TABLE 6

Adjusted# hazard ratios (HR) and 95% confidence intervals for the joint effects of maternal asthma and quartiles of particulate matter with a 50% cut-off aerodynamic diameter ≤2.5 μm (PM2.5) exposure over specific periods of pregnancy on childhood asthma risk

Maternal asthmaPM2.5 quartilesSubjects nObstetric casesHR (95% CI)RERI (95% CI)
1st trimester−0.06 (−0.16–0.03)
 NoQ1145 55917 807Ref.
 NoQ2143 67019 3231.00 (0.97–1.02)
 NoQ3139 39920 5061.03 (1.00–1.07)
 NoQ4139 78121 9641.06 (1.00–1.12)
 YesQ110 16218541.56 (1.49–1.64)
 YesQ2921817381.46 (1.39–1.54)
 YesQ3853118811.63 (1.54–1.73)
 YesQ4814018111.56 (1.45–1.67)
2nd trimester−0.04 (−0.06–0.13)
 NoQ1146 04417 705Ref.
 NoQ2144 00519 5951.02 (0.99–1.05)
 NoQ3140 19420 4121.03 (0.99–1.07)
 NoQ4138 90321 9281.07 (1.02–1.13)
 YesQ110 25917791.49 (1.42–1.57)
 YesQ2918718201.55 (1.47–1.63)
 YesQ3848918491.62 (1.53–1.72)
 YesQ4816118371.60 (1.50–1.72)
3rd trimester−0.03 (−0.12–0.06)
 NoQ1146 29317 831Ref.
 NoQ2145 11819 7821.00 (0.97–1.03)
 NoQ3139 47319 9620.98 (0.95–1.02)
 NoQ4138 10421 9011.03 (0.98–1.09)
 YesQ110 26818201.52 (1.45–1.60)
 YesQ2926218211.51 (1.43–1.59)
 YesQ3835617901.54 (1.47–1.64)
 YesQ4821818401.52 (1.42–1.63)
Entire pregnancy−0.04 (−0.14–0.05)
 NoQ1142 31316 929Ref.
 NoQ2142 47419 6881.03 (1.00–1.06)
 NoQ3141 97119 7410.95 (0.91–1.00)
 NoQ4135 59622 2241.07 (1.00–1.13)
 YesQ110 04117681.55 (1.47–1.62)
 YesQ2909617881.54 (1.46–1.62)
 YesQ3865318081.50 (1.41–1.59)
 YesQ4785018311.58 (1.47–1.70)
First year of life0.01 (−0.08–0.10)
 NoQ1141 97416 918Ref.
 NoQ2142 10119 6820.99 (0.96–1.02)
 NoQ3141 78819 7381.00 (0.95–1.05)
 NoQ4134 32322 2211.02 (0.98–1.07)
 YesQ1987417661.55 (1.46–1.61)
 YesQ2892117841.53 (1.41–1.60)
 YesQ3836518071.57 (1.45–1.64)
 YesQ4753818301.59 (1.46–1.69)

Data are presented as n, unless otherwise stated. Q: quartile; RERI: relative excess risk of childhood asthma due to interaction between maternal asthma and PM2.5. #: models adjusted for maternal age at delivery, infant sex, parity, breastfeeding status at the time of discharge, maternal smoking during pregnancy, gestational age, birthweight, residential greenness exposure during pregnancy, dissemination area median family income, dissemination area proportion of population who are visible minority, dissemination area proportion of the adult female population aged 25–64 years who completed post-secondary education, the average pregnancy exposure to the selected pollutant, the first year of life exposure to the selected pollutant and cumulative exposure after birth to the selected pollutant.