Exploring Associations Between the Phthalate Environmental Reproductive Health Literacy (PERHL) Scale & Biomarkers of Phthalate Exposure: a Pilot Study.

Details

• Alternative Title:
  Journal of Exposure Science & Environmental Epidemiology, 2025, v. 35, no. 4: Exploring Associations Between the Phthalate Environmental Reproductive Health Literacy (PERHL) Scale & Biomarkers of Phthalate Exposure: a Pilot Study.
• Journal Article:
  Journal of Exposure Science & Environmental Epidemiology
• Personal Author:
  Tomsho, Kathryn S. ; Quinn, Marlee R. ; Preston, Emma V. ; Adamkiewicz, Gary ; James-Todd, Tamarra
• Description:
  Perinatal exposure to phthalates is associated with adverse health impacts for parents and children. The field of environmental health literacy seeks to measure how environmental health information is conceptualized and used to inform behaviors. We assessed whether scores on the validated Phthalate Environmental Reproductive Health Literacy (PERHL) scale were associated with biomarkers of phthalate exposure. ; 42 members of the Environmental Reproductive and Glucose Outcomes (ERGO) cohort completed the PERHL scale and provided spot urine samples. Phthalate summary measures for model outcomes were created by calculating molar sums of specific gravity-corrected metabolite concentrations representing exposure to parent phthalate, Di(2-ethylhexyl)phthalate (DEHP), personal care product (PCP)-associated phthalates, and parent butyl-phthalates. Linear regression models were used to estimate the associations of the PERHL scale scores with phthalate summary measures, controlling for educational attainment (college degree or higher vs. no college degree), age (years), and race and ethnicity (non-Hispanic White vs. non-White). ; Higher scores on the PERHL Scale and subscales were generally associated with lower ΣDEHP, Σbutyl, and ΣPCP metabolite concentrations. A one-point increase in the 'Protective Behavior/Risk Control' subscale score was significantly associated with a -30.3% (95% CI: -50.1, -2.6) decrease in ΣDEHP, and a -30.6% (95% CI: -51.5, -0.63) decrease in Σbutyl metabolite concentrations.
• Content Notes:
  Author manuscript
• Subjects:
  • Humans
  • Pilot Projects
  • Phthalic Acids
  • Female
  • Biomarkers
  • Adult
  • Health Literacy
  • Male
  • Environmental Exposure
  • Reproductive Health
  More +
• Keywords:
  • environmental health literacy
  • phthalates
  • biomarkers of exposure
  • psychometric scale
• Source:
  Journal of Exposure Science & Environmental Epidemiology, 2025, v. 35, no. 4
• DOI:
  https://doi.org/10.1038/s41370-024-00706-6
• ISSN:
  1559-0631 ; 1559-064X
• Pubmed ID:
  PMC12199996
• Pubmed Central ID:
  39020161
• Document Type:
  Text
• Funding:
  T42 OH008416/OH/NIOSH CDC HHSUnited States/ ; P30 ES000002/ES/NIEHS NIH HHSUnited States/ ; R01 ES026166/ES/NIEHS NIH HHSUnited States/ ; R56 ES033185/ES/NIEHS NIH HHSUnited States/ ; R01 ES033185/ES/NIEHS NIH HHSUnited States/
• Genre:
  Journal Article
• Pages in Document:
  619-624 (13 pdf pages)
• Volume:
  35
• Issue:
  4
• Download URL:
  https://stacks.cdc.gov/view/cdc/260368/cdc_260368_DS1.pdf
• File Type:
  [PDF - 339.07 KB]
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha-512:3c60f8d81552e8e7824097eae4c3da83f524b441178776d6fcb3f6f8bac7b47b8886f429af8ce8dc2c92b04cc7cb73a38711012359b24a49ebb58c141d46bde7