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The Cumulative Risk of Prenatal Exposures to Chemical and Non-Chemical Stressors on Birth Outcomes in Suriname

Author

Listed:
  • Anisma R. Gokoel

    (Scientific Research Center Suriname, Academic Hospital Paramaribo, Paramaribo, Suriname
    Faculty of Medical Sciences, Anton de Kom University of Suriname, Paramaribo, Suriname)

  • Arti Shankar

    (Department of Biostatistics and Data Science, School of Public Health and Tropical Medicine, Tulane University, New Orleans, LA 70112, USA)

  • Firoz Abdoel Wahid

    (Graduate School of Public Health, University of Pittsburgh, Pittsburgh, PA 15261, USA)

  • Ashna D. Hindori-Mohangoo

    (Department of Environmental Health Sciences, School of Public Health and Tropical Medicine, Tulane University, New Orleans, LA 70112, USA
    Foundation for Perinatal Interventions and Research in Suriname (Perisur), Paramaribo, Suriname)

  • Hannah H. Covert

    (Department of Environmental Health Sciences, School of Public Health and Tropical Medicine, Tulane University, New Orleans, LA 70112, USA)

  • Jeffrey K. Wickliffe

    (School of Public Health, University of Alabama at Birmingham, Birmingham, AL 35294, USA)

  • Emily W. Harville

    (Department of Epidemiology, School of Public Health and Tropical Medicine, Tulane University, New Orleans, LA 70112, USA)

  • Wilco C. W. R. Zijlmans

    (Faculty of Medical Sciences, Anton de Kom University of Suriname, Paramaribo, Suriname
    Department of Environmental Health Sciences, School of Public Health and Tropical Medicine, Tulane University, New Orleans, LA 70112, USA)

  • Maureen Y. Lichtveld

    (Graduate School of Public Health, University of Pittsburgh, Pittsburgh, PA 15261, USA)

Abstract

The cumulative exposure to chemical and non-chemical stressors may have an impact on birth outcomes. The aim of this study is to examine the cumulative exposure of a mixture of chemicals (mercury, lead, selenium and tin) and non-chemical stressors (social support, perceived stress, probable depression and BMI) on birth outcomes (birthweight, gestational age at birth, and Apgar score at 5 min). The study population is a subset ( n = 384) of the Caribbean Consortium for Research in Environmental and Occupational Health–MeKiTamara prospective cohort study. Associations between the latent chemical construct, non-chemical stressors and birth outcomes were assessed using path models. The results showed a significant direct relationship between perceived stress and birthweight (β = −0.17), however even though the relationship between perceived stress and depression was significant in all three path models (β = 0.61), the association between depression and birth outcomes was not significant. Perceived stress was significantly associated with community engagement (β = −0.12) and individual resilience (β = −0.12). BMI (β = 0.12) was also significantly directly associated with birthweight. The latent chemical construct did not show an association with the birth outcomes. Our data indicate the need for the development of a support system for pregnant women by involving them in prenatal care programs to reduce maternal stress, which may also influence depression and (in)directly improve the birth outcomes. Interventions regarding weight management for women of childbearing age are necessary to halt obesity and its negative effects on birth outcomes.

Suggested Citation

  • Anisma R. Gokoel & Arti Shankar & Firoz Abdoel Wahid & Ashna D. Hindori-Mohangoo & Hannah H. Covert & Jeffrey K. Wickliffe & Emily W. Harville & Wilco C. W. R. Zijlmans & Maureen Y. Lichtveld, 2021. "The Cumulative Risk of Prenatal Exposures to Chemical and Non-Chemical Stressors on Birth Outcomes in Suriname," IJERPH, MDPI, vol. 18(14), pages 1-13, July.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:14:p:7683-:d:597418
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    References listed on IDEAS

    as
    1. Leah Zilversmit Pao & Emily W. Harville & Jeffrey K. Wickliffe & Arti Shankar & Pierre Buekens, 2019. "The Cumulative Risk of Chemical and Nonchemical Exposures on Birth Outcomes in Healthy Women: The Fetal Growth Study," IJERPH, MDPI, vol. 16(19), pages 1-16, October.
    2. Nicola Heslehurst & Rute Vieira & Zainab Akhter & Hayley Bailey & Emma Slack & Lem Ngongalah & Augustina Pemu & Judith Rankin, 2019. "The association between maternal body mass index and child obesity: A systematic review and meta-analysis," PLOS Medicine, Public Library of Science, vol. 16(6), pages 1-20, June.
    3. Hanna M Vesterinen & Rachel Morello-Frosch & Saunak Sen & Lauren Zeise & Tracey J Woodruff, 2017. "Cumulative effects of prenatal-exposure to exogenous chemicals and psychosocial stress on fetal growth: Systematic-review of the human and animal evidence," PLOS ONE, Public Library of Science, vol. 12(7), pages 1-29, July.
    4. Anisma R. Gokoel & Wilco C. W. R. Zijlmans & Hannah H. Covert & Firoz Abdoel Wahid & Arti Shankar & M. Sigrid MacDonald-Ottevanger & Ashna D. Hindori-Mohangoo & Jeffrey K. Wickliffe & Maureen Y. Licht, 2020. "Influence of Prenatal Exposure to Mercury, Perceived Stress, and Depression on Birth Outcomes in Suriname: Results from the MeKiTamara Study," IJERPH, MDPI, vol. 17(12), pages 1-14, June.
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