TABLE 4.
Relative odds of early pregnancy loss by preconception DDT and B-vitamin status in 385 conceptions from 280 nonsmoking, nulligravid women, 1996–19981
Low DDT |
High DDT |
||||||
Total, n | Cases, n (%) | Adjusted OR (95% CI) | Total, n | Cases, n (%) | Adjusted OR (95% CI) | P-effect modification | |
Vitamin B-12, pmol/L | 0.952 | ||||||
Normal | 149 | 40 (26.9) | 1.00 (reference) | 177 | 62 (35.0) | 1.52 (0.96, 2.41) | |
<258 | 33 | 8 (24.2) | 1.17 (0.48, 2.82) | 26 | 10 (38.5) | 1.71 (0.72, 4.08) | |
Linear vitamin B-12, /IQD | — | — | 0.92 (0.65, 1.32) | — | — | 1.02 (0.69, 1.51) | 0.713 |
Vitamin B-6, nmol/L | 0.572 | ||||||
Normal | 140 | 34 (24.3) | 1.00 (reference) | 143 | 48 (33.6) | 1.60 (0.97, 2.64) | |
<30 | 42 | 14 (33.3) | 1.74 (0.89, 3.41) | 60 | 24 (40.0) | 2.11 (1.05, 4.25) | |
Linear vitamin B-6, /IQD | — | — | 0.73 (0.46, 1.16) | — | — | 0.56 (0.36, 0.88) | 0.433 |
Folate, nmol/L | 0.282 | ||||||
Normal | 150 | 40 (26.7) | 1.00 (reference) | 161 | 55 (34.2) | 1.35 (0.83, 2.19) | |
<6.8 | 32 | 8 (25.0) | 0.83 (0.37, 1.83) | 42 | 17 (40.5) | 1.96 (0.98, 3.93) | |
Linear folate, /IQD | — | — | 1.02 (0.79, 1.33) | — | — | 0.55 (0.38, 0.79) | 0.0063 |
No. of B-vitamin deficiencies | >0.052 | ||||||
0 | 101 | 25 (24.8) | 1.00 (reference) | 113 | 36 (31.9) | 1.42 (0.80, 2.52) | |
1 | 60 | 18 (30.0) | 1.38 (0.69, 2.75) | 56 | 24 (42.9) | 2.34 (1.25, 4.38) | |
≥2 | 21 | 5 (23.8) | 1.18 (0.47, 2.96) | 34 | 12 (35.3) | 1.77 (0.70, 4.44) |
Adjusted for maternal age, education, BMI, perceived life stress, tea drinking habit, occupational exposure to dust and noise, and husband smoking. The IQD was 159.3 pmol/L for vitamin B-12, 17.8 nmol/L for vitamin B-6, and 4.8 nmol/L for folate. DDT, 1,1,1-trichloro-2,2,bis(p-chlorophenyl)ethane; IQD, interquartile distance.
Estimated in the adjusted model with DDT (low or high) and vitamin (normal or deficiency) and the interaction of the two.
Estimated in the adjusted model with DDT (low or high) and vitamin (linear term) and the interaction of the two.