关于暴露于化消毒副产品和早产风险之间的关联的元分析和孟德尔随机化研究
Changxia Cheng1, Yanling Pei2, Guangyu Shan3
1China-Japan Union Hospital of Jilin University Operating Room, Changchun, China.
概括
暴露于化消毒副产品,如总三甲 (TTHMs) 和,与早产 (PTB) 的更高风险有关. 证据支持因果关系,强调水质控制.
科学领域:
- 环境健康 环境健康
- 生殖流行病学 生殖流行病学
- 毒理学 毒理学 毒理学
背景情况:
- 消毒副产品 (DBPs) 在水化过程中形成.
- 暴露于DBPs一直是一个日益严重的公共卫生问题.
- 早产 (PTB) 仍然是新生儿死亡的主要原因.
研究的目的:
- 调查化DBP与PTB之间的关联.
- 使用元分析和门德尔随机化 (MR) 评估因果关系.
主要方法:
- 对17项涉及1,251,426名新生儿的研究进行了元分析.
- 门德尔随机化 (MR) 分析以评估因果关系.
- 调查特定的DBP,包括总三甲 (TTHMs) 和酸 (HAAs).
主要成果:
- 在TTHM,和增加PTB风险之间存在显著的关联.
- 对于HAA,没有发现显著的关联.
- 此外,TTHMs也与妊娠年龄小的新生儿 (SGA) 有关.
- 受种族和研究设计影响的异质性.
结论:
- 化DBP,特别是TTHM和,是PTB的重要危险因素.
- MR分析支持化物和PTB之间的因果关系.
- 控制水消毒副产品对于预防PTB至关重要.
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