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Description

This study examined the relationship between environmental exposures, specifically heat and air quality, and adverse birth outcomes across Maryland. Using an ecological, correlational study design, the analysis found that while higher temperatures and cooling degree days were initially associated with increased rates of low birth weight (LBW) and infant mortality (IM), these relationships did not remain significant after adjusting for sociodemographic factors. Instead, poverty emerged as the strongest and most consistent predictor of both LBW and IM, with rural residence also linked to higher LBW rates and urban residence appearing protective against IM. The findings suggest that social determinants of health, particularly poverty, play a more critical role than environmental factors at the statewide level, though localized environmental effects may still exist. Targeted interventions in high-poverty and rural communities are recommended to improve maternal and infant health outcomes.

Faculty Advisor(s)

Robin Throne

Publication Date

2026

Climate-Related Environmental Exposures and Adverse Birth Outcomes: An Epidemiological Study in Maryland

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