住宿甲状腺杀虫剂的产前暴露与先天性甲状腺功能低下症之间的关联,使用倾向性比分匹配
Asieh Heidari1,2, Afshin Ebrahimi1,3, Mahmoud Mirkhalafzadeh4
1Environment Research Center, Research Institute for Primordial Prevention of Non-communicable Disease, Isfahan University of Medical Sciences, Isfahan, Iran.
Scientific reports
|February 19, 2026
概括
孕妇在怀孕期间暴露于II型甲状腺杀虫剂,特别是在第二个三个月,与先天性甲状腺功能低下症 (CH) 的风险增加有关. 这一发现对流行地区的公共卫生具有重要意义.
科学领域:
- 环境健康 环境健康
- 儿科 儿科 儿科
- 毒理学 毒理学 毒理学
背景情况:
- 先天性甲状腺功能低下症 (CH) 是一个严重的问题,特别是在莱什曼病流行地区.
- 了解CH的环境风险因素对于公共卫生干预至关重要.
研究的目的:
- 调查母亲暴露于II型甲状腺杀虫剂和先天性甲状腺功能低下症之间的关联.
- 评估怀孕期间与甲状腺激素暴露相关的三个月特定风险.
主要方法:
- 基于人口的病例控制研究,使用来自母亲和新生儿的二次数据 (2017-2022年).
- 倾向性得分匹配 (5:1) 用于控制混因子.
- 进行了三个月的具体分析,根据母亲和出生特征进行了调整.
主要成果:
- 孕妇在怀孕第二季度接触II型铁类药物显示了与CH的统计学上显著的关联 (aOR = 3.00).
- 累积的甲状腺暴露与CH显著相关,调整后的几率比为2.33.
- 在经过统计调整后,甲状腺暴露与CH风险之间的关联得到了加强.
结论:
- 孕妇在怀孕期间暴露于II型甲状腺杀虫剂,特别是第二个三个月,可能会增加先天性甲状腺功能低下症的风险.
- 调查结果强调了在莱什曼病流行地区需要有针对性的公共卫生战略,这些地区使用大量杀虫剂.
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