Toxic environmental chemicals: the role of reproductive health professionals in preventing harmful exposures

Sutton, Patrice; Woodruff, Tracey J.; Perron, Joanne; Stotland, Nada L.; Conry, Jeanne; Miller, Mark D.; Giudice, Linda C.

doi:10.1016/j.ajog.2012.01.034

Cited by 62 publications

(51 citation statements)

References 107 publications

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“…The results described above suggest that the current paradigm for pre-conception and prenatal counseling -taking an exposure history, providing information about chemicals, negative health outcomes and methods of reducing exposure (McDiarmid & Gehle, 2006;Sathyanarayana et al, 2012;Sutton et al, 2012) -may not take into consideration a decision-making process that includes an evaluation of how a woman perceives severity, susceptibility, benefits and barriers. This process is unique for pregnancy as barriers are experienced by the woman, but benefits are experienced by the child.…”

Section: Discussionmentioning

confidence: 99%

“…Currently, taking an exposure history is considered a key first step to preventing environmental exposures, as is providing anticipatory guidance to all patients on how to avoid toxic exposures at home, in the community and at work (Sutton et al, 2012). Although EDCs are often discussed as a single group of chemicals (e.g.…”

Section: Implications For Policy and Educationmentioning

confidence: 99%

See 1 more Smart Citation

Using the Health Belief Model to Illustrate Factors That Influence Risk Assessment during Pregnancy and Implications for Prenatal Education about Endocrine Disruptors

Che

Barrett

Velez

et al. 2014

Policy Futures in Education

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Endocrine disrupting chemicals (EDCs) such as Bisphenol A (BPA) and phthalates are ubiquitous in our environment and a growing body of research indicates that EDCs may adversely affect human development. Fetal development is particularly susceptible to EDC exposure, and prenatal care providers are being asked to educate women about the risks of exposure. To inform prenatal education on EDCs, the authors examined how women perceive risks during pregnancy and translate that perception into behavior, using the Health Belief Model as a guiding framework. Because EDCs may not be discussed during prenatal care, examination of general risk perception and motivation for behaviors was used to inform surveys and interviews focused on EDCs. The results of this investigation suggest that education about EDCs needs to be detailed and comprehensive about potential health outcomes in order for women to conduct their own risk assessment.

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Section: Discussionmentioning

confidence: 99%

Section: Implications For Policy and Educationmentioning

confidence: 99%

Using the Health Belief Model to Illustrate Factors That Influence Risk Assessment during Pregnancy and Implications for Prenatal Education about Endocrine Disruptors

Che

Barrett

Velez

et al. 2014

Policy Futures in Education

View full text Add to dashboard Cite

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“…While these developments have dramatically improved lives and augmented modern conveniences and comforts, growing evidence also implicates widely distributed organic agents as risk factors for female infertility [22,23].…”

Section: Bemerging^organic Pollutantsmentioning

confidence: 98%

Female Infertility and “Emerging” Organic Pollutants of Concern

Bloom

Micu

Neamtiu³

2016

Curr Epidemiol Rep

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Modern chemical instrumentation has fostered a revolution of sorts, in which epidemiologic studies of female infertility can now devote attention to very low level, Bbackground^exposures to Bemerging^non-persistent organic pollutants, rather than on Blegacy^persistent organic pollutants. Predicated on widespread and frequent contact, and substantial experimental evidence of estrogen-disruptive effects, concern for phthalate diesters, environmental phenols (bisphenol A and triclosan), and ultraviolet filters (benzophenones) as risk factors for female infertility has grown. We reviewed the contemporary epidemiologic evidence for these emerging environmental pollutants as risk factors for female infertility. We conclude that the epidemiologic evidence is insufficient to date, to substantiate background exposures as risk factors for female infertility. However, very few epidemiologic investigations have been published. To more definitively address concerns, additional epidemiologic investigations are needed, including longitudinal collection of multiple biospecimens, simultaneous consideration of couplelevel exposures, and incorporating mixtures of these and additional emerging organic pollutants.

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“…These professionals are interested in including environmental factors as part of their message to their patients about health promotion before conception and during pregnancy. 201 Including both men and women in health promotion provides an ideal opportunity to address environmental exposures prior to early critical windows of development, even before conception. Initial studies on the effectiveness of strategies to promote behavior change to reduce chemical hazard exposures preconception and during pregnancy indicate that perceived normative pressure (perception of what is common among peers and important to family, friends and doctors) is a key element.…”

Section: A Clinical Perspective On Environmental Health Literacymentioning

confidence: 99%

Childhood Leukemia and Primary Prevention

Whitehead

Metayer

Wiemels

et al. 2016

Current Problems in Pediatric and Adolescent Health Care

Self Cite

106

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Leukemia is the most common pediatric cancer, affecting 3,800 children per year in the United States. Its annual incidence has increased over the last decades, especially among Latinos. Although most children diagnosed with leukemia are now cured, many suffer long-term complications, and primary prevention efforts are urgently needed. The early onset of leukemia – usually before age five – and the presence at birth of “pre-leukemic” genetic signatures indicate that pre- and postnatal events are critical to the development of the disease. In contrast to most pediatric cancers, there is a growing body of literature – in the United States and internationally – that has implicated several environmental, infectious, and dietary risk factors in the etiology of childhood leukemia, mainly for acute lymphoblastic leukemia, the most common subtype. For example, exposures to pesticides, tobacco smoke, solvents, and traffic emissions have consistently demonstrated positive associations with the risk of developing childhood leukemia. In contrast, intake of vitamins and folate supplementation during the pre-conception period or pregnancy, breastfeeding, and exposure to routine childhood infections have been shown to reduce the risk of childhood leukemia. Some children may be especially vulnerable to these risk factors, as demonstrated by a disproportionate burden of childhood leukemia in the Latino population of California. The evidence supporting the associations between childhood leukemia and its risk factors – including pooled analyses from around the world and systematic reviews – is strong; however, the dissemination of this knowledge to clinicians has been limited. To protect children’s health, it is prudent to initiate programs designed to alter exposure to well-established leukemia risk factors rather than to suspend judgement until no uncertainty remains. Primary prevention programs for childhood leukemia would also result in the significant co-benefits of reductions in other adverse health outcomes that are common in children, such as detriments to neurocognitive development.

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Toxic environmental chemicals: the role of reproductive health professionals in preventing harmful exposures

Cited by 62 publications

References 107 publications

Using the Health Belief Model to Illustrate Factors That Influence Risk Assessment during Pregnancy and Implications for Prenatal Education about Endocrine Disruptors

Using the Health Belief Model to Illustrate Factors That Influence Risk Assessment during Pregnancy and Implications for Prenatal Education about Endocrine Disruptors

Female Infertility and “Emerging” Organic Pollutants of Concern

Childhood Leukemia and Primary Prevention

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