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Examinations are needed for various greenspace indicators given varying pathways for fetal development. This prospective cohort study assessed the impacts of prenatal greenspace exposure on preterm birth (PTB), term low birthweight (TLBW), birthweight, and estimated fetal weight (EFW) for pregnant women in the New York City area, 2016-2023 (n\u00a0=\u00a02765). Longitudinal greenspace exposure was measured for residential histories during pregnancy using the enhanced vegetation index for 1000\u00a0m buffers and four park metrics, namely, the total number, sum of area, and the accessibility of parks within residential buffers (500\u00a0m) and the distance to the closest park. Multivariable regression models were used to estimate the associations for quartiles of exposure (with the first quartile [Q1] as reference). Greenspace exposure was not associated with TLBW, birthweight, or EFW. Odds ratios of PTB for the Q2, Q3, and Q4 enhanced vegetation index exposure groups compared to the Q1 group were 0.65 (95% CI, 0.43-0.98), 0.51 (95% CI, 0.32-0.80), and 0.56 (95% CI, 0.35-0.90), respectively. Preterm birth risks decreased in higher exposure groups (Q2-Q4) of the total park number. Results indicate the benefits of prenatal greenspace exposure for fetal maturity and neonatal outcomes.<\/jats:p>","DOI":"10.1093\/aje\/kwae436","type":"journal-article","created":{"date-parts":[[2024,11,16]],"date-time":"2024-11-16T07:18:25Z","timestamp":1731741505000},"page":"2621-2630","source":"Crossref","is-referenced-by-count":5,"title":["Prenatal exposure to residential greenness, fetal growth, and birth outcomes: a cohort study in New York City"],"prefix":"10.1093","volume":"194","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0786-5002","authenticated-orcid":false,"given":"Seulkee","family":"Heo","sequence":"first","affiliation":[{"name":"School of the Environment, Yale University , New Haven, CT 06511 ,","place":["United States"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9760-2697","authenticated-orcid":false,"given":"Yelena","family":"Afanasyeva","sequence":"additional","affiliation":[{"name":"Department of Population Health at NYU Grossman School of Medicine, New York University , New York, NY 10016 ,","place":["United States"]},{"name":"Department of Pediatrics at NYU Grossman School of Medicine, New York University , New York, NY 10016 ,","place":["United States"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9758-8522","authenticated-orcid":false,"given":"Mengling","family":"Liu","sequence":"additional","affiliation":[{"name":"Department of Population Health at NYU Grossman School of Medicine, New York University , New York, NY 10016 ,","place":["United States"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8126-9631","authenticated-orcid":false,"given":"Shilpi","family":"Mehta-Lee","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, New York University , New York, NY 10022 ,","place":["United States"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wenqing","family":"Yang","sequence":"additional","affiliation":[{"name":"Department of Population Health at NYU Grossman School of Medicine, New York University , New York, NY 10016 ,","place":["United States"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1928-597X","authenticated-orcid":false,"given":"Leonardo","family":"Trasande","sequence":"additional","affiliation":[{"name":"Department of Population Health at NYU Grossman School of Medicine, New York University , New York, NY 10016 ,","place":["United States"]},{"name":"Department of Pediatrics at NYU Grossman School of Medicine, New York University , New York, NY 10016 ,","place":["United States"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3965-1359","authenticated-orcid":false,"given":"Michelle L","family":"Bell","sequence":"additional","affiliation":[{"name":"School of the Environment, Yale University , New Haven, CT 06511 ,","place":["United States"]},{"name":"School of Health Policy and Management, College of Health Sciences, Korea University , Hana-Science Building, 145 Anam-ro, Seongbuk-gu, Seoul 02841 ,","place":["Republic of Korea"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9551-4706","authenticated-orcid":false,"given":"Akhgar","family":"Ghassabian","sequence":"additional","affiliation":[{"name":"Department of Population Health at NYU Grossman School of Medicine, New York University , New York, NY 10016 ,","place":["United States"]},{"name":"Department of Pediatrics at NYU Grossman School of Medicine, New York University , New York, NY 10016 ,","place":["United States"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2024,11,18]]},"reference":[{"key":"2026011420021649900_ref1","doi-asserted-by":"publisher","DOI":"10.1016\/j.landurbplan.2022.104494","article-title":"Do various dimensions of exposure metrics affect biopsychosocial pathways linking green spaces to mental health? 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