Skip to main content
. 2021 Apr 2;129(4):047004. doi: 10.1289/EHP7486

Figure 2.

Figure 2A to 2D are each a set of three forest plots titled maternal Healthy Eating Index, maternal folate, child sex, and maternal race plotting first trimester, second trimester, third trimester, prenatal, postnatal for Ambient particulate matter; prenatal and postnatal for Nitrogen dioxide; prenatal and postnatal for Proximity to major roadway less than 150 meters (y-axis) across change of Systolic blood pressure percentile (95 percent confidence intervals), change of Diastolic blood pressure percentile (95 percent confidence intervals), and Incidence rate ratio for High blood pressure percentile (95 percent confidence intervals) (x-axis) for less than median; median and above; first quartile, second quartile through fourth quartile; female, male; and Black and non-Black, respectively.

Shown are estimated effects of air pollution exposures on BP percentiles and HBP by maternal HEI levels (median vs.<median), maternal plasma folate (first quartile vs. second to fourth quartile), child sex (female vs. male), and maternal race (Black vs. non-Black) from the interaction models. In addition to effect modifiers and interaction terms, the models (linear regressions for blood pressure percentiles and Poisson regressions for HBP) were controlled for child sex, child age and height at the age 4- to 6-y visit, study site, time splines of both visit date and date of conception (only for PM2.5 and NO2), maternal age at childbirth, maternal race, maternal education, income adjusted by household size, breastfeeding, urinary cotinine adjusted by specific gravity in the second trimester, BMI class before pregnancy, insurance status, maternal Global Severity Index, child sleep scores, child physical activity levels, child secondhand smoking exposures, child use of medication that potentially increased blood pressure, and Child Opportunity Indices. Visit date was universally modeled with 1 df/y in all models. Conception date was modeled with 1 df/y for analyses with NO2 and was modeled with varied df for PM2.5 in different windows: 8 df/y of conception date for trimester-specific PM2.5, 4 df/y for prenatal PM2.5, and 1 df/y for postnatal PM2.5. There was no time adjustment for proximity to major roadway in all models. The symbols of triangles and circles indicate the effect estimate, the error bars show 95% confidence intervals, and the dotted lines show null values. Numeric data is shown in Table S6 and S7. Note: BMI, body mass index; BP, blood pressure; df, degrees of freedom; HBP, high blood pressure; HEI, Healthy Eating Index; NO2, nitrogen dioxide; PM2.5, ambient particulate matter (particulate matter 2.5μm in aerodynamic diameter).