Self-Reported Oil Spill Exposure and Pregnancy Complications: The GROWH Study

摘要: Adverse infant outcomes often rise in the aftermath of disaster, but few studies have assessed effects disaster on maternal health. 1091 southern Louisiana women were interviewed about their pregnancy history, including complications. Associations between oil spill exposures and gestational diabetes, hypertensive disorders, nausea/vomiting for all reported pregnancies. 631 had a both before after spill. Generalized estimating equations (logistic regression) with adjustment confounders used. To assess possible unmeasured confounding, instead considering exposure as time-varying exposure, defined spill-exposed or not. If equally prone to complications pregnancies that occurred prior it, it was considered any associations likely due selection reporting issues. Women who particularly loss use coast, more report diabetes; however, level association similar (p interaction >0.10 odds ratios (ORs) > than those spill). No found disorders. This analysis does not suggest an increased risk associated spill; future should prospectively clinically relying self-report.