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. 2023 Oct 19;131(10):107011. doi: 10.1289/EHP12097

Figure 2.

Figure 2A is a set of three error bar graphs titled The first trimester, The second trimester, and The third trimester under Mental development index, plotting lowercase beta (95 percent confidence intervals), ranging from negative 5.0 to 2.5 in increments of 2.5 (y-axis) across metabolites of organophosphate insecticides, including diethyl phthalate, dimethyl phosphate, diethyl thiophosphate, dimethylthiophosphate, 3,5,6-trichloro-2-pyridinol, 4-nitrophenol; metabolites of pyrethroids, including 3-phenoxybenzoic acid, trans-3-(2,2-dichlorovinyl)-2,2-dimethylcyclopropanecarboxylic acid; metabolites of neonicotinoid insecticides, including imidacloprid, imidacloprid-olefin, 5-hydroxy-imidacloprid, desnitro-imidacloprid, desmethyl-acetamiprid, thiamethoxam, clothianidin, and desmethyl-clothianidin (x-axis) for total, boy, and girl, respectively. Figure 2B is a set of three error bar graphs titled The first trimester, The second trimester, and The third trimester under Psychomotor development index, plotting lowercase beta (95 percent confidence intervals), ranging from negative 4.0 to 4.0 in increments of 2.0; negative 4.0 to 4.0 in increments of 2.0; and negative 2.5 to 5.0 in increments of 2.5; (y-axis) across metabolites of organophosphate insecticides, including diethyl phthalate, dimethyl phosphate, diethyl thiophosphate, dimethylthiophosphate, 3,5,6-trichloro-2-pyridinol, 4-nitrophenol; metabolites of pyrethroids, including 3-phenoxybenzoic acid, trans-3-(2,2-dichlorovinyl)-2,2-dimethylcyclopropanecarboxylic acid; metabolites of neonicotinoid insecticides, including imidacloprid, imidacloprid-olefin, 5-hydroxy-imidacloprid, desnitro-imidacloprid, desmethyl-acetamiprid, thiamethoxam, clothianidin, and desmethyl-clothianidin (x-axis) for total, boy, and girl, respectively.

Adjusted associations between trimester-specific concentrations (ng/mL, ln-transformed SG-adjusted) of maternal urinary mOPPs, mPYRs, and mNNIs over the three trimesters and children’s (A) MDI and (B) PDI scores using generalized estimating equations (GEE) models for participants from a birth cohort study in Wuhan, China, 2014–2017 (N=1,041 participants, n=1,041 samples for each specific trimester). The models were adjusted for maternal age (categorical), PBMI (categorical), maternal education (categorical), passive smoking (categorical), folic acid supplementation during pregnancy (categorical), parity (categorical), child sex (categorical), breastfeeding duration (categorical), delivery mode (categorical), and sampling seasons (categorical). Sex-stratified analyses were adjusted for all the abovementioned confounders except child sex. *pFDR<0.05 were considered statistically significant (FDR corrections were performed to adjust for multiple comparisons). Details of chemical abbreviations are provided in Figure 1, and the numerical values are listed in Table S8. Note: FDR, false discovery rate; MDI, mental development index; mNNIs, metabolites of neonicotinoid insecticides; mOPPs, metabolites of organophosphate insecticides; mPYRs, metabolites of pyrethroids; PBMI, prepregnancy body mass index; PDI, psychomotor development index; pFDR<0.05, p-value for false discovery rate; SG, specific gravity.