Evidence map›Paper›PMID 30208335›Full record

ArticleReproductive toxicology (Elmsford, N.Y.)2018

Phthalate exposure and odds of bacterial vaginosis among U.S. reproductive-aged women, NHANES 2001-2004.

Ruth J Geller, Rebecca M Brotman, Katie M O'Brien, Derek M Fine, Ami R Zota

Abstract read
In one paragraph

Article in Reproductive toxicology (Elmsford, N.Y.), 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.9field-weighted citation impact, top 29% 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

5 citing papers in PubMed, 13 citations in OpenAlex.

  1. Review
  2. Article
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  5. 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

5 authors at 4 institutions in 1 country.

Ruth J GellerDepartment of Environmental and Occupational Health, Milken Institute School of Public Health, George Washington University, Washington, DC, USA.
Rebecca M BrotmanDepartment of Epidemiology and Public Health, Institute for Genome Sciences, University of Maryland School of Medicine, Baltimore, MD, USA.
Katie M O'BrienBiostatistics and Computational Biology Branch, National Institute of Environmental Health Sciences, National Institutes of Health, Department of Health and Human Services, Research Triangle Park, NC, USA.
Derek M FineDepartment of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Ami R ZotaDepartment of Environmental and Occupational Health, Milken Institute School of Public Health, George Washington University, Washington, DC, USA. Electronic address: azota@gwu.edu.
Milken Institute · USJohns Hopkins University · USNational Institutes of Health · USUniversity of Maryland, Baltimore · US

Funding

Lubricant Use and the Vaginal MicrobiomeR01AI119012 · NIAID · UNIVERSITY OF MARYLAND BALTIMORE · PI BROTMAN, REBECCA M. · 2016 to 2020
$3.7M
Role of endocrine-disrupting chemicals and social stress on perinatal outcomesR00ES019881 · NIEHS · GEORGE WASHINGTON UNIVERSITY · PI ZOTA, AMI R · 2013 to 2015
$747k
NIAID NIH HHS R01 AI119012NIEHS NIH HHS R00 ES019881
6 · The paper itself

Abstract

Endocrine-disrupting chemicals, such as phthalates, are an unexamined potential risk factor for bacterial vaginosis (BV) and warrant investigation because hormones affect BV. We examined the association between phthalate exposure and BV in the National Health and Nutrition Examination Survey, 2001-2004. BV outcomes were defined as intermediate (Nugent score of 4-6) and positive (7-10). Phthalate metabolites, including monoethyl phthalate (MEP), mono-n-butyl phthalate (MnBP), and di(2-ethylhexyl) phthalate (DEHP) metabolites, were measured in urine. Among 854 women with complete data, multinomial logistic regression revealed that concentrations of MnBP (Q4 vs. Q1 OR = 3.01, 95% CI 1.76-5.15, p-trend <0.001) and ΣDEHP metabolites (Q4 OR = 2.55, 95% CI 1.45-4.47, p-trend = 0.03) were associated with Nugent-score BV, although only MnBP was significant after adjustment for confounders. Associations were null after adjustment for urinary creatinine (MnBP Q4 OR = 1.11, 95% CI 0.63-1.96; ΣDEHP Q4 OR = 0.72, 95% CI 0.37-1.39). Future work should further examine these relationships using direct measurements of intravaginal phthalates exposures.

Indexed as

AdolescentAdultEndocrine DisruptorsEnvironmental PollutantsFemaleHumansMiddle AgedNutrition SurveysOdds RatioPhthalic AcidsUnited StatesVaginosis, BacterialYoung AdultEndocrine DisruptorsEnvironmental PollutantsPhthalic AcidsDi(2-ethylhexyl) phthalateDiethyl phthalateDi-n-butyl phthalateEndocrine disruptorsIntravaginal exposureNHANESVaginal microbiotaWomen’s health

Identifiers

PMID30208335
PMCPMC6310056
OpenAlexW2807000392

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.