Abstract：
:We undertook a case-control study to investigate the association between chemicals in maternal drinking water consumed during pregnancy and congenital heart disease in the offspring. Two hundred and seventy affected children and 665 healthy children were enrolled in the study. Information on contaminant levels in maternal drinking water was available from records of routine water analysis of samples taken from public taps in the communities where the mothers resided during pregnancy. Mothers provided information during a telephone interview on their health, pregnancy management, and demographic characteristics. Nine inorganic metals were analysed for detection of an association with congenital heart disease. The chemical exposures of particular interest were arsenic, lead, mercury and selenium. None of the chemicals was associated materially with an increase in the frequency of congenital heart disease overall. Arsenic exposure at any detectable level was associated with a threefold increase in occurrence of coarctation of the aorta (prevalence odds ratio = 3.4, 95% confidence interval = 1.3-8.9). Detectable traces of selenium in drinking water were associated with a lower frequency of any congenital heart disease than was observed among children exposed to drinking water not containing detectable levels of selenium (prevalence odds ratio = 0.62, 95% confidence limits = 0.40-0.97). A dose-response effect was observed over four levels of selenium exposure. Non-differential errors in the measurement and classification of exposure to contaminants routinely monitored in drinking water could account for lack of positive findings. In addition, most of the contaminant levels were below the maximum levels set by the Environmental Protection Agency, so that lack of evidence of effect may have been due to the low exposure levels in this population.
journal_name
Int J Epidemioljournal_title
International journal of epidemiologyauthors
Zierler S,Theodore M,Cohen A,Rothman KJdoi
10.1093/ije/17.3.589subject
Has Abstractpub_date
1988-09-01 00:00:00pages
589-94issue
3eissn
0300-5771issn
1464-3685journal_volume
17pub_type
杂志文章abstract：BACKGROUND:Increasing life expectancy has brought public health concern about the increase in prevalence of disability in old age. Reducing the prevalence of disability in older age requires the identification of preventable or modifiable risk factors earlier in life. We have examined the relationship between lifestyle...
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更新日期：1983-06-01 00:00:00
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更新日期：2013-10-01 00:00:00
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更新日期：1987-06-01 00:00:00
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更新日期：1988-03-01 00:00:00
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更新日期：1991-12-01 00:00:00
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更新日期：2000-08-01 00:00:00
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