Int J Health Geogr - Mercury in fish and adverse reproductive outcomes: results from South Carolina.

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Resumo

CKGROUND: Mercury is a metal with widespread distribution in aquatic ecosystems and significant neurodevelopmental toxicity in humans. Fish biomonitoring for total mercury has been conducted in South Carolina (SC) since 1976, and consumption advisories have been posted for many SC waterways. However, there is limited information on the potential reproductive impacts of mercury due to recreational or subsistence fish consumption.METHODS: To address this issue, geocoded residential locations for live births from the Vital Statistics Registry (1995-2005, N = 362,625) were linked with spatially interpolated total mercury concentrations in fish to estimate potential mercury exposure from consumption of locally caught fish. Generalized estimating equations were used to test the hypothesis that risk of low birth weight (LBW, <2,500 grams) or preterm birth (PTB, < 37 weeks clinical gestation) was greater among women living in areas with elevated total mercury in fish, after adjustment for confounding. Separate analyses estimated term LBW and PTB risks using residential proximity to rivers with fish consumption advisories to characterize exposure.RESULTS: Term LBW was more likely among women residing in areas in the upper quartile of predicted total mercury in fish (odds ratio [OR]= 1.04; 95% confidence interval [CI]: 1.00-1.09) or within 8 kilometers of a river with a 'do not eat' fish advisory (1.05; 1.00-1.11) compared to the lowest quartile, or rivers without fish consumption restrictions, respectively. When stratified by race, risks for term LBW or PTB were 10-18% more likely among African-American (AA) mothers living in areas with the highest total fish mercury concentrations.CONCLUSIONS: To our knowledge, this is the first study to examine the relationship between fish total mercury concentrations and adverse reproductive outcomes in a large population-based sample that included AA women. The ecologic nature of exposure assessment in this study precludes causal inference. However, the results suggest a need for more detailed investigations to characterize patterns of local fish consumption and potential dose-response relationships between mercury exposure and adverse reproductive outcomes, particularly among AA mothers.

Resumo Limpo

ckground mercuri metal widespread distribut aquat ecosystem signific neurodevelopment toxic human fish biomonitor total mercuri conduct south carolina sc sinc consumpt advisori post mani sc waterway howev limit inform potenti reproduct impact mercuri due recreat subsist fish consumptionmethod address issu geocod residenti locat live birth vital statist registri n link spatial interpol total mercuri concentr fish estim potenti mercuri exposur consumpt local caught fish general estim equat use test hypothesi risk low birth weight lbw gram preterm birth ptb week clinic gestat greater among women live area elev total mercuri fish adjust confound separ analys estim term lbw ptb risk use residenti proxim river fish consumpt advisori character exposureresult term lbw like among women resid area upper quartil predict total mercuri fish odd ratio confid interv ci within kilomet river eat fish advisori compar lowest quartil river without fish consumpt restrict respect stratifi race risk term lbw ptb like among africanamerican aa mother live area highest total fish mercuri concentrationsconclus knowledg first studi examin relationship fish total mercuri concentr advers reproduct outcom larg populationbas sampl includ aa women ecolog natur exposur assess studi preclud causal infer howev result suggest need detail investig character pattern local fish consumpt potenti doserespons relationship mercuri exposur advers reproduct outcom particular among aa mother

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