Evidence map›Paper›PMID 33287778›Full record

ArticleBMC public health2020

A mixed-methods study of pesticide exposures in Breastmilk and Community & Lactating Women's perspectives from Haryana, India.

Rukshan V Mehta, M A Sreenivasa, Mathen Mathew, Amy Webb Girard, Sunita Taneja, Samriddhi Ranjan, Usha Ramakrishnan, Reynaldo Martorell, P Barry Ryan, Melissa F Young

Open access · goldAbstract read
In one paragraph

Article in BMC public health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
3.0field-weighted citation impact, top 9% 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

7 citing papers in PubMed, 20 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Additives in Children's Nutrition-A Review of Current Events.International journal of environmental research and public health · 2022
    Review
  6. Article
  7. 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

10 authors at 3 institutions in 2 countries.

Rukshan V MehtaDoctoral Program in Nutrition and Health Sciences, Laney Graduate School, Emory University, Atlanta, GA, USA. rukshan.mehta@sickkids.ca.ORCID http://orcid.org/0000-0001-5890-5206
M A SreenivasaCouncil for Scientific and Industrial Research - Central Food Technological Research Institute, Mysuru, India.
Mathen MathewCouncil for Scientific and Industrial Research - Central Food Technological Research Institute, Mysuru, India.
Amy Webb GirardDoctoral Program in Nutrition and Health Sciences, Laney Graduate School, Emory University, Atlanta, GA, USA.
Sunita TanejaSociety for Applied Studies, Centre for Health Research and Development, New Delhi, India.
Samriddhi RanjanSociety for Applied Studies, Centre for Health Research and Development, New Delhi, India.
Usha RamakrishnanDoctoral Program in Nutrition and Health Sciences, Laney Graduate School, Emory University, Atlanta, GA, USA.
Reynaldo MartorellDoctoral Program in Nutrition and Health Sciences, Laney Graduate School, Emory University, Atlanta, GA, USA.
P Barry RyanGangarosa Department of Environmental Health, Rollins School of Public Health, Emory University, Atlanta, GA, USA.
Melissa F YoungDoctoral Program in Nutrition and Health Sciences, Laney Graduate School, Emory University, Atlanta, GA, USA.
Emory University · USCentral Food Technological Research Institute · INSociety for Applied Studies · IN

Funding

Maternal Nutrition and Lactation in IndiaR21HD080107 · NICHD · EMORY UNIVERSITY · PI MARTORELL, REYNALDO · 2015 to 2016
$345k
NICHD NIH HHS R21 HD080107
6 · The paper itself

Abstract

backgroundPopulation growth which has resulted in a need for increased crop yields to sustain food security, in addition to the effects of climate change, have led to the widespread use of chemical pesticides. The indiscriminate use of pesticides has in turn led to contamination of the environment, food commodities and bioaccumulation in human tissues, particularly in agrarian regions of India including the northern state of Haryana.

methodsWe conducted a pilot screening study to investigate the presence of organochlorine, organophosphate, and pyrethroid pesticides in breastmilk samples (n = 75) from Haryana, India. Pesticide analyses were conducted using gas chromatography mass spectrometry (GC-MS) for OC and OP pesticides and GC-electron capture detector for pyrethroids. The study was complemented by a qualitative evaluation of maternal and community perceptions, knowledge, attitudes and practices associated with pesticide use and risk of exposure (n = 30 in-depth interviews; n = 9 focus group discussions).

resultsAnalysis of breastmilk showed the presence of p,p'-dichlorodiphenyltrichloroethane (DDT) and p,p'-dichlorodiphenyldichloroethylene (DDE) in 4% (range: <LOQ - 28 μg/L) and 5% (range: < LOQ - 107 μg/L) of samples, respectively. No other pesticides were detected. Our qualitative findings showed that community members commonly held perceptions of pesticides as medicines and poison but acknowledged their widespread use to ensure crop yields. Given the gendered engagement in farming in this setting, lactating women in study communities do not directly handle chemical pesticides, thus lowering risk of inhalation and dermal exposure.

conclusionsIn our small sample, breastmilk pesticide concentrations were low and did not pose a risk to infants. Based on the persistent nature of many organic pollutants and reported widespread use, we recommend more comprehensive and longitudinal investigation of upstream pesticide contamination in the food supply and exposures among mothers and children.

trial registrationCTRI/2017/01/007636 , Date Registered: 06/01/2017. CTRI website: http://ctri.nic.in/Clinicaltrials/pdf_generate.php?trialid=17249&EncHid=&modid=&compid=%27,%2717249det%27.

Indexed as

Hydrocarbons, ChlorinatedPesticide ResiduesPesticidesChild, PreschoolFemaleHumansIndiaInfantInfant, NewbornLactationMilk, HumanPregnancyHydrocarbons, ChlorinatedPesticide ResiduesPesticidesFocus groupsIn-depth interviewsOrganochlorinesOrganophosphatesPyrethroids, Pesticides, Breastmilk

Identifiers

PMID33287778
PMCPMC7720549
OpenAlexW3111080476

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.