Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
4
pubmed:dateCreated
2005-1-25
pubmed:abstractText
Chlorination by-products (CBPs) in drinking water have been associated with an increased risk of adverse pregnancy outcomes, including small for gestational age at term (term-SGA) and preterm delivery. Epidemiological evidence is weakened by a generally inaccurate exposure assessment, often at an ecological level. A case control study with incident cases was performed in nine Italian towns between October 1999 and September 2000. A total of 1,194 subjects were enrolled: 343 preterm births (26th-37th not completed week of pregnancy), 239 term-SGA (from 37th completed week, and weight less than the lowest 10th percentile) and 612 controls. Exposure was assessed both by applying a questionnaire on mothers' personal habits during pregnancy and by water sampling directly at mothers' homes. Levels of trihalomethanes (THMs) were low (median: 1.10 microg l(-1)), while chlorite and chlorate concentrations were relatively high (median: 216.5 microg l(-1) for chlorites and 76.5 microg l(-1) for chlorates). Preterm birth showed no association with CBPs, while term-SGA, when chlorite levels > or =200 microg l(-1) combined with low and high levels of inhalation exposure are considered, suggested a dose-response relationship (adjusted-Odds Ratios (ORs): 1.52, 95%CI: 0.91-2.54 and 1.70, 95%CI: 0.97-3.0, respectively). A weak association with high exposure levels of either THMs (> or =30 microg l(-1)), or chlorite or chlorate (> or =200 microg l(-1)) was also found (adjusted-OR: 1.38, 95%CI: 0.92-2.07). Chlorine dioxide treatment is widespread in Italy; therefore, chlorite levels should be regularly and carefully monitored and their potential effects on pregnancy further evaluated and better understood.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Dec
pubmed:issn
1477-8920
pubmed:author
pubmed:issnType
Print
pubmed:volume
2
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
233-47
pubmed:dateRevised
2009-9-18
pubmed:meshHeading
pubmed-meshheading:15666965-Adult, pubmed-meshheading:15666965-Case-Control Studies, pubmed-meshheading:15666965-Chlorine Compounds, pubmed-meshheading:15666965-Dose-Response Relationship, Drug, pubmed-meshheading:15666965-Environmental Exposure, pubmed-meshheading:15666965-Female, pubmed-meshheading:15666965-Humans, pubmed-meshheading:15666965-Infant, Low Birth Weight, pubmed-meshheading:15666965-Infant, Newborn, pubmed-meshheading:15666965-Inhalation Exposure, pubmed-meshheading:15666965-Italy, pubmed-meshheading:15666965-Male, pubmed-meshheading:15666965-Odds Ratio, pubmed-meshheading:15666965-Pregnancy, pubmed-meshheading:15666965-Pregnancy Outcome, pubmed-meshheading:15666965-Premature Birth, pubmed-meshheading:15666965-Risk Assessment, pubmed-meshheading:15666965-Trihalomethanes, pubmed-meshheading:15666965-Water Purification
pubmed:year
2004
pubmed:articleTitle
Chlorination by-products (CBPs) in drinking water and adverse pregnancy outcomes in Italy.
pubmed:affiliation
Dipartimento di Scienze Igienistiche, Microbiologiche e Biostatistiche, Università degli Studi di Modena e Reggio Emilia, Via Campi 287. 41100 Modena, Italy. g.aggazzotti@unimore.it
pubmed:publicationType
Journal Article, Research Support, Non-U.S. Gov't