Impact of Exposure Uncertainty on the Association between Perfluorooctanoate and Preeclampsia in the C8 Health Project Population.

BACKGROUND: Uncertainty in exposure estimates from models can result in exposure measurement error and can potentially affect the validity of epidemiological studies. We recently used a suite of environmental models and an integrated exposure and pharmacokinetic model to estimate individual perfluor...

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Publicado en:Environmental Health Perspectives Vol. 124; no. 1; pp. 126 - 133
Autores principales: Avanasi, Raghavendhran, Shin, Hyeong-Moo, Vieira, Verónica M., Savitz, David A., Bartell, Scott M.
Formato: equations & formulas research tables/charts Journal Article
Publicado: National Institute of Environmental Health Sciences Jan2016
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Jan2016
      vid: 124
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      pub: National Institute of Environmental Health Sciences
      place: Research Triangle Park, North Carolina
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        10.1289/ehp.1409044
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        atl: Impact of Exposure Uncertainty on the Association between Perfluorooctanoate and Preeclampsia in the C8 Health Project Population.
      aug:
        au:
          Avanasi, Raghavendhran
          Shin, Hyeong-Moo
          Vieira, Verónica M.
          Savitz, David A.
          Bartell, Scott M.
        affil: Environmental Health Sciences Graduate Program, University of California, Irvine, Irvine, California, USA
      sug:
        subj:
          Pre-Eclampsia Epidemiology
          Fluorocarbons Blood
          Alkanes Blood
          Environmental Exposure Analysis
          Water
          Models, Statistical
          Pregnancy
          Retrospective Design
          Odds Ratio
          Confidence Intervals
          Data Analysis Software
          Descriptive Statistics
          Adult
          Female
          Human
          Funding Source
          Adult: 19-44 years
          Female
      ab: BACKGROUND: Uncertainty in exposure estimates from models can result in exposure measurement error and can potentially affect the validity of epidemiological studies. We recently used a suite of environmental models and an integrated exposure and pharmacokinetic model to estimate individual perfluorooctanoate (PFOA) serum concentrations and assess the association with preeclampsia from 1990 through 2006 for the C8 Health Project participants. OBJECTIVES: The aims of the current study are to evaluate impact of uncertainty in estimated PFOA drinking-water concentrations on estimated serum concentrations and their reported epidemiological association with preeclampsia. METHODS: For each individual public water district, we used Monte Carlo simulations to vary the year-by-year PFOA drinking-water concentration by randomly sampling from lognormal distributions for random error in the yearly public water district PFOA concentrations, systematic error specific to each water district, and global systematic error in the release assessment (using the estimated concentrations from the original fate and transport model as medians and a range of 2-, 5-, and 10-fold uncertainty). RESULTS: Uncertainty in PFOA water concentrations could cause major changes in estimated serum PFOA concentrations among participants. However, there is relatively little impact on the resulting epidemiological association in our simulations. The contribution of exposure uncertainty to the total uncertainty (including regression parameter variance) ranged from 5% to 31%, and bias was negligible. CONCLUSIONS: We found that correlated exposure uncertainty can substantially change estimated PFOA serum concentrations, but results in only minor impacts on the epidemiological association between PFOA and preeclampsia.
      pubtype: Academic Journal
      doctype:
        equations & formulas
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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