Table 6.
Adjusted linear regression coefficient and 95% confidence interval for the association between maternal prenatal urinary pyrethroid metabolite concentration (specific-gravity adjusted) and children’s performance on the Bayley Scales of Infant Development (3rd edition) at the 1- and 2-y visits, VHEMBE study, Limpopo, South Africa.
BSID Measure | cis-DBCA [ (95% CI)] | cis-DCCA [ (95% CI)] | trans-DCCA [ (95% CI)] | 3PBAa [ (95% CI)] |
---|---|---|---|---|
At 1-y visit () | ||||
Cognitive | 0.05 (, 0.36) | 0.01 (, 0.33) | 0.02 (, 0.30) | 0.03 (, 0.37) |
Receptive Communication | 0.13 (, 0.38) | 0.04 (, 0.32) | (, 0.23) | 0.08 (, 0.40) |
Expressive Communication | (, 0.08) | (, 0.23) | (, 0.16) | (, 0.20) |
Fine Motor | 0.09 (, 0.42) | (, 0.30) | (, 0.27) | (, 0.39) |
Gross Motor | 0.10 (, 0.50) | 0.36 (, 0.81) | 0.24 (, 0.64) | 0.28 (, 0.76) |
Language Composite | (, 0.99) | (, 1.22) | (, 0.83) | (, 1.34) |
Motor Composite | 0.59 (, 2.33) | 0.84 (, 2.90) | 0.51 (, 2.35) | 0.81 (, 2.97) |
Social-Emotionalb | (, 0.26) | (, )* | (, )* | (, )* |
At 2 years () | ||||
Expressive Communication | (, )* | 0.01 (, 0.41) | (, 0.13) | (, 0.22) |
Fine Motor | 0.16 (, 0.44) | 0.31 (, 0.64) | 0.17 (, 0.47) | 0.30 (, 0.65) |
Gross Motor | (, 0.05) | 0.08 (, 0.39) | (, 0.22) | 0.03 (, 0.36) |
Language Composite | (, )* | 0.23 (, 2.08) | (, 0.69) | (, 1.16) |
Motor Composite | (, 1.16) | 1.19 (, 2.76) | 0.37 (, 1.78) | 0.98 (, 2.66) |
Note: Coefficients show the change in scaled BSID score associated with a 10-fold increase in maternal urinary pyrethroid metabolite 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; psychometrician; and time of urine collection (before or after delivery). 3PBA, 3-phenoxybenzoic acid; BSID, Bayley Scales of Infant Development (3rd edition); CES-D, Center for Epidemiologic Studies Depression Scale; CI, confidence interval; DBCA, (2,2-dibromovinyl)-2,2-dimethylcyclopropane-1-carboxylicacid; DCCA, (2,2-dichlorovinyl)-2,2-dimethylcyclopropane-1-carboxylicacid; HOME, Home Observation Measurement of the Environment; VHEMBE, Venda Health Examination of Mothers, Babies and their Environment.
Due to one missing value, models with 3PBA had 680 participants at the 1-y visit and 670 participants at the 2-y visit.
Social-Emotional outcome models had 688 participants for cis-DBCA, cis-DCCA, and trans-DCCA exposures, and 687 participants for 3PBA.
.