Evidence map›Paper›PMID 34969778›Full record

ArticleOccupational and environmental medicine2022

Environmental exposures contribute to respiratory and allergic symptoms among women living in the banana growing regions of Costa Rica.

Brooke Alhanti, Berna van Wendel de Joode, Manuel Soto Martinez, Ana M Mora, Leonel Córdoba Gamboa, Brian Reich, Christian H Lindh, Marcela Quirós Lépiz, Jane A Hoppin

Open access · hybridAbstract read
In one paragraph

Article in Occupational and environmental medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
1.5field-weighted citation impact, top 20% 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

9 citing papers in PubMed, 18 citations in OpenAlex.

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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

9 authors at 4 institutions in 3 countries.

Brooke AlhantiDuke Clinical Research Institute, Duke University, Durham, North Carolina, USA.ORCID 0000-0003-4243-8062
Berna van Wendel de JoodeInfants' Environmental Health (ISA) Study, Central American Institute for Studies on Toxic Substances (IRET), Universidad Nacional de Costa Rica, Heredia, Costa Rica.ORCID 0000-0001-9699-5046
Manuel Soto MartinezRespiratory Department, Hospital Nacional de Niños, San Jose, Costa Rica.ORCID 0000-0002-5509-6164
Ana M MoraInfants' Environmental Health (ISA) Study, Central American Institute for Studies on Toxic Substances (IRET), Universidad Nacional de Costa Rica, Heredia, Costa Rica.ORCID 0000-0002-2008-9714
Leonel Córdoba GamboaInfants' Environmental Health (ISA) Study, Central American Institute for Studies on Toxic Substances (IRET), Universidad Nacional de Costa Rica, Heredia, Costa Rica.
Brian ReichCenter for Human Health and the Environment, North Carolina State University, Raleigh, North Carolina, USA.
Christian H LindhDivision of Occupational and Environmental Medicine, Institute of Laboratory Medicine, Lund University, Lund, Sweden.ORCID 0000-0001-7435-9890
Marcela Quirós LépizInfants' Environmental Health (ISA) Study, Central American Institute for Studies on Toxic Substances (IRET), Universidad Nacional de Costa Rica, Heredia, Costa Rica.
Jane A HoppinCenter for Human Health and the Environment, North Carolina State University, Raleigh, North Carolina, USA jahoppin@ncsu.edu.ORCID 0000-0001-8456-0969
American Institute for Economic Research · USNorth Carolina State University · USHospital Nacional de Niños · CRLund University · SE

Funding

Maintaining and enriching the Infants Environmental Health Study (ISA)R24ES028526 · NIEHS · NORTH CAROLINA STATE UNIVERSITY RALEIGH · PI HOPPIN, JANE, VAN WENDEL DE JOODE, BERNA · 2018 to 2022
$1.5M
Environmental pesticide exposure and respiratory outcomes in women and childrenR21ES025374 · NIEHS · NORTH CAROLINA STATE UNIVERSITY RALEIGH · PI HOPPIN, JANE, VAN WENDEL DE JOODE, BERNA · 2016 to 2017
$351k
NIEHS NIH HHS R21 ES025374NIEHS NIH HHS R24 ES028526
6 · The paper itself

Abstract

objectivesThis research evaluates whether environmental exposures (pesticides and smoke) influence respiratory and allergic outcomes in women living in a tropical, agricultural environment.

methodsWe used data from 266 mothers from the Infants' Environmental Health cohort study in Costa Rica. We evaluated environmental exposures in women by measuring seven pesticide and two polycyclic aromatic hydrocarbons metabolites in urine samples. We defined 'high exposure' as having a metabolite value in the top 75th percentile. We collected survey data on respiratory and allergic outcomes in mothers as well as on pesticides and other environmental exposures. Using logistic regression models adjusted for obesity, we assessed the associations of pesticide exposure with multiple outcomes (wheeze, doctor-diagnosed asthma, high (≥2) asthma score based on symptoms, rhinitis, eczema and itchy rash).

resultsCurrent pesticide use in the home was positively associated with diagnosed asthma (OR=1.99 (95% CI=1.05 to 3.87)). High urinary levels of 5-hydroxythiabendazole (thiabendazole metabolite) and living in a neighbourhood with frequent smoke from waste burning were associated with a high asthma score (OR=1.84 (95%CI=1.05 to 3.25) and OR=2.31 (95%CI=1.11 to 5.16), respectively). Women who worked in agriculture had a significantly lower prevalence of rhinitis (0.19 (0.01 to 0.93)), but were more likely to report eczema (OR=2.54 (95%CI=1.33 to 4.89)) and an itchy rash (OR=3.17 (95%CI=1.24 to 7.73)).

conclusionsWhile limited by sample size, these findings suggest that environmental exposure to both pesticides and smoke may impact respiratory and skin-related allergic outcomes in women.

Indexed as

Environmental ExposureHypersensitivityRespiratory Tract DiseasesAsthmaCohort StudiesCosta RicaEczemaExanthemaFemaleHumansMusaPesticidesRhinitisSmokePesticidesSmokeagricultureallergyasthmapesticiderespiratory disease

Identifiers

PMID34969778
PMCPMC9198003
OpenAlexW4200191139

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.