Evidence map›Paper›PMID 41015173›Full record

ArticleEnvironmental research2025

Estrogen-containing contraceptive use and blood lead concentrations in a cohort of premenopausal individuals.

Lauren E Chapman, Mandy S Hall, Arianna Foster, Donna D Baird, Quaker E Harmon, Robert O Wright, Julio A Landero, Renee Heffron, Lauren A Wise, Ganesa Wegienka and 6 more

Abstract read
In one paragraph

Article in Environmental research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. Review
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

16 authors.

Lauren E ChapmanCollege of Human Medicine, Michigan State University, East Lansing, MI, USA.
Mandy S HallDepartment of Epidemiology and Biostatistics, College of Human Medicine, Michigan State University, East Lansing, MI, USA.
Arianna FosterDepartment of Epidemiology and Biostatistics, College of Human Medicine, Michigan State University, East Lansing, MI, USA.
Donna D BairdEpidemiology Branch, National Institute of Environmental Health Sciences, Research Triangle Park, NC, USA.
Quaker E HarmonEpidemiology Branch, National Institute of Environmental Health Sciences, Research Triangle Park, NC, USA.
Robert O WrightDepartment of Environmental Medicine, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Julio A LanderoDepartment of Environmental Medicine, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Renee HeffronDepartment of Medicine, University of Alabama at Birmingham, Birmingham, AL, USA.
Lauren A WiseDepartment of Epidemiology, Boston University School of Public Health, Boston, MA, USA.
Ganesa WegienkaDepartment of Public Health Sciences, Henry Ford Health, Detroit, MI, USA.
Ruth J GellerDepartment of Epidemiology, Boston University School of Public Health, Boston, MA, USA.
Amelia K WesselinkDepartment of Epidemiology, Boston University School of Public Health, Boston, MA, USA.
Samantha SchildrothDepartment of Epidemiology, Boston University School of Public Health, Boston, MA, USA.
Janet E HallClinical Research Branch, National Institute of Environmental Health Sciences, Research Triangle Park, NC, USA.
Erik J TokarMechanistic Toxicology Branch, Division of the National Toxicology Program, National Institute of Environmental Health Sciences, Research Triangle Park, NC, USA.
Kristen UpsonDepartment of Epidemiology and Biostatistics, College of Human Medicine, Michigan State University, East Lansing, MI, USA. Electronic address: upsonkri@msu.edu.

Funding

Untargeted Analysis ResourceU2CES026561 · NIEHS · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI WRIGHT, ROBERT O · 2015 to 2025
$24.5M
Uterine LeiomyomasZIAES049013 · NIEHS · NATIONAL INSTITUTE OF ENVIRONMENTAL HEALTH SCIENCES · PI JUKIC, ANNE MARIE · 2009 to 2025
$14.7M
Translational Research Support CoreP30ES036084 · NIEHS · WAYNE STATE UNIVERSITY · PI Thomas A Kocarek · 2024 to 2026
$5.2M
Endocrine disrupting chemicals and risk of uterine fibroids: a prospective studyR01ES024749 · NIEHS · BOSTON UNIVERSITY MEDICAL CAMPUS · PI LAUREN A WISE · 2015 to 2026
$4.8M
Environmental risk factors for uterine fibroids: a prospective ultrasound study(Supplement)R01ES028235 · NIEHS · HENRY FORD HEALTH SYSTEM · PI WEGIENKA, GANESA REBECCA, WISE, LAUREN A · 2017 to 2021
$3.3M
Contraceptive DMPA-induced bone loss: A novel source of toxic metal lead exposure in young womenR01HD112344 · NICHD · MICHIGAN STATE UNIVERSITY · PI Kristen Upson · 2023 to 2026
$2.7M
Mentoring and research to prepare oral PrEP delivery platforms for novel HIVprevention productsK24MH123371 · NIMH · UNIVERSITY OF WASHINGTON · PI HEFFRON, RENEE A. · 2021 to 2025
$749k
Influence of Diet, Iron Stores, and Toxic Metals on Uptakes and Effects on Uterine Fibroid Risk in African American WomenR00NR017191 · NINR · MICHIGAN STATE UNIVERSITY · PI UPSON, KRISTEN · 2019 to 2021
$740k
Intramural NIH HHS ZIA ES049013NICHD NIH HHS R01 HD112344NIEHS NIH HHS P30 ES036084NIEHS NIH HHS R01 ES024749NIEHS NIH HHS R01 ES028235NIEHS NIH HHS U2C ES026561NIMH NIH HHS K24 MH123371NINR NIH HHS R00 NR017191
6 · The paper itself

Abstract

After exposure, toxic metal lead is stored in the skeleton and is mobilized to systemic circulation with bone turnover. Given the bone-conserving properties of estrogen, we investigated whether current use of estrogen-containing contraception is associated with lower blood lead concentrations. We conducted a cross-sectional analysis using enrollment data from the Study of Environment, Lifestyle & Fibroids (SELF), a cohort of 1693 Black women ages 23-35 years enrolled in years 2010-2012. The study population was restricted to non-users of injectable hormonal contraception with questionnaire data on hormonal contraceptive use and laboratory data on whole blood lead concentrations (n = 1549). The geometric mean blood lead concentrations for current users of estrogen-containing contraception and non-users were 0.41 μg/dl (95 % CI: 0.39-0.43) and 0.51 μg/dl (95 % CI: 0.50-0.52), respectively. After adjusting for age, education, current smoking status, alcohol consumption, recency of injectable contraceptive hormone use, and recent birth using a multivariable linear regression model to estimate the percent difference in blood lead concentrations, current use of estrogen-containing contraception was associated with an 11 % lower blood-lead concentrations (95 % CI: -16 %, -5 %). In exploratory analyses considering contraceptive type, current combined oral contraceptive users (n = 187) had 10 % lower blood lead concentrations (95 % CI: -16 %, -4 %) and contraceptive vaginal ring/transdermal patch users (n = 33) had 18 % lower blood lead concentrations (95 % CI: -29 %, -5 %) compared with non-users. Given the known toxic effects of lead and the common use of estrogen-containing contraception, further research is warranted to confirm our observation of lower blood lead concentrations with current use of estrogen-containing contraception.

Indexed as

Environmental PollutantsEstrogensLeadAdultCohort StudiesCross-Sectional StudiesFemaleHumansPremenopauseYoung AdultEnvironmental PollutantsEstrogensLeadBone healthCross-sectional studyEpidemiologyleadOral contraceptivesPremenopausal women

Identifiers

PMID41015173
PMCPMC12900035

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.