Evidence map›Paper›PMID 26970546›Full record

ArticleBirth defects research. Part A, Clinical and molecular teratology2016

Maternal residential exposure to agricultural pesticides and birth defects in a 2003 to 2005 North Carolina birth cohort.

Kristen M Rappazzo, Joshua L Warren, Robert E Meyer, Amy H Herring, Alison P Sanders, Naomi C Brownstein, Thomas J Luben

Open access · greenAbstract read
In one paragraph

Article in Birth defects research. Part A, Clinical and molecular teratology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
15.8field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 48 citations in OpenAlex.

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  12. Environmental Contaminants and Congenital Heart Defects: A Re-Evaluation of the Evidence.International journal of environmental research and public health · 2018
    Review
  13. Review
  14. Article
  15. Article
  16. Estimated Maternal Pesticide Exposure from Drinking Water and Heart Defects in Offspring.International journal of environmental research and public health · 2017
    Article
  17. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 7 institutions in 1 country.

Kristen M RappazzoOak Ridge Institute for Science and Education at the U.S. Environmental Protection Agency, National Center for Environmental Assessment, U.S. Environmental Protection Agency, Research Triangle Park, North Carolina.
Joshua L WarrenYale School of Public Health, Department of Biostatistics, New Haven, Connecticut.
Robert E MeyerNorth Carolina Department of Health and Human Services, Raleigh, North Carolina.
Amy H HerringUniversity of North Carolina Chapel Hill, Gillings School of Global Public Health, Department of Biostatistics, Chapel Hill, North Carolina.
Alison P SandersDepartment of Preventive Medicine, Icahn School of Medicine at Mount Sinai, New York, New York.
Naomi C BrownsteinDepartment of Behavioral Sciences and Social Medicine, College of Medicine, Florida State University, Tallahassee, Florida.
Thomas J LubenNational Center for Environmental Assessment, U.S. Environmental Protection Agency, Research Triangle Park, North Carolina.
Environmental Protection Agency · USFlorida State University · USIcahn School of Medicine at Mount Sinai · USNational Center for Environmental Assessment (EPA) · USNC Department of Health and Human Services · USUniversity of North Carolina at Chapel Hill · USYale New Haven Health System · US

Funding

UNC-CH CENTER FOR ENVIRONMENTAL HEALTH &SUSCEPTIBILITYP30ES010126 · NIEHS · UNIV OF NORTH CAROLINA CHAPEL HILL · PI Stephanie Engel · 2001 to 2026
$36.3M
Biostatstics for Research in Environmental HealthT32ES007018 · NIEHS · UNIV OF NORTH CAROLINA CHAPEL HILL · PI Stephanie Engel, Rebecca Fry · 1985 to 2026
$31.3M
Research Services CoreP2CHD050924 · NICHD · UNIV OF NORTH CAROLINA CHAPEL HILL · PI KAREN B GUZZO · 2015 to 2026
$9.6M
Bayesian Methods for High-Dimensional Epidemiologic DataR01ES020619 · NIEHS · UNIV OF NORTH CAROLINA CHAPEL HILL · PI HERRING, AMY H · 2011 to 2015
$1.7M
NICHD NIH HHS P2C HD050924NIEHS NIH HHS P30 ES010126NIEHS NIH HHS P30ES010126NIEHS NIH HHS R01 ES020619NIEHS NIH HHS R01ES020619NIEHS NIH HHS T32 ES007018NIEHS NIH HHS T32ES007018
6 · The paper itself

Abstract

backgroundBirth defects are responsible for a large proportion of disability and infant mortality. Exposure to a variety of pesticides have been linked to increased risk of birth defects.

methodsWe conducted a case-control study to estimate the associations between a residence-based metric of agricultural pesticide exposure and birth defects. We linked singleton live birth records for 2003 to 2005 from the North Carolina (NC) State Center for Health Statistics to data from the NC Birth Defects Monitoring Program. Included women had residence at delivery inside NC and infants with gestational ages from 20 to 44 weeks (n = 304,906). Pesticide exposure was assigned using a previously constructed metric, estimating total chemical exposure (pounds of active ingredient) based on crops within 500 meters of maternal residence, specific dates of pregnancy, and chemical application dates based on the planting/harvesting dates of each crop. Logistic regression was used to estimate odds ratios (ORs) and 95% confidence intervals for four categories of exposure (<10(th) , 10-50(th) , 50-90(th) , and >90(th) percentiles) compared with unexposed. Models were adjusted for maternal race, age at delivery, education, marital status, and smoking status.

resultsWe observed elevated ORs for congenital heart defects and certain structural defects affecting the gastrointestinal, genitourinary and musculoskeletal systems (e.g., OR [95% confidence interval] [highest exposure vs. unexposed] for tracheal esophageal fistula/esophageal atresia = 1.98 [0.69, 5.66], and OR for atrial septal defects: 1.70 [1.34, 2.14]).

conclusionOur results provide some evidence of associations between residential exposure to agricultural pesticides and several birth defects phenotypes. Birth Defects Research (Part A) 106:240-249, 2016. © 2016 Wiley Periodicals, Inc.

Indexed as

AgricultureAdultCongenital AbnormalitiesFemaleHumansMaternal ExposureNorth CarolinaPesticidesPregnancyRetrospective StudiesPesticidesagriculturebirth defectscongenital anomaliesGISpesticide exposureresidential

Identifiers

PMID26970546
PMCPMC4833532
OpenAlexW2423104536

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.