1. Maternal Food and Beverage Consumption Behaviors and Discrepant Phthalate Exposure by Race
- Author
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Roger B. Newman, Elizabeth Ramsey Unal, John R. Kucklick, Michael S. Bloom, John W. Brock, Abby G. Wenzel, Rebecca J. Wineland, Erica L. Jamro, Kelly Garcia, and Mary Sterrett
- Subjects
Health, Toxicology and Mutagenesis ,Food storage ,Phthalic Acids ,lcsh:Medicine ,Urine ,010501 environmental sciences ,Endocrine Disruptors ,phthalic acids/urine ,01 natural sciences ,Article ,Beverages ,03 medical and health sciences ,Race (biology) ,chemistry.chemical_compound ,0302 clinical medicine ,Pregnancy ,Environmental health ,Medicine ,Humans ,030212 general & internal medicine ,0105 earth and related environmental sciences ,Reproductive health ,Beverage consumption ,racial groups ,business.industry ,lcsh:R ,Public Health, Environmental and Occupational Health ,Phthalate ,Targeted interventions ,Environmental Exposure ,questionnaires ,medicine.disease ,chemistry ,Maternal Exposure ,Environmental Pollutants ,Female ,business - Abstract
Background: Differential exposure to endocrine-disrupting chemicals, including phthalate diesters, may contribute to persistent racial/ethnic disparities in women’s reproductive health outcomes. We sought to characterize sources of gestational exposure to these agents that may differ according to maternal race. Methods: We enrolled pregnant Black (n = 198), including African American, and White (n = 197) women during the second trimester, and measured eight phthalate monoester metabolites in urine. We assessed confounder-adjusted associations between multiple food and beverage consumption habits, summarized using a principal component analysis, as predictors of maternal urinary phthalate metabolite levels, stratified by race. Results: Whites reported significantly greater unprocessed food consumption (42.5% vs. 32.0%, p <, 0.001) and storage of food in clear unbreakable plastic containers (66.5% vs. 49.3%, 0.001) than Blacks, while Blacks consumed more canned fruits and vegetables (23.5% vs. 12.2%, 0.001) than Whites. Using plastics for food storage, microwaving in plastic containers, and using hard plastic water bottles was associated with urinary phthalate concentrations, especially DEHP metabolites (e.g., mean difference = 5.13%, 95% CI: 3.05, 7.25). These associations were driven primarily by Black pregnant women. Conclusions: Targeted interventions to reduce maternal exposure to phthalates need to be designed with specific attention to differences in food and beverage consumption behaviors among Black and White women.
- Published
- 2021