{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,29]],"date-time":"2026-10-29T23:18:22Z","timestamp":1793315902018,"version":"4.5.0"},"reference-count":73,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2024,1,18]],"date-time":"2024-01-18T00:00:00Z","timestamp":1705536000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["BJOG"],"published-print":{"date-parts":[[2024,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To explore the associations between prenatal temperature exposures and low birthweight (LBW) and modification by cash transfer (CT) receipt.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>Retrospective cohort study.<\/jats:p><\/jats:sec><jats:sec><jats:title>Setting<\/jats:title><jats:p>Five rural districts in Northern Ghana.<\/jats:p><\/jats:sec><jats:sec><jats:title>Population or sample<\/jats:title><jats:p>A total of 3016 infants born to women interviewed as part of the Livelihood Empowerment Against Poverty (LEAP 1000) impact evaluation between 2015 and 2017.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Birthweight was collected using household surveys administered to LEAP 1000 eligible women. We used a UNICEF\u2010developed multiple imputation approach to address missingness of birthweight and applied an empirical heaping correction to the multiply imputed birthweight data. Survey data were linked to the European Centre for Medium\u2010Range Weather Forecasts Reanalysis 5\u2010hourly temperature averaged to weeks for 2011\u20132017 using community centroids. Using distributed\u2010lag nonlinear models, we explored the lag\u2010specific associations between weekly average temperatures greater than 30\u00b0C and LBW, and stratified by LEAP 1000 treatment.<\/jats:p><\/jats:sec><jats:sec><jats:title>Main outcome measures<\/jats:title><jats:p>Low birthweight (&lt;2.5\u2009kg).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Twelve percent (<jats:italic>n<\/jats:italic>\u2009=\u2009365) of infants were LBW; the mean \u00b1 SD birthweight was 3.02\u2009\u00b1\u20090.37\u2009kg. Overall, increasing temperatures were associated with increased odds of LBW, with the greatest odds observed in the 3\u2009weeks before birth (odds ratio 1.005\u20131.025). These positive associations were even larger among comparison infants and null among treatment infants.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Our study found increased odds of LBW with high weekly average temperatures throughout pregnancy and the preconception period and demonstrate mitigated effects by the LEAP 1000 CT program. More evidence on the potential of CTs to serve as adaptation interventions in low\u2010 and middle\u2010income countries is needed to protect pregnant persons and their infants\u00a0from the impacts of climate change.<\/jats:p><\/jats:sec>","DOI":"10.1111\/1471-0528.17761","type":"journal-article","created":{"date-parts":[[2024,1,19]],"date-time":"2024-01-19T06:05:15Z","timestamp":1705644315000},"page":"641-650","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":12,"title":["Impact of cash transfers on the association between prenatal exposures to high temperatures and low birthweight: Retrospective analysis from the <scp>LEAP<\/scp> 1000 study"],"prefix":"10.1111","volume":"131","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8869-856X","authenticated-orcid":false,"given":"Sarah","family":"LaPointe","sequence":"first","affiliation":[{"name":"Department of Epidemiology, Rollins School of Public Health Emory University  Atlanta Georgia USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pauline","family":"Mendola","sequence":"additional","affiliation":[{"name":"Department of Epidemiology and Environmental Health University at Buffalo, State University of New York  Buffalo New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shao","family":"Lin","sequence":"additional","affiliation":[{"name":"Department of Environmental Health Sciences University at Albany, State University of New York  Rensselaer New York USA"},{"name":"Department of Epidemiology and Biostatistics University at Albany, State University of New York  Rensselaer New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lili","family":"Tian","sequence":"additional","affiliation":[{"name":"Department of Biostatistics University at Buffalo, State University of New York  Buffalo New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5981-762X","authenticated-orcid":false,"given":"Ana","family":"Bonell","sequence":"additional","affiliation":[{"name":"Medical Research Council Unit London School of Hygiene and Tropical Medicine  Banjul The Gambia"},{"name":"Centre on Climate Change and Planetary Health London School of Hygiene and Tropical Medicine  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Clement","family":"Adamba","sequence":"additional","affiliation":[{"name":"School of Education and Leadership University of Ghana  Accra Ghana"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tia","family":"Palermo","sequence":"additional","affiliation":[{"name":"Department of Epidemiology and Environmental Health University at Buffalo, State University of New York  Buffalo New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,1,18]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1186\/1758-5996-5-49"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2214-109X(18)30565-5"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(14)60496-7"},{"key":"e_1_2_12_5_1","unstructured":"World Health Assembly.Comprehensive implementation plan on maternal infant and young child nutrition. 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