1. A prospective cohort study of persistent endocrine-disrupting chemicals and perceived stress.
- Author
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Schildroth S, Wesselink AK, Bethea TN, Claus Henn B, Friedman A, Fruh V, Coleman CM, Lovett SM, Vines AI, Sjodin A, Botelho JC, Calafat AM, Wegienka G, Weuve J, Baird DD, and Wise LA
- Subjects
- Humans, Female, Prospective Studies, Middle Aged, Adult, Black or African American statistics & numerical data, Environmental Exposure adverse effects, Bayes Theorem, Pesticides, Fluorocarbons blood, Fluorocarbons adverse effects, Hydrocarbons, Chlorinated blood, Hydrocarbons, Chlorinated adverse effects, Environmental Pollutants blood, Environmental Pollutants adverse effects, White, Endocrine Disruptors adverse effects, Endocrine Disruptors blood, Stress, Psychological epidemiology, Polychlorinated Biphenyls blood, Polychlorinated Biphenyls adverse effects, Halogenated Diphenyl Ethers blood
- Abstract
Persistent endocrine-disrupting chemicals (EDCs) can dysregulate the stress response. We evaluated associations between persistent EDCs and perceived stress among participants in the Study of Environment, Lifestyle, and Fibroids (n = 1394), a prospective cohort study of Black women. Participants completed the Perceived Stress Scale 4 (PSS-4) at baseline and every 20 months through 60 months (score range: 0-16); higher scores indicate higher stress. Endocrine-disrupting chemicals, including per- and polyfluoroalkyl substances, polychlorinated biphenyls (PCBs), polybrominated diphenyl ethers (PBDEs), and organochlorine pesticides, were quantified in plasma samples at baseline. We fit bayesian kernel machine regression and linear mixed-effects models to estimate associations of EDCs (as a mixture and individually) with PSS-4 scores at baseline and at each follow-up visit, respectively. Increasing percentiles of the mixture were not strongly associated with PSS-4 scores at baseline, and no interactions were observed among EDCs. Several individual EDCs (eg, perfluorodecanoic acid, PCB 118, PBDE 99) were associated with higher PSS-4 scores at baseline or follow-up, and other EDCs (eg PCB 138/158) were associated with lower PSS-4 scores at baseline or follow-up. The directionality of associations for individual EDCs was inconsistent across follow-up visits. In conclusion, specific EDCs may be associated with perceived stress in Black women. This article is part of a Special Collection on Environmental Epidemiology., (© The Author(s) 2024. Published by Oxford University Press on behalf of the Johns Hopkins Bloomberg School of Public Health. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.)
- Published
- 2024
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