Table 5.
Sex-stratified adjusted linear regression coefficient and 95% confidence interval for the association between maternal prenatal p,p′-DDT and p,p′-DDE serum concentrations (; lipid-adjusted) and children’s performance on the Bayley Scales of Infant Development (3rd edition) at the 1- and 2-y visits, VHEMBE, Limpopo, South Africa.
BSID Measure | p,p′-DDT | p,p′-DDE | ||||
---|---|---|---|---|---|---|
Boys (95% CI) | Girls (95% CI) | a | Boys (95% CI) | Girls (95% CI) | a | |
At 1-y visit () | ||||||
Cognitive | 0.25 (0.01, 0.48)* | 0.08 (, 0.34) | 0.36 | 0.36 (0.11, 0.61)* | 0.16 (, 0.46) | 0.35 |
Receptive Communication | (, 0.13) | 0.05 (, 0.28) | 0.39 | (, 0.18) | 0.09 (, 0.37) | 0.37 |
Expressive Communication | (, 0.16) | (, 0.17) | 0.77 | 0.03 (, 0.30) | (, 0.24) | 0.55 |
Fine Motor | 0.05 (, 0.36) | (, 0.24) | 0.50 | 0.10 (, 0.40) | 0.01 (, 0.39) | 0.69 |
Gross Motor | 0.28 (, 0.60) | (, 0.34) | 0.33 | 0.29 (, 0.69) | (, 0.32) | 0.26 |
Language Composite | (, 0.48) | (, 1.08) | 0.77 | (, 1.01) | (, 1.55) | 0.88 |
Motor Composite | 0.99 (, 2.40) | (, 1.35) | 0.28 | 1.16 (, 2.82) | (, 1.72) | 0.32 |
Social-Emotional | 0.11 (, 0.54) | 0.07 (, 0.46) | 0.92 | 0.27 (, 0.78) | 0.25 (, 0.71) | 0.92 |
At 2-y visit () | ||||||
Cognitive | (, 0.19) | (, 0.15) | 0.98 | 0.01 (, 0.27) | 0.09 (, 0.36) | 0.56 |
Receptive Communication | 0.09 (, 0.29) | (, 0.11) | 0.21 | 0.21 (, 0.46) | (, 0.10) | 0.05 |
Expressive Communication | 0.06 (, 0.37) | (, 0.11) | 0.27 | 0.30 (, 0.69) | (, 0.19) | 0.08 |
Fine Motor | 0.04 (, 0.29) | (, )* | 0.16 | 0.11 (, 0.43) | (, 0.13) | 0.29 |
Gross Motor | 0.13 (, 0.32) | (, 0.11) | 0.13 | 0.19 (, 0.42) | (, 0.18) | 0.14 |
Language Composite | 0.49 (, 1.81) | (, 0.47) | 0.18 | 1.51 (, 3.21) | (, 0.59) | 0.03 |
Motor Composite | 0.52 (, 1.59) | (, 0.00) | 0.07 | 0.92 (, 2.29) | (, 0.55) | 0.11 |
Note: Coefficients indicate the change in scaled BSID score associated with a 10-fold increase in maternal serum DDT/DDE concentrations. Models adjusted for maternal education, age, marital status, poverty status at delivery, risk for depression (CES-D) and Raven’s Coloured Progressive Matrices score (at 1-y visit); food insecurity (USDA Food Security Survey); HOME score; preterm delivery; and psychometrician at the time of exam. BSID, Bayley Scales of Infant Development (3rd edition); CES-D, Center for Epidemiologic Studies Depression Scale; CI, confidence interval; DDE, dichlorodiphenyldichloroethylene; DDT, dichlorodiphenyltrichloroethane; HOME, Home Observation Measurement of the Environment; VHEMBE, Venda Health Examination of Mothers, Babies and their Environment.
p-Value for sex interaction. Interactions were considered statistically significant at .
.