Department of Environmental Health, Harvard T.H. Chan School of Public Health, Boston, MA, 02115, USA.
Department of Obstetrics and Gynecology, Beth Israel Deaconess Medical Center, Boston, MA, 02215, USA.
J Expo Sci Environ Epidemiol. 2021 Mar;31(2):224-232. doi: 10.1038/s41370-020-00279-0. Epub 2020 Nov 24.
Personal care products (PCPs) are an important source of endocrine disrupting chemicals (EDCs) linked to adverse reproductive health outcomes.
We evaluated EDC-associated PCP use and acculturation among Asian women.
Our study included 227 foreign-born Chinese women ages 18-45 seeking obstetrics-gynecology care at community health centers (Boston, MA). Acculturation was measured by English-language use, length of US residence, and age at US entry. Self-reported use of PCPs (crème rinse/conditioner, shampoo, perfume/cologne, bar soap/body wash, liquid hand soap, moisturizer/lotion, colored cosmetics, sunscreen, and nail polish) in the last 48 h was collected. Latent class analysis was used to identify usage patterns. We also conducted multivariable logistic to determine the cross-sectional associations of acculturation measures and the use of individual PCP types.
Those who used more PCP types, overall and by each type, tended to be more acculturated. Women who could speak English had 2.77 (95% CI: 1.10-7.76) times the odds of being high PCP users compared to their non-English speaking counterparts. English-language use was associated with higher odds of using perfume/cologne and nail polish.
Our findings give insight about EDC-associated PCP use based on acculturation status, which can contribute to changes in immigrant health and health disparities.
个人护理产品（PCPs）是与不良生殖健康结果相关的内分泌干扰化学物质（EDCs）的重要来源。
我们评估了亚洲女性与 EDC 相关的 PCP 使用和文化适应情况。
我们的研究包括 227 名 18-45 岁在社区健康中心（波士顿，MA）寻求妇产科护理的外国出生的中国女性。文化适应程度通过英语使用、在美国居住的时间长短和进入美国的年龄来衡量。收集了过去 48 小时内自我报告的 PCP（润丝精/护发素、洗发水、香水/古龙水、香皂/沐浴露、液体洗手液、保湿霜/乳液、彩色化妆品、防晒霜和指甲油）使用情况。使用潜在类别分析来确定使用模式。我们还进行了多变量逻辑回归，以确定文化适应措施与个别 PCP 类型使用的横断面关联。
总体而言，使用更多 PCP 类型的人，以及每种类型的使用者，往往更具文化适应性。会说英语的女性比不会说英语的女性使用高 PCP 的几率高 2.77 倍（95%CI：1.10-7.76）。英语使用与使用香水/古龙水和指甲油的几率更高有关。
我们的研究结果根据文化适应状况提供了有关与 EDC 相关的 PCP 使用的见解，这有助于改变移民健康和健康差距。
