Total Trihalomethanes in Public Drinking Water Supply and Birth Outcomes: A Cross-Sectional Study
Autor: | Steve Forand, Syni-An Hwang, Thomas Hart, Sanjaya Kumar, Gwen D. Babcock, Wayne Richter |
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Rok vydání: | 2013 |
Předmět: |
Male
Epidemiology Birth weight Drinking New York Gestational Age Prenatal care Birth certificate Risk Assessment Pregnancy Water Supply Environmental health Confidence Intervals Odds Ratio medicine Humans Retrospective Studies business.industry Incidence Infant Newborn Public Health Environmental and Occupational Health Obstetrics and Gynecology Gestational age Infant Low Birth Weight medicine.disease Low birth weight Cross-Sectional Studies Logistic Models Maternal Exposure Premature birth Infant Small for Gestational Age Multivariate Analysis Pediatrics Perinatology and Child Health Premature Birth Small for gestational age Female Public Health medicine.symptom business Water Pollutants Chemical Trihalomethanes |
Zdroj: | Maternal and Child Health Journal. 18:996-1006 |
ISSN: | 1573-6628 1092-7875 |
DOI: | 10.1007/s10995-013-1328-4 |
Popis: | Reproductive effects of long-term, low-dose exposure to disinfectant by-products have not been consistently documented in large populations despite the known toxicity of high exposures and the wide-spread occurrence of low concentrations in public drinking water. We investigated the effect of low-dose exposure to total trihalomethanes (TTHM) on birth weight and gestational term in New York State. All singleton live births from 1998 through 2003 in 62 counties in New York State were linked with public water supply (PWS) system boundaries based on mother's residential address on birth certificate. Using the data from public water supply system, TTHM measurements were assigned geographically and temporally to each birth record linked with PWS boundary. Individual level maternal information including mother's race, ethnicity, education, employment status, smoking, age, along with adequacy of prenatal care utilization and infant's gender was used in a logistic model to adjust for potential confounding. A small non-linear association was detected between TTHM exposure and low birth weight ( |
Databáze: | OpenAIRE |
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