Associations of prenatal agricultural farm work with fetal overgrowth and pregnancy complications in State of Arizona birth records

Details

• Alternative Title:
  J Occup Environ Med
• Personal Author:
  Parra, Kimberly L. ; Harris, Robin B. ; Farland, Leslie V. ; Beamer, Paloma ; Furlong, Melissa
• Description:
  Objective.
  
  To examine fetal growth outcomes from agricultural worker households.
  
  Methods.
  
  Using Arizona 2006–2013 birth certificates with parental occupation, we identified N=623,185 live births by agricultural household status. Logistic regression models estimated adjusted Odds Ratios (aOR) for macrosomia (>4,000 grams), postterm birth (>41 weeks), low birth weight (LBW <2,500 grams), pre-term birth (PTB <37 weeks), large-for-gestational-age (LGA), small-for-gestational-age (SGA), and 5 min-APGAR (<7).
  
  Results.
  
  Newborns of agricultural households (n=6,371) had a higher risk of macrosomia (aOR 1.15, 95% CI: 1.05, 1.26), LGA (aOR 1.12, 95% CI: 1.03, 1.22), postterm birth (aOR 1.20, 95% CI: 1.09, 1.33), and low 5-min APGAR (aOR 1.39, 95% CI: 1.07, 1.81), whereas LBW (aOR: 0.85, 95% CI: 0.76, 0.96) and PTB (aOR: 0.82, 95% CI: 0.74, 0.92) were inversely related.
  
  Conclusions.
  
  Having an agriculture working parent increased the likelihood of fetal overgrowth and low APGAR.
  
  
• Subjects:
  Arizona Birth Certificates Diabetes, Gestational Farms Female Fetal Macrosomia Humans Infant, Newborn Pregnancy Pregnancy Complications Premature Birth

  More +
• Keywords:
  Agricultural Workers Farmworkers Fetal Growth Pregnancy Outcomes Vital Statistics
• Source:
  J Occup Environ Med. 65(8):635-642
• Pubmed ID:
  37167931
• Pubmed Central ID:
  PMC10523987
• Document Type:
  Journal Article
• Funding:
  T32 GM139779/GM/NIGMS NIH HHSUnited States/ ; P30 ES006694/ES/NIEHS NIH HHSUnited States/ ; U54 OH007550/OH/NIOSH CDC HHSUnited States/ ; R00 ES028743/ES/NIEHS NIH HHSUnited States/ ; U54OH007550/ACL/ACL HHSUnited States/
• Volume:
  65
• Issue:
  8
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha-512:bd604b4daf65436766de4822a84d179956818529e1fb13e4a44a92583a1ae80507e861d4098653a0f560b155dd0333d220947a98e2e4fc490e5512099abd35eb
• Download URL:
  https://stacks.cdc.gov/view/cdc/133480/cdc_133480_DS1.pdf
• File Type:
  [PDF - 330.72 KB ]