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发育中胎儿低剂量效应的流行病学检测。

Epidemiologic detection of low dose effects on the developing fetus.

作者信息

Kline J, Levin B, Stein Z, Susser M, Warburton D

出版信息

Environ Health Perspect. 1981 Dec;42:119-26. doi: 10.1289/ehp.8142119.

DOI:10.1289/ehp.8142119
PMID:7333249
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1568783/
Abstract

Evaluations of the health effects of exposures in the workplace and environment have broadened to include effects on reproduction, as well as on the development of cancer. Models to assess risks associated with varying doses of exposure rest almost entirely on data about cancer. In this paper we discuss some distinctive features of reproduction which bear on the interpretation of such models, when applied to reproduction, rather than carcinogenesis. Dose-response curves describe the relationship between two exposures (smoking and alcohol drinking) and two outcomes (spontaneous abortion and birthweight) are used to illustrate some of the questions which arise in attempting to determine a "safe" level of exposure.

摘要

对工作场所和环境中接触因素的健康影响评估已扩大到包括对生殖以及癌症发展的影响。评估与不同接触剂量相关风险的模型几乎完全基于癌症数据。在本文中,我们讨论了生殖的一些独特特征,这些特征在将此类模型应用于生殖而非致癌作用时,对模型的解释具有重要意义。剂量反应曲线描述了两种接触因素(吸烟和饮酒)与两种结果(自然流产和出生体重)之间的关系,用于说明在试图确定“安全”接触水平时出现的一些问题。

相似文献

1
Epidemiologic detection of low dose effects on the developing fetus.发育中胎儿低剂量效应的流行病学检测。
Environ Health Perspect. 1981 Dec;42:119-26. doi: 10.1289/ehp.8142119.
2
Are there adverse effects of periconceptional spermicide use?受孕前使用杀精剂是否有不良影响?
Fertil Steril. 1985 Mar;43(3):442-6. doi: 10.1016/s0015-0282(16)48446-3.
3
The effects of induced abortion on subsequent reproduction.人工流产对后续生育的影响。
Epidemiol Rev. 1982;4:66-94. doi: 10.1093/oxfordjournals.epirev.a036252.
4
Alcohol consumption and cigarette smoking: effect on pregnancy.饮酒与吸烟:对妊娠的影响。
Clin Obstet Gynecol. 1983 Jun;26(2):437-48. doi: 10.1097/00003081-198306000-00025.
5
The effect of pregnancy termination on future reproduction.终止妊娠对未来生育能力的影响。
Baillieres Clin Obstet Gynaecol. 1990 Jun;4(2):391-405. doi: 10.1016/s0950-3552(05)80234-2.
6
Pregnancy outcome in Norway after Chernobyl.切尔诺贝利事故后挪威的妊娠结局。
Biomed Pharmacother. 1991;45(6):233-41. doi: 10.1016/0753-3322(91)90023-m.
7
Long-term impact of reproductive factors on cancer risk.生殖因素对癌症风险的长期影响。
Int J Cancer. 1993 Jan 21;53(2):215-9. doi: 10.1002/ijc.2910530207.
8
Low birth weight in pregnancies following induced abortion: no evidence for an association.人工流产后妊娠的低出生体重:无关联证据。
Am J Epidemiol. 1986 Apr;123(4):604-13. doi: 10.1093/oxfordjournals.aje.a114280.
9
Risk factors for spontaneous abortion and its recurrence.自然流产及其复发的危险因素。
Am J Epidemiol. 1988 Aug;128(2):420-30. doi: 10.1093/oxfordjournals.aje.a114982.
10
Drinking during pregnancy and spontaneous abortion.孕期饮酒与自然流产
Lancet. 1980 Jul 26;2(8187):176-80. doi: 10.1016/s0140-6736(80)90062-8.

引用本文的文献

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Time-Varying Exposures and Miscarriage: A Comparison of Statistical Models Through Simulation.时间变化的暴露与流产:通过模拟比较统计模型。
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2
Alcohol Use in Pregnancy and Miscarriage: A Systematic Review and Meta-Analysis.孕期饮酒与流产:系统评价和荟萃分析。
Alcohol Clin Exp Res. 2019 Aug;43(8):1606-1616. doi: 10.1111/acer.14124. Epub 2019 Jul 3.
3
Smoking, alcohol and reproduction.吸烟、饮酒与生殖
Am J Public Health. 1983 Oct;73(10):1154-6. doi: 10.2105/ajph.73.10.1154.

本文引用的文献

1
Smoking and pregnancy. Results of a prospective study of 6,989 women.吸烟与妊娠。对6989名女性的前瞻性研究结果。
Rev Eur Etud Clin Biol. 1972 Nov;17(9):867-79.
2
Parental exposure to x-irradiation and Down's syndrome.父母接触X射线与唐氏综合征
Ann Hum Genet. 1972 Nov;36(2):195-208. doi: 10.1111/j.1469-1809.1972.tb00769.x.
3
Pattern of malformation in offspring of chronic alcoholic mothers.慢性酗酒母亲后代的畸形模式。
Lancet. 1973 Jun 9;1(7815):1267-71. doi: 10.1016/s0140-6736(73)91291-9.
4
Spontaneous abortion as a screening device. The effect of fetal survival on the incidence of birth defects.自然流产作为一种筛查手段。胎儿存活对出生缺陷发生率的影响。
Am J Epidemiol. 1975 Oct;102(4):275-90. doi: 10.1093/oxfordjournals.aje.a112163.
5
Perinatal events associated with maternal smoking during pregnancy.孕期与母亲吸烟相关的围产期事件。
Am J Epidemiol. 1976 May;103(5):464-76. doi: 10.1093/oxfordjournals.aje.a112248.
6
Surveillance of spontaneous abortions. Power in environmental monitoring.自然流产的监测。环境监测中的效能。
Am J Epidemiol. 1977 Nov;106(5):345-50. doi: 10.1093/oxfordjournals.aje.a112475.
7
Adverse effects on offspring of maternal alcohol abuse during pregnancy.孕期母亲酗酒对后代的不良影响。
N Engl J Med. 1977 Sep 8;297(10):528-30. doi: 10.1056/NEJM197709082971003.
8
II. An epidemiological study of the role of gravidity in spontaneous abortion.二、关于妊娠次数在自然流产中作用的流行病学研究。
Early Hum Dev. 1978 Feb;1(4):345-56. doi: 10.1016/0378-3782(78)90042-7.
9
Moderate alcohol use during pregnancy and decreased infant birth weight.孕期适度饮酒与婴儿出生体重降低
Am J Public Health. 1977 Dec;67(12):1154-6. doi: 10.2105/ajph.67.12.1154.
10
Alcohol consumption in pregnant women and the outcome of pregnancy.孕妇饮酒与妊娠结局
Alcohol Clin Exp Res. 1978 Apr;2(2):155-63. doi: 10.1111/j.1530-0277.1978.tb04716.x.