Evidence map›Paper›PMID 40128709›Full record

ArticleBMC public health2025

Association between combined exposure to organochlorine pesticides and history of uterine fibroids in NHANES: findings from four statistical models.

Yue Chen, Xianwei Guo, Junle Wu, Ruiwen Weng, Xiuping Wang, Yi Liu, Xiaoli Wang, Hengwei Liu

Abstract read
In one paragraph

Article in BMC public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

8 authors.

Yue Chen *Department of Obstetrics and Gynecology, Zhongnan Hospital of Wuhan University, Wuhan, 430071, China.
Xianwei Guo *Department of Epidemiology and Health Statistics, School of Public Health, Anhui Medical University, Hefei, China.
Junle WuDepartment of Clinical Medicine, School of the Second Clinical Medicine, Anhui Medical University, Hefei, China.
Ruiwen WengDepartment of Obstetrics and Gynecology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, China.
Xiuping WangDepartment of Obstetrics and Gynecology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, China.
Yi LiuDepartment of Obstetrics and Gynecology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, China.
Xiaoli WangDepartment of Obstetrics and Gynecology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, China. 724823536@qq.com.
Hengwei LiuDepartment of Obstetrics and Gynecology, Zhongnan Hospital of Wuhan University, Wuhan, 430071, China. hw.liu@whu.edu.cn.

Funding

the National Natural Science Foundation of China no. 82001524the Natural Science Foundation of Hubei Province no. 2020CFB310
6 · The paper itself

Abstract

backgroundOrganochlorine pesticides (OCPs) are extensively dispersed throughout the environment, which potentially have harmful impacts on the female reproductive system. Therefore, the purpose of this study was to clarify the association between exposure to OCPs and the history of uterine fibroids in American women.

methodsThe present study comprised female individuals who were over 20 years old and were selected from the National Health and Nutrition Examination Survey (NHANES). The logistic regression models were used to investigate the associations between eight primary serum OCP compounds and uterine fibroids. The collective impact of OCP compounds on the overall association with uterine fibroids was assessed using three statistical approaches: weighted quantile sum regression (WQS), quantile g-computation model (Qgcomp), and Bayesian kernel machine regression (BKMR) model.

resultsIn the end, a total of 931 individuals were included in the analysis. Out of the total, 126 participants were identified as patients with uterine fibroids. Upon accounting for covariables, the logistic regression analysis revealed a positive association between the highest tertiles of OCP compounds and ln-transformed OCP compounds and the history of uterine fibroids. The analysis of WQS and Qgcomp showed that a 25% increase in the mixture of OCPs was associated with a higher likelihood of having a history of uterine fibroids, with odds ratios (ORs) of 1.49 (95% CI: 1.02, 2.19) and 1.64 (95% CI: 1.15, 2.35), respectively. The primary factor behind this association was oxychlordane. In addition, the overall findings of BKMR demonstrated a consistent and increasing pattern, indicating a robust positive association between the amount of serum OCP compounds and the history of uterine fibroid.

conclusionOur study conclusively established associations between OCPs and history of uterine fibroid. The simultaneous exposure to these chemicals is associated with an increased prevalence of uterine fibroid. Among these chemicals, oxychlordane has the most impact on the overall combined effect.

Indexed as

Environmental ExposureHydrocarbons, ChlorinatedLeiomyomaModels, StatisticalPesticidesUterine NeoplasmsAdultFemaleHumansMiddle AgedNutrition SurveysUnited StatesHydrocarbons, ChlorinatedPesticidesBKMRJoint effectOrganochlorine pesticidesUterine fibroidWQS

Identifiers

PMID40128709
PMCPMC11934505

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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.