Program in Public Health, Susan and Henry Samueli College of Health Sciences, University of California, Irvine, CA, USA.
Department of Environmental Health, Boston University School of Public Health, Boston, MA, USA.
Environ Int. 2021 Jan;146:106199. doi: 10.1016/j.envint.2020.106199. Epub 2020 Oct 27.
Early life exposure to neurotoxicants and non-chemical psychosocial stressors can impede development of prefrontal cortical functions that promote behavioral regulation and thereby may predispose to adolescent risk-taking related behaviors (e.g., substance use or high-risk sexual activity). This is particularly concerning for communities exposed to multiple stressors.
This study examined the relation of exposure to mixtures of chemical stressors, non-chemical psychosocial stressors, and other risk factors with neuropsychological correlates of risk-taking. Specifically, we assessed psychometric measures of both adverse behavioral regulation and adaptive attributes among adolescents (age ∼ 15 years) in the New Bedford Cohort (NBC), a sociodemographically diverse cohort of 788 children born 1993-1998 to mothers residing near the New Bedford Harbor Superfund site. The NBC includes biomarkers of prenatal exposure to organochlorines and metals; sociodemographic, parental and home characteristics; and periodic neurodevelopmental assessments. We modelled exposure mixtures using multi-dimensional smooths within generalized additive models.
Children of younger mothers with lower IQ who were exposed prenatally to higher polychlorinated biphenyls and lead had poorer anger control. This pattern was not apparent for children of older mothers with higher IQs. Direction of associations between increased hyperactivity and prenatal levels of organochlorine mixtures differed by maternal age and depression symptoms. Higher cord blood Pb levels, in conjunction with poorer HOME scores, were associated with poorer self-esteem when mothers had fewer depression symptoms.
Analyses suggest that prenatal chemical exposures and non-chemical factors interact to contribute to neuropsychological correlates of risk-taking behaviors in adolescence. By simultaneously considering multiple factors associated with adverse behavioral regulation, we identified potential high-risk combinations that reflect both chemical and psychosocial stressors amenable to intervention.
早期生活中接触神经毒素和非化学性心理社会压力源会阻碍促进行为调节的前额皮质功能的发育,从而可能使青少年更容易冒险从事与行为相关的活动(例如,使用药物或高危性行为)。这对于暴露于多种压力源的社区来说尤其令人担忧。
本研究探讨了接触化学压力源混合物、非化学性心理社会压力源和其他风险因素与冒险行为的神经心理学相关性之间的关系。具体而言,我们评估了新贝德福德队列(NBC)中青少年(年龄约为 15 岁)的行为调节不良和适应能力的心理计量学测量值,NBC 是一个社会人口统计学多样化的队列,由 1993 年至 1998 年期间居住在新贝德福德港超级基金场地附近的母亲所生的 788 名儿童组成。NBC 包括产前暴露于有机氯和金属的生物标志物;社会人口统计学、父母和家庭特征;以及定期的神经发育评估。我们使用广义加性模型中的多维平滑来对暴露混合物进行建模。
母亲年龄较小、智商较低、产前暴露于较高水平多氯联苯和铅的儿童,其愤怒控制能力较差。而对于母亲年龄较大、智商较高的儿童,这种模式并不明显。与有机氯混合物水平升高相关的多动性增加与母亲的抑郁症状之间的关联方向不同。当母亲的抑郁症状较少时,脐带血 Pb 水平升高与家庭环境得分较差与自尊心较差相关。
分析表明,产前化学暴露和非化学因素相互作用,导致青少年冒险行为的神经心理学相关性发生变化。通过同时考虑与不良行为调节相关的多个因素,我们确定了潜在的高风险组合,这些组合反映了可干预的化学和心理社会压力源。