Table 3.
Multivariatea regression models examining association between intensity-weighted days of specific herbicides and subclinical hypothyroidism (TSH>4.5 mIU/L) and natural log of TSH, T4, and T3
| Intensity–weighted days | Subclinical Hypothyroidism | TSH and Thyroid Hormones | |||||
|---|---|---|---|---|---|---|---|
|
| |||||||
| TSH | T4 | T3 | |||||
|
|
|
|
|
||||
| Nb | OR (95% CI) | Nc | Expβ (95% CI) | Expβ (95% CI) | Expβ (95% CI) | ||
| Dinitroaniline | |||||||
| Pendimethalind | 0 | 68 | 1.00 (ref) | 412 | 1.00 (ref) | 1.00 (ref) | 1.00 (ref) |
| 28–208 | 10 | 1.77 (0.81, 3.87) | 36 | 1.01 (0.82, 1.24) | 0.98 (0.90, 1.07) | 1.01 (0.92, 1.11) | |
| >208–375 | 6 | 0.96 (0.38, 2.45) | 35 | 0.89 (0.72, 1.11) | 1.02 (0.94, 1.12) | 1.02 (0.93, 1.12) | |
| >375–1920 | 5 | 0.78 (0.29, 2.09) | 36 | 1.05 (0.85, 1.30) | 1.04 (0.96, 1.14) | 1.03 (0.94, 1.12) | |
| >1920–14105 | 12 | 2.78 (1.30, 5.95)† | 35 | 1.25 (1.01, 1.55)† | 0.98 (0.90, 1.07) | 0.96 (0.87, 1.05) | |
| Ptrend | 0.02† | 0.04† | 0.81 | 0.46 | |||
| Trifluralin | 0 | 55 | 1.00 (ref) | 308 | 1.00 (ref) | 1.00 (ref) | 1.00 (ref) |
| 25–632 | 15 | 0.94 (0.47, 1.87) | 87 | 0.99 (0.84, 1.15) | 0.99 (0.92, 1.05) | 0.99 (0.93, 1.06) | |
| >632–1411 | 13 | 0.74 (0.35, 1.53) | 87 | 0.90 (0.76, 1.05) | 1.05 (0.98, 1.12) | 1.01 (0.94, 1.08) | |
| >1411–3906 | 23 | 1.42 (0.74, 2.74) | 87 | 1.05 (0.90, 1.24) | 0.98 (0.92, 1.05) | 0.98 (0.91, 1.05) | |
| >3906–113400 | 18 | 1.09 (0.55, 2.17) | 87 | 1.14 (0.97, 1.34) | 1.05 (0.99, 1.13) | 1.04 (0.97, 1.11) | |
| Ptrend | 0.65 | 0.05 | 0.14 | 0.28 | |||
| Thiocarbamate | |||||||
| Butylated | 0 | 66 | 1.00 (ref) | 390 | 1.00 (ref) | 1.00 (ref) | 1.00 (ref) |
| 43–319 | 7 | 1.19 (0.45, 3.16) | 40 | 0.94 (0.75, 1.16) | 1.00 (0.91, 1.09) | 0.98 (0.89, 1.08) | |
| >319–882 | 8 | 1.30 (0.50, 3.40) | 39 | 1.10 (0.88, 1.38) | 0.99 (0.91, 1.09) | 1.00 (0.91, 1.10) | |
| >882–2184 | 9 | 1.23 (0.50, 3.02) | 39 | 1.20 (0.96, 1.49) | 0.96 (0.88, 1.05) | 0.99 (0.90, 1.09) | |
| >2184–22925 | 12 | 1.78 (0.74, 4.28) | 42 | 1.11 (0.89, 1.39) | 0.99 (0.90, 1.08) | 0.97 (0.88, 1.07) | |
| Ptrend | 0.21 | 0.24 | 0.72 | 0.53 | |||
| EPTC | 0 | 87 | 1.00 (ref) | 510 | 1.00 (ref) | 1.00 (ref) | 1.00 (ref) |
| 33–225 | 8 | 1.65 (0.71, 3.81) | 34 | 1.01 (0.82, 1.25) | 1.00 (0.92, 1.09) | 1.02 (0.93, 1.12) | |
| >225–588 | 6 | 1.12 (0.44, 2.82) | 32 | 0.93 (0.75, 1.16) | 0.99 (0.91, 1.09) | 1.00 (0.91, 1.1) | |
| >588–1792 | 10 | 2.10 (0.96, 4.58) | 34 | 1.09 (0.88, 1.35) | 0.88 (0.81, 0.96)† | 0.88 (0.80, 0.96)† | |
| >1792–16461 | 9 | 2.05 (0.91, 4.63) | 33 | 1.24 (1.00, 1.54)† | 1.03 (0.94, 1.13) | 1.03 (0.94, 1.13) | |
| Ptrend | 0.05 | 0.04† | 0.97 | 0.93 | |||
| Phenoxy | |||||||
| 2,4-D | 0 | 25 | 1.00 (ref) | 118 | 1.00 (ref) | 1.00 (ref) | 1.00 (ref) |
| 68–878 | 22 | 0.75 (0.39, 1.44) | 136 | 0.94 (0.81, 1.10) | 0.99 (0.93, 1.05) | 0.98 (0.92, 1.05) | |
| >878–2604 | 26 | 0.81 (0.43, 1.55) | 138 | 1.01 (0.86, 1.18) | 0.99 (0.92, 1.05) | 0.99 (0.93, 1.06) | |
| >2604–7229 | 24 | 0.70 (0.36, 1.36) | 134 | 1.04 (0.88, 1.22) | 0.97 (0.91, 1.04) | 0.97 (0.91, 1.04) | |
| >7229–192780 | 29 | 0.80 (0.40, 1.58) | 138 | 1.09 (0.92, 1.29) | 0.98 (0.91, 1.05) | 0.95 (0.88, 1.02) | |
| Ptrend | 0.85 | 0.14 | 0.64 | 0.14 | |||
| 2,4,5 Td | 0 | 88 | 1.00 (ref) | 518 | 1.00 (ref) | 1.00 (ref) | 1.00 (ref) |
| 25–263 | 7 | 2.58 (0.94, 7.06) | 21 | 1.04 (0.78, 1.38) | 0.93 (0.83, 1.04) | 1.04 (0.93, 1.17) | |
| >263–458 | 5 | 1.23 (0.41, 3.70) | 22 | 0.99 (0.74, 1.31) | 0.95 (0.85, 1.06) | 0.98 (0.87, 1.10) | |
| >458–1392 | 6 | 1.72 (0.63, 4.65) | 22 | 1.28 (0.98, 1.68) | 1.03 (0.93, 1.15) | 1.00 (0.89, 1.12) | |
| >1392–29869 | 7 | 2.10 (0.78, 5.71) | 21 | 1.03 (0.78, 1.37) | 0.88 (0.78, 0.98)† | 0.90 (0.80, 1.02) | |
| Ptrend | 0.16 | 0.68 | 0.03† | 0.09 | |||
| Triazine | |||||||
| Atrazine | 0 | 19 | 1.00 (ref) | 101 | 1.00 (ref) | 1.00 (ref) | 1.00 (ref) |
| 25–980 | 23 | 0.76 (0.35, 1.63) | 142 | 0.86 (0.73, 1.02) | 1.02 (0.95, 1.10) | 1.06 (0.99, 1.14) | |
| >980–2604 | 20 | 0.55 (0.25, 1.23) | 144 | 0.79 (0.66, 0.94)† | 1.03 (0.96, 1.11) | 1.01 (0.94, 1.09) | |
| >2604–6962 | 33 | 1.12 (0.50, 2.48) | 140 | 0.84 (0.70, 1.02) | 0.97 (0.90, 1.05) | 0.98 (0.91, 1.06) | |
| >6962–113400 | 32 | 1.16 (0.49, 2.78) | 145 | 0.88 (0.72, 1.07) | 0.99 (0.91, 1.07) | 1.00 (0.92, 1.09) | |
| Ptrend | 0.28 | 0.97 | 0.45 | 0.50 | |||
| Cyanazine | 0 | 48 | 1.00 (ref) | 294 | 1.00 (ref) | 1.00 (ref) | 1.00 (ref) |
| 25–455 | 16 | 0.89 (0.44, 1.80) | 90 | 0.97 (0.83, 1.14) | 0.98 (0.92, 1.05) | 0.97 (0.91, 1.04) | |
| >455–1313 | 8 | 0.43 (0.18, 1.01) | 89 | 0.97 (0.83, 1.13) | 1.00 (0.94, 1.06) | 1.04 (0.98, 1.11) | |
| >1313–3689 | 28 | 2.53 (1.34, 4.78)† | 90 | 1.19 (1.02, 1.39)† | 1.00 (0.94, 1.07) | 1.00 (0.94, 1.07) | |
| >3689–113400 | 20 | 1.26 (0.61, 2.61) | 89 | 1.13 (0.95, 1.34) | 1.04 (0.97, 1.12) | 1.04 (0.97, 1.12) | |
| Ptrend | 0.25 | 0.11 | 0.23 | 0.30 | |||
| Metribuzind | 0 | 61 | 1.00 (ref) | 353 | 1.00 (ref) | 1.00 (ref) | 1.00 (ref) |
| 33–221 | 5 | 0.48 (0.17, 1.35) | 48 | 0.89 (0.73, 1.08) | 1.06 (0.98, 1.15) | 1.06 (0.97, 1.15) | |
| >221–385 | 9 | 0.94 (0.39, 2.30) | 50 | 0.88 (0.72, 1.08) | 0.97 (0.90, 1.06) | 0.93 (0.85, 1.02) | |
| >385–1000 | 12 | 1.56 (0.67, 3.67) | 43 | 1.25 (1.01, 1.55)† | 0.94 (0.86, 1.03) | 1.01 (0.92, 1.11) | |
| >1000–14850 | 9 | 0.73 (0.27, 1.95) | 49 | 0.89 (0.71, 1.11) | 0.96 (0.88, 1.06) | 0.98 (0.88, 1.08) | |
| Ptrend | 0.75 | 0.62 | 0.28 | 0.64 | |||
| Chloroacetanilide | |||||||
| Alachlor | 0 | 36 | 1.00 (ref) | 218 | 1.00 (ref) | 1.00 (ref) | 1.00 (ref) |
| 25–502 | 29 | 2.34 (1.25, 4.37)† | 107 | 1.03 (0.89, 1.20) | 1.00 (0.94, 1.06) | 0.98 (0.92, 1.05) | |
| >502–1358 | 12 | 0.69 (0.33, 1.44) | 106 | 0.91 (0.78, 1.05) | 1.02 (0.96, 1.09) | 0.98 (0.92, 1.04) | |
| >1358–4463 | 21 | 0.98 (0.50, 1.92) | 107 | 1.06 (0.91, 1.24) | 0.97 (0.91, 1.03) | 0.98 (0.92, 1.05) | |
| >4463–68162 | 21 | 0.99 (0.48, 2.01) | 106 | 0.99 (0.84, 1.17) | 1.04 (0.97, 1.11) | 0.99 (0.93, 1.07) | |
| Ptrend | 0.66 | 0.98 | 0.28 | 0.95 | |||
| Metolachlor | 0 | 54 | 1.00 (ref) | 317 | 1.00 (ref) | 1.00 (ref) | 1.00 (ref) |
| 25–455 | 19 | 1.47 (0.79, 2.71) | 84 | 1.02 (0.88, 1.18) | 0.98 (0.92, 1.05) | 0.97 (0.91, 1.03) | |
| >455–1240 | 16 | 1.23 (0.64, 2.37) | 81 | 1.08 (0.93, 1.26) | 1.04 (0.98, 1.11) | 0.97 (0.91, 1.03) | |
| >1240–4232 | 10 | 0.65 (0.30, 1.39) | 83 | 0.92 (0.79, 1.08) | 0.98 (0.92, 1.04) | 0.98 (0.92, 1.05) | |
| >4232–68162 | 21 | 1.44 (0.72, 2.88) | 83 | 1.18 (0.99, 1.40) | 0.97 (0.91, 1.05) | 0.98 (0.91, 1.05) | |
| Ptrend | 0.41 | 0.07 | 0.43 | 0.74 | |||
| Other Herbicides | |||||||
| Chlorimuron-ethyld | 0 | 74 | 1.00 (ref) | 435 | 1.00 (ref) | 1.00 (ref) | 1.00 (ref) |
| 30–118 | 6 | 1.13 (0.44, 2.89) | 32 | 0.88 (0.70, 1.10) | 0.99 (0.90, 1.08) | 0.96 (0.87, 1.06) | |
| >118–315 | 8 | 1.62 (0.69, 3.84) | 30 | 0.94 (0.75, 1.18) | 1.01 (0.92, 1.11) | 1.03 (0.93, 1.13) | |
| >315–588 | 7 | 1.35 (0.56, 3.26) | 33 | 1.03 (0.83, 1.28) | 1.02 (0.93, 1.12) | 0.99 (0.90, 1.09) | |
| >588–7560 | 7 | 1.45 (0.60, 3.50) | 32 | 1.05 (0.84, 1.31) | 1.04 (0.95, 1.14) | 0.99 (0.90, 1.09) | |
| Ptrend | 0.3 | 0.66 | 0.35 | 0.81 | |||
| Dicamba | 0 | 42 | 1.00 (ref) | 220 | 1.00 (ref) | 1.00 (ref) | 1.00 (ref) |
| 36–350 | 20 | 0.93 (0.50, 1.73) | 109 | 0.86 (0.75, 1.00)† | 0.98 (0.92, 1.04) | 0.95 (0.90, 1.02) | |
| >350–1046 | 15 | 0.68 (0.35, 1.33) | 103 | 0.94 (0.81, 1.09) | 0.96 (0.91, 1.02) | 0.99 (0.92, 1.05) | |
| >1046–2699 | 19 | 0.91 (0.48, 1.72) | 106 | 0.97 (0.84, 1.13) | 1.00 (0.94, 1.06) | 1.01 (0.95, 1.08) | |
| >2699–107823 | 21 | 1.06 (0.57, 1.98) | 106 | 0.98 (0.84, 1.14) | 0.98 (0.92, 1.04) | 0.97 (0.91, 1.03) | |
| Ptrend | 0.62 | 0.59 | 0.86 | 0.59 | |||
| Glyphosate | 0 | 32 | 1.00 (ref) | 179 | 1.00 (ref) | 1.00 (ref) | 1.00 (ref) |
| 20–315 | 25 | 1.28 (0.71, 2.32) | 116 | 1.02 (0.88, 1.17) | 1.01 (0.95, 1.07) | 0.98 (0.92, 1.04) | |
| >315–907 | 24 | 1.07 (0.60, 1.93) | 130 | 1.00 (0.87, 1.15) | 1.01 (0.95, 1.07) | 1.01 (0.95, 1.07) | |
| >907–2622 | 21 | 0.95 (0.51, 1.77) | 123 | 1.01 (0.88, 1.17) | 1.01 (0.96, 1.07) | 0.99 (0.93, 1.05) | |
| >2622–113400 | 25 | 1.21 (0.66, 2.24) | 123 | 1.14 (0.99, 1.33) | 0.99 (0.94, 1.05) | 0.97 (0.91, 1.03) | |
| Ptrend | 0.70 | 0.05 | 0.68 | 0.41 | |||
| Imazethapyr | 0 | 62 | 360 | ||||
| 33–263 | 12 | 1.08 (0.53, 2.17) | 70 | 0.90 (0.77, 1.06) | 0.97 (0.91, 1.04) | 0.97 (0.91, 1.04) | |
| >263–600 | 14 | 1.22 (0.63, 2.37) | 73 | 1.12 (0.96, 1.31) | 0.96 (0.90, 1.02) | 0.95 (0.89, 1.02) | |
| >600–1176 | 14 | 1.20 (0.61, 2.33) | 73 | 0.97 (0.83, 1.14) | 0.94 (0.88, 1.00)† | 0.96 (0.90, 1.03) | |
| >1176–22500 | 16 | 1.54 (0.81, 2.95) | 71 | 1.15 (0.98, 1.35) | 0.97 (0.91, 1.03) | 0.98 (0.92, 1.05) | |
| Ptrend | 0.19 | 0.09 | 0.24 | 0.56 | |||
| Petroleum distillatesd | 0 | 74 | 1.00 (ref) | 413 | 1.00 (ref) | 1.00 (ref) | 1.00 (ref) |
| 25–372 | 6 | 1.27 (0.49, 3.30) | 27 | 0.93 (0.73, 1.18) | 0.98 (0.88, 1.08) | 0.99 (0.90, 1.10) | |
| >372–1110 | 3 | 0.56 (0.16, 1.92) | 27 | 1.16 (0.91, 1.47) | 0.99 (0.89, 1.09) | 1.00 (0.90, 1.11) | |
| >1110–3973 | 7 | 1.54 (0.62, 3.84) | 27 | 1.07 (0.84, 1.36) | 1.01 (0.92, 1.12) | 1.03 (0.93, 1.14) | |
| >3973–253333 | 5 | 0.97 (0.35, 2.69) | 27 | 1.22 (0.96, 1.56) | 1.00 (0.91, 1.11) | 0.89 (0.80, 0.99) † | |
| Ptrend | 0.95 | 0.09 | 0.93 | 0.045† | |||
TSH: Thyroid stimulating hormone; T4: thyroxine; T3: triiodothyronine
Adjusted for age, state, body mass index, smoking, correlated pesticides
Exposed cases
Total exposed
Detailed information for these chemicals was collected on the take-home questionnaire at enrollment
p<0.05 compared with never users