 1.8 (1.0,3.4) 1 NC 3 0.7 (0.2,3.3)
16.82–20.53 14 1.0 (0.5,2.3) 16 1.6 (0.7,3.6) 26 1.4 (0.7,2.7) 7 2.2 (0.6,8.9) 3 0.7 (0.2,3.2)
20.54–38.94 14 1.0 (0.5,2.2) 21 2.0 (0.9,4.4) 22 1.2 (0.6,2.4) 4 1.3 (0.3,5.8) 7 1.7 (0.5,6.1)
PM10 (μg/m3) 7.90–25.24 17 Reference 12 Reference 26 Reference 2 --- 5 Reference
25.25–33.43 11 0.6 (0.3,1.3) 18 1.5 (0.7,3.1) 17 0.6 (0.3,1.2) 3 NC 3 0.6 (0.1,2.5)
33.44–44.08 18 1.0 (0.5,2.0) 11 0.9 (0.4,2.0) 32 1.2 (0.7,2.1) 5 NC 1 NC
44.09–95.32 17 0.9 (0.4,1.8) 22 1.9 (0.9,3.9) 24 0.9 (0.5,1.6) 6 NC 8 1.6 (0.5,5.0)
PM2.5 (μg/m3) 3.57–10.93 8 Reference 7 Reference 14 Reference 2 --- 3 Reference
10.94–14.82 16 1.8 (0.8,4.5) 15 2.2 (0.9,5.7) 22 1.6 (0.8,3.2) 6 NC 3 1.0 (0.2,5.1)
14.83–26.12 15 1.8 (0.7,4.5) 18 2.6 (1.1,6.5) 23 1.6 (0.8,3.2) 2 NC 5 1.6 (0.4,7.0)
26.13–66.29 12 1.4 (0.6,3.6) 10 1.5 (0.5,4.0) 22 1.5 (0.7,3.1) NC 6 1.9 (0.5,8.0)
O3 8-hour maximum (ppb) 10.49–29.05 16 Reference 12 Reference 25 Reference 2 --- 4 Reference
29.06–46.94 19 1.2 (0.6,2.4) 21 1.7 (0.8,3.6) 25 1.0 (0.6,1.8) 3 NC 6 1.5 (0.4,5.4)
46.95–62.64 10 0.6 (0.3,1.4) 17 1.4 (0.6,3.0) 25 1.0 (0.6,1.9) 2 NC 6 1.6 (0.4,5.7)
62.65–91.92 18 1.1 (0.5,2.3) 13 1.2 (0.5,2.7) 25 1.0 (0.6,1.8) 8 NC 1 NC
Traffic densityc 0 18 Reference 27 Reference 28 Reference 4 Reference 4 Reference
1–5031 13 1.0 (0.5,2.2) 9 0.6 (0.3,1.3) 24 1.3 (0.7,2.3) 4 1.6 (0.4,6.5) 2 NC
5032–16717 19 1.4 (0.7,2.9) 19 1.2 (0.6,2.2) 22 1.1 (0.6,2.0) 4 1.6 (0.4,6.5) 3 1.2 (0.3,5.5)
16718–135991 8 0.6 (0.2,1.4) 4 0.3 (0.1,0.8) 21 1.1 (0.6,2.0) 2 NC 5 2.0 (0.5,7.6)
Exposure levelsb Atrioventricular septal defects Total anomalous pulmonary venous return Hypoplastic left heart syndrome Coarctation of the aorta Aortic stenosis
N AOR (95% CI) N AOR (95% CI) N AOR (95% CI) N AOR (95% CI) N AOR (95% CI)
CO (ppm) 0.13–0.39 4 Reference 5 Reference 13 Reference 13 Reference 6 Reference
0.40–0.52 3 0.7 (0.2,3.4) 4 0.8 (0.2,3.3) 11 0.8 (0.4,1.9) 15 1.1 (0.5,2.5) 2 NC
0.53–0.71 4 0.9 (0.2,3.9) 2 NC 13 1.0 (0.5,2.3) 16 1.2 (0.6,2.7) 10 1.6 (0.6,4.6)
0.72–1.37 1 NC 3 0.6 (0.1,2.7) 11 0.7 (0.3,1.7) 12 0.9 (0.4,2.1) 2 NC
NO (ppb) 0.69–4.14 3 Reference 7 Reference 12 Reference 15 Reference 4 Reference
4.15–8.15 2 NC 4 0.6 (0.2,2.1) 13 1.2 (0.5,2.7) 20 1.3 (0.7,2.7) 5 1.3 (0.3,5.0)
8.16–20.19 4 1.1 (0.2,5.3) 3 0.5 (0.1,1.8) 14 1.1 (0.5,2.6) 17 1.1 (0.5,2.4) 8 1.8 (0.5,6.2)
20.20–67.34 4 1.2 (0.3,5.6) 5 0.7 (0.2,2.4) 14 1.2 (0.5,2.6) 18 1.2 (0.6,2.5) 6 1.4 (0.4,5.2)
NO2 (ppb) 2.40–13.36 3 Reference 5 Reference 17 Reference 17 Reference 7 Reference
13.37–16.81 4 1.2 (0.3,5.6) 10 2.1 (0.7,6.3) 17 1.0 (0.5,2.1) 18 1.1 (0.5,2.1) 7 1.0 (0.3,2.8)
16.82–20.53 4 1.1 (0.2,5.1) 2 NC 14 0.9 (0.4,1.9) 22 1.3 (0.7,2.6) 7 0.9 (0.3,2.6)
20.54–38.94 3 1.0 (0.2,4.9) 5 1.1 (0.3,3.7) 13 0.7 (0.3,1.6) 21 1.3 (0.6,2.5) 5 0.6 (0.2,2.0)
PM10 (μg/m3) 7.90–25.24 2 -- 6 Reference 15 Reference 16 Reference 7 Reference
25.25–33.43 6 NC 8 1.3 (0.4,3.8) 22 1.5 (0.7,2.9) 14 0.8 (0.4,1.8) 6 0.8 (0.3,2.4)
33.44–44.08 5 NC 6 1.0 (0.3,3.2) 12 0.8 (0.4,1.8) 22 1.4 (0.7,2.7) 9 1.1 (0.4,2.9)
44.09–95.32 1 NC 4 0.7 (0.2,2.5) 11 0.7 (0.3,1.7) 23 1.4 (0.7,2.8) 4 0.5 (0.1,1.8)
PM2.5 (μg/m3) 3.57–10.93 4 Reference 4 Reference 14 Reference 13 Reference 3 Reference
10.94–14.82 2 NC 4 1.0 (0.3,4.2) 10 0.8 (0.3,1.8) 16 1.2 (0.6,2.7) 9 3.1 (0.8,12.0)
14.83–26.12 3 0.7 (0.1,3.1) 9 2.2 (0.7,7.4) 21 1.6 (0.8,3.3) 14 1.0 (0.5,2.2) 7 2.1 (0.5,8.4)
26.13–66.29 4 0.8 (0.2,3.6) 4 1.0 (0.3,4.2) 12 0.9 (0.4,2.0) 16 1.2 (0.6,2.6) 4 1.2 (0.3,5.4)
O3 8-hour maximum (ppb) 10.49–29.05 5 Reference 3 Reference 19 Reference 17 Reference 6 Reference
29.06–46.94 4 0.9 (0.2,3.3) 8 2.6 (0.7,10.1) 16 0.8 (0.4,1.6) 22 1.3 (0.7,2.5) 9 1.6 (0.5,4.6)
46.95–62.64 2 NC 7 2.4 (0.6,9.5) 13 0.6 (0.3,1.3) 15 0.9 (0.4,1.9) 8 1.5 (0.5,4.4)
62.65–91.92 3 0.6 (0.1,2.6) 5 1.7 (0.4,7.0) 13 0.7 (0.3,1.5) 23 1.4 (0.7,2.6) 3 0.6 (0.1,2.4)
Traffic densityc 0 8 --- 6 Reference 14 Reference 22 Reference 10 Reference
1–5031 1 NC 3 0.7 (0.2,2.9) 14 1.5 (0.7,3.3) 19 1.3 (0.7,2.4) 5 0.9 (0.3,2.7)
5032–16717 2 NC 9 2.1 (0.7,6.0) 15 1.6 (0.7,3.4) 18 1.2 (0.6,2.4) 4 0.7 (0.2,2.3)
16718–135991 2 NC 3 0.7 (0.2,2.9) 13 1.6 (0.7,3.5) 13 0.9 (0.4,1.8) 5 0.9 (0.3,2.8)
Exposure levelsb Pulmonary atresia Tricuspid atresia Pulmonary valve stenosis Ventricular septal defects - perimembranous Ventricular septal defects - muscular
N AOR (95% CI) N AOR (95% CI) N AOR (95% CI) N AOR (95% CI) N AOR (95% CI)
CO (ppm) 0.13–0.39 4 Reference 5 Reference 14 Reference 28 Reference 16 Reference
0.40–0.52 6 1.5 (0.4,5.4) 4 0.9 (0.2,3.4) 13 0.9 (0.4,2.1) 19 0.7 (0.4,1.3) 9 0.6 (0.3,1.5)
0.53–0.71 1 NC 1 NC 11 0.8 (0.3,1.7) 18 0.6 (0.3,1.2) 10 0.6 (0.3,1.5)
0.72–1.37 7 1.7 (0.5,6.0) 2 NC 8 0.6 (0.2,1.4) 15 0.5 (0.3,1.0) 6 0.4 (0.2,1.1)
NO (ppb) 0.69–4.14 2 --- 5 Reference 14 Reference 23 Reference 15 Reference
4.15–8.15 6 NC 4 0.8 (0.2,3.2) 11 0.8 (0.3,1.8) 19 0.8 (0.4,1.5) 8 0.6 (0.2,1.3)
8.16–20.19 4 NC 5 1.0 (0.3,3.6) 12 0.8 (0.4,1.9) 22 0.9 (0.5,1.7) 13 0.9 (0.4,2.0)
20.20–67.34 6 NC 2 NC 13 0.9 (0.4,2.0) 24 1.0 (0.5,1.8) 10 0.7 (0.3,1.6)
NO2 (ppb) 2.40–13.36 2 --- 5 Reference 15 Reference 25 Reference 14 Reference
13.37–16.81 6 NC 6 1.2 (0.4,4.0) 18 1.2 (0.6,2.4) 32 1.2 (0.7,2.2) 16 1.2 (0.5,2.5)
16.82–20.53 6 NC 4 0.8 (0.2,3.0) 12 0.8 (0.4,1.8) 22 0.8 (0.5,1.6) 7 0.5 (0.2,1.3)
20.54–38.94 5 NC 3 0.6 (0.1,2.5) 14 0.9 (0.4,2.0) 19 0.7 (0.4,1.4) 11 0.8 (0.4,1.9)
PM10 (μg/m3) 7.90–25.24 2 --- 3 Reference 9 Reference 15 Reference 11 Reference
25.25–33.43 5 NC 4 1.3 (0.3,5.8) 13 1.4 (0.6,3.5) 28 1.8 (0.9,3.5) 9 0.8 (0.3,2.0)
33.44–44.08 6 NC 9 3.0 (0.8,11.2) 15 1.7 (0.7,3.9) 32 2.1 (1.1,3.9) 15 1.4 (0.6,3.1)
44.09–95.32 6 NC 2 NC 23 2.6 (1.2,5.7) 21 1.3 (0.7,2.7) 13 1.2 (0.5,2.7)
PM2.5 (μg/m3) 3.57–10.93 5 Reference 4 Reference 10 Reference 28 Reference 15 Reference
10.94–14.82 3 0.6 (0.1,2.4) 4 0.9 (0.2,3.8) 17 1.7 (0.8,3.9) 20 0.7 (0.4,1.3) 8 0.5 (0.2,1.3)
14.83–26.12 3 0.6 (0.1,2.4) 1 NC 23 2.2 (1.0,4.9) 27 0.9 (0.5,1.6) 11 0.7 (0.3,1.5)
26.13–66.29 5 0.9 (0.3,3.3) 5 1.2 (0.3,4.7) 9 0.9 (0.3,2.2) 14 0.5 (0.2,0.9) 10 0.6 (0.3,1.5)
O3 8-hour maximum (ppb) 10.49–29.05 4 Reference 4 Reference 12 Reference 24 Reference 9 Reference
29.06–46.94 6 1.5 (0.4,5.6) 5 1.3 (0.3,4.9) 9 0.7 (0.3,1.8) 26 1.1 (0.6,2.0) 7 0.8 (0.3,2.2)
46.95–62.64 4 1.0 (0.2,4.2) 4 1.0 (0.2,4.0) 18 1.5 (0.7,3.2) 23 1.0 (0.5,1.8) 18 2.1 (0.9,4.9)
62.65–91.92 5 1.3 (0.3,4.9) 5 1.2 (0.3,4.7) 20 1.7 (0.8,3.5) 25 1.1 (0.6,2.0) 14 1.6 (0.7,3.8)
Traffic densityc 0 1 --- 4 Reference 21 Reference 18 Reference 7 Reference
1–5031 3 NC 3 1.1 (0.2,4.9) 12 0.8 (0.4,1.8) 28 2.4 (1.3,4.6) 15 3.4 (1.3,8.7)
5032–16717 6 NC 5 1.6 (0.4,6.4) 11 0.8 (0.4,1.6) 29 2.4 (1.3,4.6) 8 1.7 (0.6,4.8)
16718–135991 7 NC 4 1.3 (0.3,5.5) 13 0.9 (0.4,1.9) 18 1.5 (0.8,3.0) 14 3.0 (1.2,7.8)
Exposure levelsb Ventricular septal defects - conov Secundum atrial septal defects Other atrial septal defects Single ventricle or other complex
N AOR (95% CI) N AOR (95% CI) N AOR (95% CI) N AOR (95% CI)
CO (ppm) 0.13–0.39 4 Reference 38 Reference 6 Reference 5 Reference
0.40–0.52 4 1.0 (0.2,4.3) 29 0.8 (0.5,1.4) 5 0.8 (0.2,2.7) 4 0.8 (0.2,3.1)
0.53–0.71 6 1.5 (0.4,5.5) 29 0.8 (0.5,1.4) 1 NC 5 1.0 (0.3,3.6)
0.72–1.37 2 NC 15 0.4 (0.2,0.8) 2 NC 4 0.8 (0.2,3.1)
NO (ppb) 0.69–4.14 3 Reference 31 Reference 6 Reference 5 Reference
4.15–8.15 7 2.2 (0.6,8.9) 24 0.8 (0.4,1.4) 5 0.7 (0.2,2.5) 7 1.4 (0.4,4.7)
8.16–20.19 2 NC 36 1.2 (0.7,2.0) 1 NC 2 NC
20.20–67.34 5 1.6 (0.4,6.8) 32 1.0 (0.6,1.8) 4 0.7 (0.2,2.4) 5 1.0 (0.3,3.6)
NO2 (ppb) 2.40–13.36 5 Reference 35 Reference 3 Reference 7 Reference
13.37–16.81 3 0.6 (0.1,2.5) 48 1.4 (0.9,2.2) 9 3.0 (0.8,11.4) 4 0.6 (0.2,2.1)
16.82–20.53 6 1.2 (0.3,3.9) 29 0.8 (0.5,1.4) 4 1.3 (0.3,5.9) 6 1.0 (0.3,2.9)
20.54–38.94 5 1.0 (0.3,3.5) 28 0.8 (0.5,1.4) 2 NC 4 0.6 (0.2,2.0)
PM10 (μg/m3) 7.90–25.24 2 --- 34 Reference 1 --- 7 Reference
25.25–33.43 6 NC 41 1.2 (0.7,1.9) 2 NC 4 0.6 (0.2,1.9)
33.44–44.08 4 NC 34 1.0 (0.6,1.7) 8 NC 3 0.5 (0.1,1.8)
44.09–95.32 7 NC 30 0.9 (0.5,1.5) 7 NC 7 1.0 (0.3,3.0)
PM2.5 (μg/m3) 3.57–10.93 5 Reference 45 Reference 5 Reference 4 Reference
10.94–14.82 5 1.0 (0.3,3.5) 20 0.5 (0.3,0.8) 3 0.6 (0.1,2.7) 8 2.0 (0.6,6.9)
14.83–26.12 6 1.2 (0.4,4.1) 42 0.9 (0.6,1.5) 5 0.9 (0.3,3.3) 3 0.7 (0.2,3.2)
26.13–66.29 1 NC 21 0.5 (0.3,0.8) 3 0.6 (0.1,2.6) 4 1.0 (0.2,4.0)
O3 8-hour maximum (ppb) 10.49–29.05 2 --- 39 Reference 3 Reference 5 Reference
29.06–46.94 5 NC 31 0.8 (0.5,1.4) 4 1.4 (0.3,6.2) 6 1.2 (0.4,4.1)
46.95–62.64 8 NC 39 1.0 (0.6,1.6) 2 NC 5 1.0 (0.3,3.6)
62.65–91.92 4 NC 31 0.8 (0.5,1.4) 9 3.1 (0.8,11.7) 5 1.0 (0.3,3.5)
Traffic densityc 0 9 Reference 28 Reference 4 Reference 7 Reference
1–5031 3 0.5 (0.1,1.8) 44 2.4 (1.4,4.0) 6 2.7 (0.7,9.7) 8 1.6 (0.6,4.6)
5032–16717 5 0.7 (0.2,2.1) 28 1.4 (0.8,2.5) 3 1.3 (0.3,6.0) 4 0.8 (0.2,2.9)
16718–135991 2 NC 27 1.4 (0.8,2.5) 4 1.7 (0.4,6.9) 3 0.6 (0.2,2.5)
a

Analyses are adjusted for maternal race/ethnicity, education and vitamin use (for the month prior to and/or the first two months of pregnancy)

b

Pollutant levels are based on 24-hour average measurements (except ozone, which is a daytime 8-hour maximum), and then averaged over 1st and 2nd months of pregnancy and analyzed in quartiles (determined from controls)

c

Dimensionless indicator based on traffic volumes within a 300 m radius and analyzed in tertiles among non-zero values

The number of controls were as follows: CO (N=624), NO (N=697), NO2 (N=814), PM10 (N=804), PM2.5 (N=646), O3 (N=815), Traffic (N=762)

NC = not calculated