Citation
Zaganjor, Ibrahim; Luben, Thomas J.; Desrosiers, Tania A.; Keil, Alexander P.; Engel, Lawrence S.; Michalski, Adrian M.; Carmichael, Suzan L.; Nembhard, Wendy N.; Shaw, Gary M.; & Reefhuis, Jennita, et al. (2020). Maternal Exposure to Disinfection By-Products and Risk of Hypospadias in the National Birth Defects Prevention Study (2000-2005). International Journal of Environmental Research and Public Health, 17(24), 9564. PMCID: PMC7766973Abstract
The purpose of this study was to estimate the association between 2nd and 3rd degree hypospadias and maternal exposure to disinfection by-products (DBPs) using data from a large case-control study in the United States. Concentration estimates for total trihalomethanes (TTHMs), the sum of the five most prevalent haloacetic acids (HAA5), and individual species of each were integrated with data on maternal behaviors related to water use from the National Birth Defects Prevention Study (NBDPS) to create three different exposure metrics: (1) household DBP concentrations; (2) estimates of DBP ingestion; (3) predicted uptake (i.e., internal dose) of trihalomethanes (THMs) via ingestion, showering, and bathing. The distribution of DBP exposure was categorized as follows: (Q1/referent) < 50%; (Q2)URL
http://dx.doi.org/10.3390/ijerph17249564Reference Type
Journal ArticleYear Published
2020Journal Title
International Journal of Environmental Research and Public HealthAuthor(s)
Zaganjor, IbrahimLuben, Thomas J.
Desrosiers, Tania A.
Keil, Alexander P.
Engel, Lawrence S.
Michalski, Adrian M.
Carmichael, Suzan L.
Nembhard, Wendy N.
Shaw, Gary M.
Reefhuis, Jennita
Yazdy, Mahsa M.
Langlois, Peter H.
Feldkamp, Marcia L.
Romitti, Paul A.
Olshan, Andrew F.
The National Birth Defects Prevention Study,