Evidence map›Paper›PMID 36287880›Full record

ArticleToxics2022

Testing the Limit: Evaluating Drinking Water Arsenic Regulatory Levels Based on Adverse Pregnancy Outcomes in Bangladesh.

Faye V Andrews, Adam Branscum, Perry Hystad, Ellen Smit, Sakila Afroz, Mostofa Golam, Omar Sharif, Mohammad Rahman, Quazi Quamruzzaman, David C Christiani and 1 more

Open access · goldAbstract read
In one paragraph

Article in Toxics, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
1.9field-weighted citation impact, top 14% 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

2 citing papers in PubMed, 5 citations in OpenAlex.

  1. Arsenic in Drinking Water and Prostate Cancer: A Population-Based Case-Control Study in Northern Chile.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2025
    Article
  2. 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

11 authors at 3 institutions in 2 countries.

Faye V AndrewsSchool of Biological and Population Health Sciences, College of Public Health and Human Sciences, Oregon State University, Corvallis, OR 97331, USA.ORCID 0000-0001-7355-1098
Adam BranscumSchool of Biological and Population Health Sciences, College of Public Health and Human Sciences, Oregon State University, Corvallis, OR 97331, USA.
Perry HystadSchool of Biological and Population Health Sciences, College of Public Health and Human Sciences, Oregon State University, Corvallis, OR 97331, USA.
Ellen SmitSchool of Biological and Population Health Sciences, College of Public Health and Human Sciences, Oregon State University, Corvallis, OR 97331, USA.
Sakila AfrozDhaka Community Hospital Trust, Dhaka 1217, Bangladesh.
Mostofa GolamDhaka Community Hospital Trust, Dhaka 1217, Bangladesh.
Omar SharifDhaka Community Hospital Trust, Dhaka 1217, Bangladesh.
Mohammad RahmanDhaka Community Hospital Trust, Dhaka 1217, Bangladesh.
Quazi QuamruzzamanDhaka Community Hospital Trust, Dhaka 1217, Bangladesh.
David C ChristianiHarvard T.H. Chan School of Public Health, Department of Environmental Health, Harvard University, Boston, MA 02115, USA.ORCID 0000-0002-0301-0242
Molly L KileSchool of Biological and Population Health Sciences, College of Public Health and Human Sciences, Oregon State University, Corvallis, OR 97331, USA.ORCID 0000-0003-0646-5119
Dhaka Community Hospital Trust · BDOregon State University · USHarvard University · US

Funding

Superfund Metal Mixtures, Biomarkers and NeurodevelopmentP42ES016454 · NIEHS · HARVARD SCHOOL OF PUBLIC HEALTH · PI BELLINGER, DAVID C · 2010 to 2015
$10.1M
Oregon Clinical and Translational Research Institute TL1 ProgramTL1TR002371 · NCATS · OREGON HEALTH & SCIENCE UNIVERSITY · PI ALLISON Deborah FRYER, JESSINA C MCGREGOR · 2017 to 2026
$6.2M
Arsenic Exposure and Birth Outcomes in BangladeshR01ES015533 · NIEHS · HARVARD SCHOOL OF PUBLIC HEALTH · PI CHRISTIANI, DAVID C · 2007 to 2011
$2.1M
Developmental Exposure to Arsenic and Immune Function in ChildrenR01ES023441 · NIEHS · OREGON STATE UNIVERSITY · PI KILE, MOLLY L · 2014 to 2018
$1.5M
Oregon Clinical and Translational Research InstituteTL1TR000129 · NCATS · OREGON HEALTH & SCIENCE UNIVERSITY · PI ELLISON, DAVID H · 2012 to 2015
$613k
NCATS NIH HHS TL1 TR000129NCATS NIH HHS TL1 TR002371NCATS NIH HHS TL1TR002371NIEHS NIH HHS P42 ES016454NIEHS NIH HHS R01 ES015533NIEHS NIH HHS R01 ES023441NIEHS NIH HHS R01ES023441, P42ES016454, and R01ES015533
6 · The paper itself

Abstract

(1) Background: Arsenic (As) is a common drinking water contaminant that is regulated as a carcinogen. Yet, As is a systemic toxicant and there is considerable epidemiological data showing As adversely impacts reproductive health. This study used data from a birth cohort in Bangladesh (2008−2011) to examine associations between drinking water As levels and reproductive outcomes. (2) Methods: Pregnant individuals (n = 1597) were enrolled at <16 weeks gestation and drinking water As was measured. Participants with live births (n = 1130) were propensity score matched to participants who experienced miscarriage (n = 132), stillbirth (n = 72), preterm birth (n = 243), and neonatal mortality (n = 20). Logistic regression was used to examine drinking water As recommendations of 50, 10, 5, 2.5, and 1 µg/L on the odds of adverse birth outcomes. (3) Results: The odds of miscarriage were higher for pregnant women exposed to drinking water ≥2.5 versus <2.5 µg As/L [adjusted odds ratio (OR) 1.90, 95% Confidence Interval (CI): 1.07−3.38)]. (4) Conclusions: These preliminary findings suggest a potential threshold where the odds of miscarriage increases when drinking water As is above 2.5 µg/L. This concentration is below the World Health Organizations and Bangladesh’s drinking water recommendations and supports the re-evaluation of drinking water regulations.

Indexed as

arsenicdrinking waterenvironmental epidemiologyenvironmental policyfetal lossgroundwatermiscarriageneonatal mortalityspontaneous abortionstillbirth

Identifiers

PMID36287880
PMCPMC9609177
OpenAlexW4304811500

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.