区域级暴露与不良出生结果之间的关联:Echo全方位队列分析
Jonathan V Lewis1, Emily A Knapp1, Shivani Bakre1
1Department of Epidemiology, Johns Hopkins University Bloomberg School of Public Health, Baltimore, MD, USA.
Environmental research
|July 30, 2023
概括
怀孕期间饮用水中的暴露与不良分娩结果无关. 然而,违规与婴儿的平均出生体重较高有关.
科学领域:
- 环境健康 环境健康
- 生殖毒理学 生殖毒理学
- 儿科健康 儿科健康
背景情况:
- 饮用水是无机暴露的主要来源.
- 安全饮用水法案 (SDWA) 规范了美国公共水系统 (PWS) 中的.
- 在怀孕前和产前期间暴露于的生殖效应尚未完全理解.
研究的目的:
- 检查从PWS违规暴露和五个出生结果之间的关联.
- 调查了对违规行为的预孕和产前暴露.
- 对出生体重,妊娠年龄,早产,SGA和LGA的评估影响.
主要方法:
- 使用了来自安全饮用水信息系统的违规 (>10ppb) 数据.
- 匹配了从环境影响儿童健康结果队列研究到违规行为的参与者.
- 采用多变量,混合效应的回归模型来分析暴露-结果关系.
主要成果:
- 持续暴露于与平均出生体重增加88.8g有关.
- 在暴露和妊娠年龄,早产,SGA或LGA之间没有发现显著的关联.
结论:
- 怀孕前和产前通过饮用水违规接触与不良出生结果无关.
- 饮用水中的违规行为与出生体重增加有关.
- 未来的研究需要更精确的地理数据,直接的水测量和生物标志物来准确评估暴露.
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