Table 2. Summary of findings on the associations between prenatal pesticide exposure and the four most frequently reported outcomes (birth weight, birth length, low birth weight, and preterm birth).
Most frequently reported outcomes in included studies | |||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Birth weight | Birth length | Low birth weight | Preterm birth | ||||||||||||
Direction | Effect estimate | Refs | Direction | Effect estimate | Refs | Direction | Effect estimate | Refs | Direction | Effect estimate | Refs | ||||
Organochlorines | Positive | 0.008 to 0.25 SMD | (Arrebola et al., 2016; Bravo et al., 2019; Steinholt et al., 2020; Xu et al., 2017) | Positive | 0.21 to 0.25 SMD | (Bravo et al., 2019; Steinholt et al., 2020) | Positive | – | No studies | Positive | No estimate reported | (Cioroiu et al., 2010) | |||
Negative | -0.009 SMD; -5.81 to -55.14 g | (Anand & Taneja, 2020; X. Yang et al., 2020) | Negative | -0.25 to -0.32 SMD | (Steinholt et al., 2020) | Negative | – | No studies | Negative | No estimate reported | (Cioroiu et al., 2010) | ||||
Null | -32.9 g to 6.09 g | (Abdel Hamid et al., 2020; Fang et al., 2019; H. Guo et al., 2014; Van Tung et al., 2016) | Null | -0.37 to 0.358 cm | (Abdel Hamid et al., 2020; Anand & Taneja, 2020; Arrebola et al., 2016; Fang et al., 2019; Xu et al., 2017) | Null | 8 to 13.1 pp | (Toichuev et al., 2018; Van Tung et al., 2016) | Null | – | No studies | ||||
Organophosphates | Positive | – | No studies | Positive | – | No studies | Positive | RR 2.13 6 pp | (Jaacks et al., 2019; Silvia et al., 2020) | Positive | RR 1.44 to RR 3.57 6 pp | (Jaacks et al., 2019; Silvia et al., 2020) | |||
Negative | -170±60 g | (Jaacks et al., 2019) | Negative | -0.372 cm | (Cecchi et al., 2021) | Negative | – | No studies | Negative | – | No studies | ||||
Null | -116 to 135 g | (Cecchi et al., 2021; Hanke et al., 2003; Jaacks et al., 2019; Jurewicz et al., 2005; Liu et al., 2016; Naksen et al., 2015; Silvia et al., 2020; P. Wang et al., 2012; X. Yang et al., 2020) | Null | -0.47 to 0.12 cm | (Liu et al., 2016; Naksen et al., 2015; Silvia et al., 2020; P. Wang et al., 2012) | Null | OR 0.48 2.63 to 6.29 pp | (Jurewicz et al., 2005; Moreno-Banda et al., 2009) | Null | RR 1.17 to RR 0.95 1.63 to 5.8 pp | (Cecchi et al., 2021; Jaacks et al., 2019; Jurewicz et al., 2005) | ||||
Pyrethroids | Positive | – | No studies | Positive | – | No studies | Positive | – | No studies | Positive | – | No studies | |||
Negative | -96.76 to -233.3 g | (Ding et al., 2015; Hanke et al., 2003) | Negative | – | No studies | Negative | – | No studies | Negative | – | No studies | ||||
Null | 29 to 102 g | (Jaacks et al., 2019; Jurewicz et al., 2005) | Null | 0.13 to 0.25 cm | (Ding et al., 2015) | Null | RR 0.78 2.63 to 6.29 pp | (Jaacks et al., 2019; Jurewicz et al., 2005) | Null | RR 0.99 1.63 to 5.8 pp | (Jaacks et al., 2019; Jurewicz et al., 2005) | ||||
Carbamates | Positive | – | No studies | Positive | – | No studies | Positive | – | No studies | Positive | 6 pp | (Silvia et al., 2020) | |||
Negative | – | No studies | Negative | -0.372 cm | (Cecchi et al., 2021) | Negative | – | No studies | Negative | – | No studies | ||||
Null | -3.594 to 0.23 g | (Cecchi et al., 2021; Hanke et al., 2003; Silvia et al., 2020; X. Yang et al., 2020; Zhang et al., 2018) | Null | -0.155 cm | (Zhang et al., 2018) | Null | No estimate reported | (Cecchi et al., 2021) | Null | No estimate reported | (Cecchi et al., 2021) | ||||
Chlorophenols non-specific to organochlorines | Positive | – | No studies | Positive | – | No studies | Positive | – | No studies | Null | – | No studies | |||
Negative | -30 to -37 g | (J. Guo et al., 2016) | Null | -0.01 to -0.14 cm | (Guo et al., 2016) | Negative | – | No studies | Null | – | No studies | ||||
Null | – | No studies | Null | – | No studies | Null | – | No studies | Null | – | No studies |
Abbreviations: OR; odds ratio; pp, percentage points; Refs, references; RR, relative risk; SMD, standardised mean difference.