An intervention to reduce residential insecticide exposure during pregnancy among an inner-city cohort.
BACKGROUND: We previously reported widespread insecticide exposure during pregnancy among inner-city women from New York City. Here we report on a pilot intervention using integrated pest management (IPM) to reduce pest infestations and residential insecticide exposures among pregnant New York City...
| Publicado en: | Environmental Health Perspectives Vol. 114; no. 11; pp. 1684 - 1690 |
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| Autores principales: | , , , , , , , , , , , , |
| Formato: | research Journal Article |
| Publicado: |
National Institute of Environmental Health Sciences
Nov2006
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105952589&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 105952589 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 00916765 3B5 jtl: Environmental Health Perspectives issn: 00916765 maglogo: N pubinfo: dt: Nov2006 vid: 114 iid: 11 pid: 56539 pub: National Institute of Environmental Health Sciences place: Research Triangle Park, North Carolina artinfo: ui: 105952589 105952589 2009341478 10.1289/ehp.9168 NLM17107853 105952589 ppf: 1684 ppct: 6 formats: fmt: @attributes: type: P tig: atl: An intervention to reduce residential insecticide exposure during pregnancy among an inner-city cohort. aug: au: Williams MK Barr DB Camann DE Cruz LA Carlton EJ Borjas M Reyes A Evans D Kinney PL Whitehead RD Jr. Perera FP Matsoanne S Whyatt RM sug: subj: Air Pollution, Indoor Analysis Environmental Exposure Prevention and Control Insecticides Analysis Pest Control Methods Adolescence Adult Air Pollution, Indoor Prevention and Control Animals Biological Markers Blood Black Persons Cockroaches Environmental Monitoring Female Health Education Hispanic Americans Housing Insecticides Blood New York Pregnancy Prospective Studies Human Adolescent: 13-18 years Adult: 19-44 years Female ab: BACKGROUND: We previously reported widespread insecticide exposure during pregnancy among inner-city women from New York City. Here we report on a pilot intervention using integrated pest management (IPM) to reduce pest infestations and residential insecticide exposures among pregnant New York City African-American and Latina women (25 intervention and 27 control homes). METHODS: The IPM consisted of professional cleaning, sealing of pest entry points, application of low-toxicity pesticides, and education. Cockroach infestation levels and 2-week integrated indoor air samples were collected at baseline and one month postintervention. The insecticides detected in the indoor air samples were also measured in maternal and umbilical cord blood collected at delivery. RESULTS: Cockroach infestations decreased significantly (p = 0.016) after the intervention among intervention cases but not control households. Among the intervention group, levels of piperonyl butoxide (a pyrethroid synergist) were significantly lower in indoor air samples after the intervention (p = 0.016). Insecticides were detected in maternal blood samples collected at delivery from controls but not from the intervention group. The difference was significant for trans-permethrin (p = 0.008) and of borderline significance (p = 0.1) for cis-permethrin and 2-isopropoxyphenol (a propoxur metabolite). CONCLUSION: To our knowledge, this is the first study to use biologic dosimeters of prenatal pesticide exposure for assessing effectiveness of IPM. These pilot data suggest that IPM is an effective strategy for reducing pest infestation levels and the internal dose of insecticides during pregnancy. pubtype: Academic Journal doctype: research Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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