Table 3.
Odds ratios (ORs) and 95% confidence interval (CIs) for miscarriage according to PFAS quartiles in early pregnancy.
| PFAS quartilea | Cases/controls | Model Ab | Model Bc | Model Cd |
|---|---|---|---|---|
| Adjusted OR (95% CI) | Adjusted OR (95% CI) | Adjusted OR (95% CI) | ||
| PFOS | ||||
| Q1 | 47/55 | Ref | Ref | Ref |
| Q2 | 49/54 | 1.1 (0.6, 1.9) | 1.1 (0.6, 1.9) | 1.1 (0.6, 2.0) |
| Q3 | 61/55 | 1.3 (0.8, 2.4) | 1.4 (0.8, 2.4) | 1.4 (0.8, 2.5) |
| Q4 | 63/54 | 1.4 (0.8, 2.4) | 1.4 (0.8, 2.5) | 1.3 (0.7, 2.3) |
| p for trend | 220/218 | 0.21 | 0.21 | 0.35 |
| PFOA | ||||
| Q1 | 46/55 | Ref | Ref | Ref |
| Q2 | 44/54 | 1.0 (0.5, 1.8) | 1.0 (0.5, 1.8) | 0.9 (0.5, 1.7) |
| Q3 | 53/55 | 1.4 (0.8, 2.6) | 1.4 (0.8, 2.6) | 1.4 (0.7, 2.5) |
| Q4 | 77/54 | 2.2 (1.2, 3.9) | 2.2 (1.2, 3.9) | 1.9 (1.0, 3.6) |
| p for trend | 220/218 | 0.02 | ||
| PFHxS | ||||
| Q1 | 48/56 | Ref | Ref | Ref |
| Q2 | 66/54 | 1.3 (0.8, 2.3) | 1.4 (0.8, 2.4) | 1.3 (0.7, 2.3) |
| Q3 | 60/54 | 1.3 (0.7, 2.3) | 1.3 (0.7, 2.3) | 1.3 (0.7, 2.2) |
| Q4 | 46/54 | 0.9 (0.5, 1.7) | 0.9 (0.5, 1.7) | 0.9 (0.5, 1.7) |
| p for trend | 220/218 | 0.68 | 0.67 | 0.69 |
| PFHpS | ||||
| Q1 | 46/62 | Ref | Ref | Ref |
| Q2 | 49/50 | 1.3 (0.7, 2.3) | 1.3 (0.7, 2.3) | 1.3 (0.7, 2.3) |
| Q3 | 56/52 | 1.5 (0.9, 2.7) | 1.6 (0.9, 2.8) | 1.6 (0.9, 2.9) |
| Q4 | 69/54 | 1.8 (1.0, 3.2) | 1.8 (1.0, 3.3) | 1.8 (1.0, 3.2) |
| p for trend | 220/218 | 0.03 | 0.03 | 0.04 |
| PFDA | ||||
| Q1 | 45/50 | Ref | Ref | Ref |
| Q2 | 60/58 | 1.0 (0.6, 1.7) | 1.0 (0.6, 1.7) | 1.0 (0.6, 1.8) |
| Q3 | 50/43 | 1.1 (0.7, 1.9) | 1.1 (0.7, 1.9) | 1.1 (0.6, 1.9) |
| Q4 | 65/67 | 1.3 (0.7, 2.2) | 1.3 (0.7, 2.3) | 1.2 (0.7, 2.1) |
| p for trend | 220/218 | 0.35 | 0.34 | 0.49 |
| PFOSA | ||||
| Q1 | 44/55 | Ref | Ref | Ref |
| Q2 | 64/54 | 1.5 (0.9, 2.7) | 1.5 (0.9, 2.6) | 1.5 (0.8, 2.7) |
| Q3 | 61/55 | 1.5 (0.8, 2.6) | 1.5 (0.8, 2.6) | 1.5 (0.9, 2.7) |
| Q4 | 51/54 | 1.3 (0.7, 2.3) | 1.3 (0.7, 2.3) | 1.3 (0.7, 2.4) |
| p for trend | 220/218 | 0.78 | 0.80 | 0.66 |
| PFNA | ||||
| Q1 | 62/59 | Ref | Ref | Ref |
| Q2 | 46/55 | 0.9 (0.5, 1.5) | 0.8 (0.5, 1.5) | 0.8 (0.5, 1.5) |
| Q3 | 61/56 | 1.1 (0.6, 1.8) | 1.0 (0.6, 1.8) | 1.0 (0.5, 1.7) |
| Q4 | 51/48 | 1.0 (0.6, 1.8) | 1.1 (0.6, 1.8) | 1.0 (0.6, 1.8) |
| p for trend | 220/218 | 0.72 | 0.69 | 0.82 |
Note: PFAS, per- and polyfluoroalkyl substances; PFDA, perfluorodecanoic acid; PFHpS, perfluoroheptane sulfonate; PFHxS, perfluorohexane sulfonate; PFNA, perfluorononanoic acid; PFOA, perfluorooctanoic acid; PFOS, perfluorooctanesulfonic acid; PFOSA, perfluorooctanesulfonic acid; Ref, Reference.
p for trend was fitted using the median value of PFAS in each quartile as a continuous variable.
Adjusted for maternal age, parental socio-occupational status, maternal smoking in the first trimester, maternal alcohol intake in the first trimester, gestational week of blood sampling, and parity.
Adjusted for maternal age, parental socio-occupational status, maternal smoking in the first trimester, maternal alcohol intake in the first trimester, gestational week of blood sampling, parity, and maternal history of miscarriage.
Adjusted for maternal age, parental socio-occupational status, maternal smoking in the first trimester, maternal alcohol intake in the first trimester, gestational week of blood sampling, the outcome of last pregnancy, and time gap since last pregnancy.