Associations between maternal exposure to chemical fertilizers during pregnancy and the risk of offspring's low birth weights / 中华流行病学杂志

ABSTRACT

Objective To explore the association between the consumption of chemical fertilizers and the risk of low birth weight (LBW),to provide references for prevention programs on LBW and to improve the birth outcomes.Methods Stratified multivariate logistic regression method was used in this study involving 153 preterm LBW infants,179 term LBW infants and 204 normal control infants that were randomly selected from the birth monitoring data between October 2007 and September 2012 in Pingding county,Shanxi province.Associations between the risk of LBW and maternal exposure to chemical fertilizers during pregnancy were identified.A normal control group was set up to compare results between preterm and term LBW groups.Results Totally,18 749infants were born between 2007 and 2012,with the total incidence rates of LBW as 48.5‰,preterm LBW as 19.4‰,and term LBW as 29.1‰.Concerning the case control study on preterm LBW,after adjustment for confounding factors,the risk of preterm LBW appeared 2.51 (95％CI1.05-5.99) times higher in villages with annual consumption of chemical fertilizer ≥ 100 tons than those villages that using chemical fertilizer less than 50 tons.No significant statistical associations were found between the amounts of household chemical fertilizer consumption and the risks of preterm LBW.Regarding the case control study on term LBW,after adjustment for confounding factors,in villages with ≥ 100tons annual consumption of chemical fertilizers,the risk of term LBW was 4.03 (95％CI1.63-9.92)times of the risk in villages where the annal use of chemical fertilizers was less than 50 tons.There was no significant association between household consumption of chemical fertilizers and the risk of term LBW.Conclusions Maternal exposure to chemical fertilizers during pregnancy was associated with the risk of LBW.Our findings suggested that the amount of chemical fertilizer consumption in rural areas seemed also associated with the risks of other adverse pregnancy outcomes.Women should avoid the chance of exposure to chemical fertilizers during pregnancy and the consumption of chemical fertilizers should be carefully managed.