The Cumulative Risk of Prenatal Exposures to Chemical and Non-Chemical Stressors on Birth Outcomes in Suriname

被引:5
作者
Gokoel, Anisma R. [1 ,2 ]
Shankar, Arti [3 ]
Wahid, Firoz Abdoel [4 ]
Hindori-Mohangoo, Ashna D. [5 ,6 ]
Covert, Hannah H. [5 ]
Wickliffe, Jeffrey K. [7 ]
Harville, Emily W. [8 ]
Zijlmans, Wilco C. W. R. [2 ,5 ]
Lichtveld, Maureen Y. [4 ]
机构
[1] Acad Hosp Paramaribo, Sci Res Ctr Suriname, Paramaribo, Suriname
[2] Anton de Kom Univ Suriname, Fac Med Sci, Paramaribo, Suriname
[3] Tulane Univ, Sch Publ Hlth & Trop Med, Dept Biostat & Data Sci, New Orleans, LA 70112 USA
[4] Univ Pittsburgh, Grad Sch Publ Hlth, Pittsburgh, PA 15261 USA
[5] Tulane Univ, Sch Publ Hlth & Trop Med, Dept Environm Hlth Sci, New Orleans, LA 70112 USA
[6] Fdn Perinatal Intervent & Res Suriname Perisur, Paramaribo, Suriname
[7] Univ Alabama Birmingham, Sch Publ Hlth, Birmingham, AL 35294 USA
[8] Tulane Univ, Sch Publ Hlth & Trop Med, Dept Epidemiol, New Orleans, LA 70112 USA
基金
美国国家卫生研究院;
关键词
chemical stressors; non-chemical stressors; birth outcomes; cumulative exposure; path model; Suriname; CCREOH-MeKiTamara study; PERCEIVED STRESS; SOCIAL SUPPORT; PRETERM BIRTH; PREGNANCY; BLOOD; ASSOCIATIONS; DEPRESSION; SELENIUM; DIETARY;
D O I
10.3390/ijerph18147683
中图分类号
X [环境科学、安全科学];
学科分类号
08 ; 0830 ;
摘要
The cumulative exposure to chemical and non-chemical stressors may have an impact on birth outcomes. The aim of this study is to examine the cumulative exposure of a mixture of chemicals (mercury, lead, selenium and tin) and non-chemical stressors (social support, perceived stress, probable depression and BMI) on birth outcomes (birthweight, gestational age at birth, and Apgar score at 5 min). The study population is a subset (n = 384) of the Caribbean Consortium for Research in Environmental and Occupational Health-MeKiTamara prospective cohort study. Associations between the latent chemical construct, non-chemical stressors and birth outcomes were assessed using path models. The results showed a significant direct relationship between perceived stress and birthweight (beta = -0.17), however even though the relationship between perceived stress and depression was significant in all three path models (beta = 0.61), the association between depression and birth outcomes was not significant. Perceived stress was significantly associated with community engagement (beta = -0.12) and individual resilience (beta = -0.12). BMI (beta = 0.12) was also significantly directly associated with birthweight. The latent chemical construct did not show an association with the birth outcomes. Our data indicate the need for the development of a support system for pregnant women by involving them in prenatal care programs to reduce maternal stress, which may also influence depression and (in)directly improve the birth outcomes. Interventions regarding weight management for women of childbearing age are necessary to halt obesity and its negative effects on birth outcomes.
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页数:13
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