Exploring associations between the Phthalate Environmental Reproductive Health Literacy (PERHL) scale & biomarkers of phthalate exposure: A pilot study.

biomarkers of exposure environmental health literacy phthalates psychometric scale

Journal

Journal of exposure science & environmental epidemiology
ISSN: 1559-064X
Titre abrégé: J Expo Sci Environ Epidemiol
Pays: United States
ID NLM: 101262796

Informations de publication

Date de publication:
17 Jul 2024
Historique:
received: 12 01 2024
accepted: 08 07 2024
revised: 08 07 2024
medline: 18 7 2024
pubmed: 18 7 2024
entrez: 17 7 2024
Statut: aheadofprint

Résumé

Perinatal exposure to phthalates is associated with adverse health impacts for parents and children. The field of environmental health literacy seeks to measure how environmental health information is conceptualized and used to inform behaviors. We assessed whether scores on the validated Phthalate Environmental Reproductive Health Literacy (PERHL) scale were associated with biomarkers of phthalate exposure. 42 members of the Environmental Reproductive and Glucose Outcomes (ERGO) cohort completed the PERHL scale and provided spot urine samples. Phthalate summary measures for model outcomes were created by calculating molar sums of specific gravity-corrected metabolite concentrations representing exposure to parent phthalate, Di(2-ethylhexyl)phthalate (DEHP), personal care product (PCP)-associated phthalates, and parent butyl-phthalates. Linear regression models were used to estimate the associations of the PERHL scale scores with phthalate summary measures, controlling for educational attainment (college degree or higher vs. no college degree), age (years), and race and ethnicity (non-Hispanic White vs. non-White). Higher scores on the PERHL Scale and subscales were generally associated with lower ΣDEHP, Σbutyl, and ΣPCP metabolite concentrations. A one-point increase in the 'Protective Behavior/Risk Control' subscale score was significantly associated with a -30.3% (95% CI: -50.1, -2.6) decrease in ΣDEHP, and a -30.6% (95% CI: -51.5, -0.63) decrease in Σbutyl metabolite concentrations.

Sections du résumé

BACKGROUND BACKGROUND
Perinatal exposure to phthalates is associated with adverse health impacts for parents and children. The field of environmental health literacy seeks to measure how environmental health information is conceptualized and used to inform behaviors. We assessed whether scores on the validated Phthalate Environmental Reproductive Health Literacy (PERHL) scale were associated with biomarkers of phthalate exposure.
METHODS METHODS
42 members of the Environmental Reproductive and Glucose Outcomes (ERGO) cohort completed the PERHL scale and provided spot urine samples. Phthalate summary measures for model outcomes were created by calculating molar sums of specific gravity-corrected metabolite concentrations representing exposure to parent phthalate, Di(2-ethylhexyl)phthalate (DEHP), personal care product (PCP)-associated phthalates, and parent butyl-phthalates. Linear regression models were used to estimate the associations of the PERHL scale scores with phthalate summary measures, controlling for educational attainment (college degree or higher vs. no college degree), age (years), and race and ethnicity (non-Hispanic White vs. non-White).
RESULTS RESULTS
Higher scores on the PERHL Scale and subscales were generally associated with lower ΣDEHP, Σbutyl, and ΣPCP metabolite concentrations. A one-point increase in the 'Protective Behavior/Risk Control' subscale score was significantly associated with a -30.3% (95% CI: -50.1, -2.6) decrease in ΣDEHP, and a -30.6% (95% CI: -51.5, -0.63) decrease in Σbutyl metabolite concentrations.

Identifiants

pubmed: 39020161
doi: 10.1038/s41370-024-00706-6
pii: 10.1038/s41370-024-00706-6
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Informations de copyright

© 2024. The Author(s).

Références

Lucaccioni L, Trevisani V, Passini E, Righi B, Plessi C, Predieri B, et al. Perinatal exposure to phthalates: From endocrine to neurodevelopment effects. Int J Mol Sci. 2021;22:4063.
doi: 10.3390/ijms22084063 pubmed: 33920043 pmcid: 8070995
Corbasson I, Hankinson SE, Iii EJS, Reeves KW Urinary bisphenol-A, phthalate metabolites and body composition in US adults, NHANES 1999 – 2006. Int J Environ Health Res. 2016;26:606–17.
Hauser R, Calafat AM. Phthalates and human health. Occup Environ Med. 2005;62:806–18.
Zhang Y, Mustieles V, Yland J, Braun JM, Williams PL, Attaman JA, et al. Association of parental preconception exposure to phthalates and phthalate substitutes with preterm birth. JAMA Netw Open. 2020;3:e202159.
doi: 10.1001/jamanetworkopen.2020.2159 pubmed: 32259265 pmcid: 7139277
Sharma S, Ashley JM, Hodgson A, Nisker J. Views of pregnant women and clinicians regarding discussion of exposure to phthalate plasticizers. Reprod Health. 2014;11:1–8.
doi: 10.1186/1742-4755-11-47
Phthalates. America's Children and the Environment. Third Edition, Updated August 2017. United States Environmental Protection Agency. 168–71. https://www.epa.gov/sites/default/files/2015-06/documents/ace3_2013.pdf .
https://www.acog.org/clinical/clinical-guidance/committee-opinion/articles/2021/07/reducing-prenatal-exposure-to-toxic-environmental-agents Gynecologists TAC of O and. Committee Opinion. 2021 [cited 2021 Sep 30]. Reducing Prenatal Exposure to Toxic Environmental Agents | ACOG.
Shaffer RM, Ferguson KK, Sheppard L, James-Todd T, Butts S, Chandrasekaran S, et al. Maternal urinary phthalate metabolites in relation to gestational diabetes and glucose intolerance during pregnancy. Environ Int. 2019;123:588–96.
doi: 10.1016/j.envint.2018.12.021 pubmed: 30622083 pmcid: 6347428
James-Todd T, Ponzano M, Bellavia A, Williams PL, Cantonwine DE, Calafat AM, et al. Urinary phthalate and DINCH metabolite concentrations and gradations of maternal glucose intolerance. Environ Int. 2022;161:107099.
Yang TC, Jovanovic N, Chong F, Worcester M, Sakhi AK, Thomsen C, et al. Interventions to reduce exposure to synthetic phenols and phthalates from dietary intake and personal care products: a scoping review. current environmental health reports. Springer Science and Business Media Deutschland GmbH; 2023
Risotto SP. Dietary intervention and DEHP reduction. Environ Health Perspect. 2011;119:a380.
doi: 10.1289/ehp.1103852 pubmed: 21885374 pmcid: 3230409
Harley KG, Kogut K, Madrigal DS, Cardenas M, Vera IA, Meza-Alfaro G, et al. Reducing phthalate, paraben, and phenol exposure from personal care products in adolescent girls: Findings from the hermosa intervention study. Environ Health Perspect. 2016;124:1600–7.
doi: 10.1289/ehp.1510514 pubmed: 26947464 pmcid: 5047791
Finn S, O’Fallon L. The emergence of environmental health literacy - from its roots to its future potential. Environ Health Perspect. 2017;125:495–501. https://ehp.niehs.nih.gov/wp-content/uploads/125/4/ehp.1409337.alt.pdf .
doi: 10.1289/ehp.1409337 pubmed: 26126293
Gray K. From content knowledge to community change: a review of representations of environmental health literacy. Int J Environ Res Public Health. 2018;15:466.
doi: 10.3390/ijerph15030466 pubmed: 29518955 pmcid: 5877011
Hoover AG. Defining Environmental Health Literacy. In: Finn S, O’Fallon L, editors. Environmental Health Literacy. 1st ed. Durham, North Carolina: Springer; 2019. p. 3–18.
Tomsho K, Quinn M, Adamkiewicz G, James-Todd T. Development of a Phthalate Environmental Reproductive Health Literacy (PERHL) Scale. Environ Health Perspect. 2024;132:47013.
Stanifer S, Hoover AG, Rademacher K, Rayens MK, Haneberg W, Hahn EJ. Citizen science approach to home radon testing, environmental health literacy and efficacy. Citiz Sci. 2022;7:26.
pubmed: 36845873 pmcid: 9949773
Dellinger MJ, Pingatore N, Chelius T, Visotcky A, Sparapani R, Ripley M. Environmental health literacy for Anishinaabe (Great Lakes Native American) fish consumers: A randomized control trial. Environ Res. 2022;212:113335.
doi: 10.1016/j.envres.2022.113335 pubmed: 35447154
Chan M, Preston EV, Fruh V, Quinn MR, Hacker MR, Wylie BJ, et al. Use of personal care products during pregnancy and birth outcomes – A pilot study. Environ Res. 2023;225:115583.
Thaweethai T, Soetan Z, James K, Florez JC, Powe CE. Distinct insulin physiology trajectories in euglycemic pregnancy and gestational Diabetes Mellitus. Diabetes Care. 2023;46:2137–46.
doi: 10.2337/dc22-2226 pubmed: 37126832
Samandar E, Silva MJ, Reidy JA, Needham LL, Calafat AM. Temporal stability of eight phthalate metabolites and their glucuronide conjugates in human urine. Environ Res. 2009;109:641–6.
doi: 10.1016/j.envres.2009.02.004 pubmed: 19272594
Ferguson KK, McElrath TF, Ko YA, Mukherjee B, Meeker JD. Variability in urinary phthalate metabolite levels across pregnancy and sensitive windows of exposure for the risk of preterm birth. Environ Int. 2014;70:118–24.
doi: 10.1016/j.envint.2014.05.016 pubmed: 24934852 pmcid: 4104181
Fruh V, Preston EV, Quinn MR, Hacker MR, Wylie BJ, O’Brien K, et al. Urinary phthalate metabolite concentrations and personal care product use during pregnancy – Results of a pilot study. Sci Total Environ. 2022;835:155439.
doi: 10.1016/j.scitotenv.2022.155439 pubmed: 35469886 pmcid: 11040873
Boeniger MF, Lowry LK, Rosenberg J. Interpetation of urine results used to assess chemical exposure with emphasis on creatinine adjustments_a review. Am Ind Hyg Assoc J. 1993;54:615–27.
doi: 10.1080/15298669391355134 pubmed: 8237794
Kim JH, Moon N, Heo SJ, Kwak JM, Effects of environmental health literacy-based interventions on indoor air quality and urinary concentrations of polycyclic aromatic hydrocarbons, volatile organic compounds, and cotinine: A randomized controlled trial. Atmos Pollut Res. 2024;15:101965.
Finn S, O’Fallon L. The emergence of environmental health literacy—from its roots to its future potential. Environ Health Perspect. 2017;125:495–501.
doi: 10.1289/ehp.1409337 pubmed: 26126293
Boronow KE, Cohn B, Havas L, Plumb M, Brody JG. The effect of individual or study-wide report-back on knowledge, concern, and exposure-reducing behaviors related to endocrine-disrupting chemicals. Environ Health Perspect. 2023;131:97005.
doi: 10.1289/EHP12565 pubmed: 37682721

Auteurs

Kathryn S Tomsho (KS)

Department of Environmental Health, Harvard T.H. Chan School of Public Health, Boston, MA, USA. ktomsho@hsph.harvard.edu.

Marlee R Quinn (MR)

Department of Environmental Health, Harvard T.H. Chan School of Public Health, Boston, MA, USA.

Emma V Preston (EV)

Department of Environmental Health, Harvard T.H. Chan School of Public Health, Boston, MA, USA.

Gary Adamkiewicz (G)

Department of Environmental Health, Harvard T.H. Chan School of Public Health, Boston, MA, USA.

Tamarra James-Todd (T)

Department of Environmental Health, Harvard T.H. Chan School of Public Health, Boston, MA, USA.
Department of Epidemiology, Harvard T.H. Chan School of Public Health, Boston, MA, USA.

Classifications MeSH