Table 4.
Covariate-Adjusted FRs for Maternal First Trimester Urinary Bisphenol and Phthalate Concentrations, Stratified by Folic Acid Supplement Use [n = 760; None or Postconception (Inadequate), n = 302, Preconception (Adequate), n = 458]
| FR (95% CI) | |
|---|---|
| Total bisphenolsa | |
| Inadequate folic acid supplement use | 0.90 (0.81–1.00)b |
| Folic acid supplement use | 1.00 (0.92–1.09) |
| BPAa | |
| Inadequate folic acid supplement use | 0.93 (0.86–1.01)c |
| Folic acid supplement use | 1.00 (0.94–1.07) |
| BPSa | |
| Inadequate folic acid supplement use | 0.94 (0.87–1.01)c |
| Folic acid supplement use | 1.02 (0.96–1.09) |
| Phthalic acida | |
| Inadequate folic acid supplement use | 0.88 (0.79–0.99)b |
| Folic acid supplement use | 0.99 (0.91–1.08) |
| LMW phthalate metabolites | |
| Inadequate folic acid supplement use | 0.94 (0.85–1.03) |
| Folic acid supplement use | 0.98 (0.91–1.05) |
| HMW phthalate metabolitesa | |
| Inadequate folic acid supplement use | 0.93 (0.82–1.04) |
| Folic acid supplement use | 1.03 (0.93–1.14) |
| DEHP metabolites | |
| Inadequate folic acid supplement use | 0.94 (0.83–1.05) |
| Folic acid supplement use | 1.03 (0.93–1.13) |
| DNOP metabolitesa | |
| Inadequate folic acid supplement use | 0.90 (0.80–1.02) |
| Folic acid supplement use | 1.02 (0.93–1.11) |
Data analyzed using a Cox proportional hazards model (R, version 3.3.2). Increases are per natural log increase in first trimester urinary total bisphenols/BPA/BPS/phthalic acid/LMW/HMW/DEHP/DNOP metabolite concentrations. All models are adjusted for maternal age, education, parity, and urinary creatinine concentration.
Interaction term P < 0.1.
P < 0.05.
P < 0.1.