Evidence map›Paper›PMID 31785910›Full record

ArticleThe Science of the total environment2020

Interactions between chemicals and non-chemical stressors: The modifying effect of life events on the association between triclocarban, phenols and parabens with gestational length in a Puerto Rican cohort.

Amira Aker, Rafael E Rios McConnell, Rita Loch-Caruso, Sung Kyun Park, Bhramar Mukherjee, Zaira Y Rosario, Carmen M Vélez-Vega, Gredia Huerta-Montanez, Akram N Alshawabkeh, José F Cordero and 1 more

Open access · greenAbstract read
In one paragraph

Article in The Science of the total environment, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
3.6field-weighted citation impact, top 7% 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

13 citing papers in PubMed, 20 citations in OpenAlex.

  1. Bisphenol S and female reproductive toxicity: a scoping review of human studies.Journal of exposure science & environmental epidemiology · 2026
    Article
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  8. Adapting to Climate Change: Leveraging Systems-Focused Multidisciplinary Research to Promote Resilience.International journal of environmental research and public health · 2022
    Review
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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

11 authors at 5 institutions in 2 countries.

Amira AkerDepartment of Environmental Health Sciences, University of Michigan, School of Public Health, Ann Arbor, MI, USA.
Rafael E Rios McConnellGraduate School of Public Health, Medical Sciences Campus, University of Puerto Rico, San Juan, PR, USA.
Rita Loch-CarusoDepartment of Environmental Health Sciences, University of Michigan, School of Public Health, Ann Arbor, MI, USA.
Sung Kyun ParkDepartment of Environmental Health Sciences, University of Michigan, School of Public Health, Ann Arbor, MI, USA.
Bhramar MukherjeeDepartment of Environmental Health Sciences, University of Michigan, School of Public Health, Ann Arbor, MI, USA.
Zaira Y RosarioGraduate School of Public Health, Medical Sciences Campus, University of Puerto Rico, San Juan, PR, USA.
Carmen M Vélez-VegaGraduate School of Public Health, Medical Sciences Campus, University of Puerto Rico, San Juan, PR, USA.
Gredia Huerta-MontanezCarter Consulting, Inc., Atlanta, GA, USA.
Akram N AlshawabkehCollege of Engineering, Northeastern University, Boston, MA, USA.
José F CorderoCollege of Public Health, Athens, University of Georgia, GA, USA.
John D MeekerDepartment of Environmental Health Sciences, University of Michigan, School of Public Health, Ann Arbor, MI, USA. Electronic address: meekerj@umich.edu.
University of Michigan · USUniversity of Puerto Rico, Medical Sciences Campus · PRCarter Center · USNortheastern University · USUniversity of Georgia · US

Funding

Research Experiences and Training Coordination CoreP42ES017198 · NIEHS · NORTHEASTERN UNIVERSITY · PI HARRIS, SEAN M · 2010 to 2024
$38.6M
University of Michigan ERC-supplement (TRT)T42OH008455 · OH · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI NEITZEL, RICHARD L · 2005 to 2025
$32.3M
Environmental Influences on Child Health Outcomes in Puerto Rico (ECHO-PRO)UH3OD023251 · OD · NORTHEASTERN UNIVERSITY · PI Akram N Alshawabkeh · 2018 to 2026
$24.0M
Strategic Vision & Impact on Environmental HealthP30ES017885 · NIEHS · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI Dana Dolinoy · 2011 to 2026
$21.3M
Environmental Influences on Child Health Outcomes in Puerto Rico (ECHO-PRO)UG3OD023251 · OD · NORTHEASTERN UNIVERSITY · PI ALSHAWABKEH, AKRAM N · 2016 to 2024
$13.0M
Toxicogenomics-based Mechanistic Multimedia Exposure Assessment and Child DevelopmentP50ES026049 · NIEHS · NORTHEASTERN UNIVERSITY · PI ALSHAWABKEH, AKRAM N · 2015 to 2018
$3.6M
NIEHS NIH HHS P30 ES017885NIEHS NIH HHS P42 ES017198NIEHS NIH HHS P50 ES026049NIH HHS UG3 OD023251NIH HHS UH3 OD023251NIOSH CDC HHS T42 OH008455
6 · The paper itself

Abstract

backgroundPhenols and parabens are common additives to consumer products. There is evidence of adverse birth outcomes in association with prenatal exposure to these chemicals, in addition to psychosocial factors. We previously reported an increase in gestational length with bisphenol-A, methylparaben and propylparaben, and a decrease in gestational length with triclocarban.

objectivesWe examined the modifying effect of psychosocial stress on the association between chemicals and gestational length in up to 752 women among a pregnancy cohort study.

methodsUrinary biomarkers were measured at up to three time points in pregnancy. Multiple linear regression models were conducted to investigate the association between gestational length and the interaction between average exposure biomarkers and LES. Multiple linear regression models regressing the exposure biomarkers in relation to gestational length were also stratified by LES, Negative LES, and Positive LES, based on the subjective ratings of events. Results were transformed into the change in gestational length for an inter-quartile-range difference in the exposure.

resultsOf the four psychosocial stress measures, only the life events score (LES) was a significant modifier. Associations between triclocarban, bisphenol-S, methyl- and propylparaben in relation to gestational length were stronger among women with negative Total LES scores. Among women with negative Total LES scores, bisphenol-S and triclocarban were associated with a 3-5 day decrease in gestational length [(-3.15; 95% CI: -6.06, -0.24); (-4.68; 95% CI: -8.47, -0.89)], whereas methylparaben and propylparaben were associated with a 2-3 day increase in gestational length [(2.21; 95% CI: 0.02, 4.40); (2.92; 95% CI: 0.58, 5.26)]. Significant interactions were driven by negative life events, but the association with triclocarban was driven by few positive life events.

conclusionsAssociations between exposure biomarkers and gestational length were stronger in the presence of negative life events. This provides evidence that stress makes the body more vulnerable to chemical exposure.

Indexed as

AdultCarbanilidesCohort StudiesFemaleHispanic or LatinoHumansMaternal ExposureParabensPhenolsPregnancyPuerto RicoYoung AdultCarbanilidesParabensPhenolstriclocarbanBirth outcomesEndocrine disruptorsGestational ageInteractionNon-chemical stressor

Identifiers

PMID31785910
PMCPMC6957748
OpenAlexW2984382825

What OpenQuestion holds

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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.