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Updated: May 22, 2026

Long-term Behavioral and Reproductive Consequences of Embryonic Exposure to Low-dose Toxicants
Published on: March 6, 2018
Prenatal bisphenol a exposure and child behavior in an inner-city cohort
Frederica Perera1, Julia Vishnevetsky, Julie B Herbstman
1Department of Environmental Health Sciences, Mailman School of Public Health, Columbia University, New York, New York 10032, USA. fpp1@columbia.edu
Insights
Prenatal exposure to bisphenol A (BPA) is linked to distinct behavioral changes in children. Boys showed increased behavioral problems, while girls exhibited fewer, suggesting sex-specific effects of BPA on child development.
Area of Science:
- Environmental Health
- Developmental Toxicology
- Pediatric Neurobehavior
Background:
- Bisphenol A (BPA) is an endocrine disruptor with suspected neurodevelopmental toxicity.
- Previous studies on sex-specific effects of BPA on child behavior have yielded limited and inconclusive results.
Purpose of the Study:
- To investigate the association between prenatal bisphenol A (BPA) exposure and child behavior.
- To examine potential sex-specific effects of BPA on behavior, adjusting for postnatal exposure.
Main Methods:
- Followed 198 mother-child pairs (African-American and Dominican) from pregnancy to age 5.
- Measured BPA exposure via maternal urine during pregnancy and child urine at ages 3-4.
- Assessed child behavior using the Child Behavior Checklist (CBCL) at ages 3-5.
Main Results:
- High prenatal BPA exposure was associated with increased Emotionally Reactive and Aggressive Behavior scores in boys.
- In girls, higher prenatal BPA exposure correlated with decreased scores for Anxious/Depressed and Aggressive Behavior syndromes.
Conclusions:
- Prenatal bisphenol A (BPA) exposure appears to influence child behavior.
- The effects of prenatal BPA exposure on behavior differ significantly between boys and girls.
Background:
Experimental laboratory evidence suggests that bisphenol A (BPA), an endocrine disruptor, is a neurodevelopmental toxicant. However, there have been limited and inconclusive results with respect to sex-specific BPA effects on child behavior.
Objective:
We examined the association between prenatal BPA exposure and child behavior, adjusting for postnatal BPA exposure and hypothesizing sex-specific effects.
Methods:
We followed African-American and Dominican women and their children from pregnancy to child's age 5 years, collecting spot urine samples from the mothers during pregnancy (34 weeks on average) and from children between 3 and 4 years of age to estimate BPA exposure. We assessed child behavior between 3 and 5 years of age using the Child Behavior Checklist (CBCL) and used generalized linear models to test the association between BPA exposure and child behavior, adjusting for potential confounders.
Results:
The analysis was conducted on 198 children (87 boys and 111 girls). Among boys, high prenatal BPA exposure (highest quartile vs. the lowest three quartiles) was associated with significantly higher CBCL scores (more problems) on Emotionally Reactive [1.62 times greater; 95% confidence interval (CI): 1.13, 2.32] and Aggressive Behavior syndromes (1.29 times greater; 95% CI: 1.09, 1.53). Among girls, higher exposure was associated with lower scores on all syndromes, reaching statistical significance for Anxious/Depressed (0.75 times as high; 95% CI: 0.57, 0.99) and Aggressive Behavior (0.82 times as high; 95% CI: 0.70, 0.97).
Conclusion:
These results suggest that prenatal exposure to BPA may affect child behavior, and differently among boys and girls.
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