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. 2020 Jan 7;128(1):017006. doi: 10.1289/EHP5117

Table 3.

Relative excess risk due to interaction of heatwave and PM2.5 exposure on preterm birth in Guangzhou, China, 2015–2017.

Heatwaves Overall PTBa Overall PTBb PTB at weeks 28–34b PTB at weeks 35–36b
Unadjusted RERI 95% CI Adjusted RERI 95% CI RERI 95% CI RERI 95% CI
33°C-D2 2.33 0.46, 5.11 2.43 0.45, 5.31 0.78 0.57, 2.13 0.94 0.71, 2.59
33°C-D3 1.70 0.43, 3.82 1.66 0.50, 3.83 1.30 0.95, 3.55 0.59 0.50, 1.69
33°C-D4 0.91 1.36, 3.17 0.89 1.73, 3.52 1.50 0.37, 3.38 0.19 1.71, 2.09
75th-D2 1.88 1.83, 5.59 1.81 2.18, 5.80 0.87 0.14, 1.88 0.41 2.35, 3.18
75th-D3 2.31 2.59, 7.20 2.15 2.89, 7.19 0.84 0.20, 1.89 0.94 2.90, 4.78
75th-D4 1.64 2.37, 5.64 1.35 2.76, 5.47 1.65 0.41, 3.72 0.33 2.81, 3.47
90th-D2 0.49 3.88, 4.86 0.15 4.53, 4.83 1.62 0.07, 3.17 1.28 3.79, 1.24
90th-D3 0.74 3.13, 1.66 1.10 3.90, 1.71 2.64 0.41, 5.69 1.9 3.74, 0.05
90th-D4 1.67 4.30, 0.96 1.89 5.28, 1.51 2.53 2.15, 7.22 1.66 4.73, 1.40
95th-D2 0.64 2.98, 1.69 1.07 3.89, 1.75 1.05 0.15, 2.25 2.24 4.11, 0.37
95th-D3 11.2 21.27, 1.14 14.4 27.46, 1.33 9.62 7.71, 26.95 9.83 23.43, 3.77
98th-D2 6.85 13.93, 0.23 8.64 17.46, 0.19 10.99 18.51, 40.50 5.76 13.63, 2.10

Note: Heatwaves were defined by an absolute (33°C) or percentile temperature threshold (75th, 90th, 95th, 98th percentiles, corresponding to 34.6°C, 35.7°C, 36.4°C, and 37°C, respectively) and by the number of consecutive days above the threshold (2–4 d, indicated by D2, D3, or D4); PM2.5 exposure in the last gestational week was included in each model as a continuous variable. Each RERI was calculated for per 10-μg/m3 increment in PM2.5 with each heatwave exposure. CI, confidence interval; PM2.5, particulate matter <2.5μm in aerodynamic diameter; PTB, preterm birth; RERI, relative excess risk due to interaction.

a

Unadjusted model included only gestational temperature and PM2.5 exposures; residency districts of the participants were fitted as a random effect.

b

Adjusted model additionally included maternal age, parity, month of birth, and relative humidity in the last gestational week before delivery.