Skip to main content

Social Determinants of Contaminant Exposure and Pregnancy in the Northern Karst of Puerto Rico

  • Conference paper
  • First Online:
  • 1266 Accesses

Part of the book series: Advances in Karst Science ((AKS))

Abstract

Socioeconomic inequalities of disease and health are a major issue in the development of public policy, specifically health policies. The study uses secondary data obtained from a subset of participants of the Puerto Rico Testsite for Examining Contamination Threats (PROTECT) Project that follows a cohort of pregnant women and their exposure to contaminant agents. This study includes a profile of PROTECT participants by geographical region, study site, and other socioeconomic characteristics related to an increased risk of differential exposure to contaminants by means of use of personal care products. The analysis includes the study of socioeconomic and demographic variables, and the use of personal care products. Analysis of data collected reveals reports of use of products with higher concentrations of chemicals that have been associated with hormone disruption, and premature births are not evenly distributed among the population participating in the study. Results provide important evidence in terms of the social determinants of health such as geographical location, neighborhood, age, education, gender, and economic resources, and how they impact exposure to chemicals present in personal care products. The implications of the results for further research, as well as for community engagement, and public policy will be discussed.

This is a preview of subscription content, log in via an institution.

Buying options

Chapter
USD   29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD   169.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD   219.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD   219.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Learn about institutional subscriptions

References

  • Błędzka, D., J. Gromadzińska, and W. Wąsowicz. 2014. Parabens. From environmental studies to human health. Environment International 67: 27–42. http://dx.doi.org/10.1016/j.envint.2014.02.007.

  • Calafat, A., X. Ye, L. Wong, A. Bishop, and L. Needham. 2010. Urinary concentrations of four parabens in the U.S. population: NHANES 2005–2006. Environmental Health Perspectives 118 (5): 679–685. doi:10.1289/ehp.0901560.

    Article  Google Scholar 

  • Cantonwine, D.E., J.F. Cordero, L.O. Rivera-González, L.V. Anzalota Del Toro, K.K. Ferguson, B. Mukherjee, A.M. Calafat, N. Crespo, B. Jimenez-Velez, I.Y. Padilla, A.N. Alshawabkeh, and J.D. Meeker. 2014. Urinary phthalate metabolite concentrations among pregnant women in Northern Puerto Rico: Distribution, temporal variability, and predictors. Environment International 62: 1–11. doi:10.1016/j.envint.2013.09.014.

    Article  Google Scholar 

  • Casas, L., M.F. Ferneandez, S. Llop, M. Guxens, F. Ballester, N. Olea, M.B. Irurzun, L.S. Rodríguez, I. Riano, A. Tardón, M. Vrijheid, A.M. Calafat, and J. Sunyer. 2011. Urinary concentrations of phthalates and phenols in a population of Spanish pregnant women and children. Environment International 37 (5): 858–866. doi:10.1016/j.envint.2011.02.012.

    Article  Google Scholar 

  • Dunn, J., and I. Dyck. 2000. Social determinants of health in Canada’s immigrant population: Results from the National Population Health Survey. Social Science and Medicine 51 (11): 1573–1593. doi:10.1016/s0277-9536(00)00053-8.

    Article  Google Scholar 

  • Engel, L., J. Buckley, G. Yang, L. Liao, J. Satagopan, and A. Calafat., Matthews, C. E., Cai, Q., JI, B., Cai, H., Engel, S. M., Wolff, M. S., Rothman, N., Zheng, W., Xiang, Y., Shu, X., Gao, Y., and W. Chow. 2014. Predictors and variability of repeat measurements of urinary phenols and parabens in a cohort of Shanghai women and men. Environmental Health Perspectives http://dx.doi.org/10.1289/ehp.1306830.

  • Kang, S., S. Kim, J. Park, H. Kim, J. Lee, G. Choi, S. Choi, S. Kim, S.Y. Kim, H. Moon, S. Kim, Y.L. Kho, and K. Choi. 2013. Urinary paraben concentrations among pregnant women and their matching newborn infants of Korea, and the association with oxidative stress biomarkers. Science of the Total Environment 461–462: 214–221. doi:10.1016/j.scitotenv.2013.04.097.

    Article  Google Scholar 

  • Lewis, R., D. Cantonwine, L. Anzalota Del Toro, A. Calafat, L. Valentin-Blasini, M. Davis, S.E. Baker, A.N. Alshawabkeh, J.F. Cordero, and J. Meeker. 2014. Urinary biomarkers of exposure to insecticides, herbicides, and one insect repellent among pregnant women in Puerto Rico. Environmental Health 13 (1): 97. doi:10.1186/1476-069x-13-97.

    Article  Google Scholar 

  • Meeker, J., D. Cantonwine, L. Rivera-González, K. Ferguson, B. Mukherjee, A. Calafat, X. Ye, L.V. Anzalota Del Toro, N. Crespo-Hernandez, B. Jímenez Velez, A.N. Alshawabkeh, and J.F. Cordero. 2013. Distribution, variability, and predictors of urinary concentrations of phenols and parabens among pregnant women in Puerto Rico. Environmental Science and Technology 47 (7): 3439–3447. doi:10.1021/es400510g.

    Google Scholar 

  • Shirai, S., Y. Suzuki, J. Yoshinaga, H. Shiraishi, and Y. Mizumoto. 2013. Urinary excretion of parabens in pregnant Japanese women. Reproductive Toxicology 35: 96–101. doi:10.1016/j.reprotox.2012.07.004.

    Article  Google Scholar 

  • Socioeconomic determinants of health related quality of life in childhood and adolescence: results from a European study. (2006). Child: Care, Health and Development 32(5): 603–604. http://dx.doi.org/10.1111/j.1365-2214.2006.00674_2.x.

  • Tefre de Renzy-Martin, K., H. Frederiksen, J. Christensen, H. BoyeKyhl, A. Andersson, S. Husby, T. Barington, K.M. Main, and T. Jensen. 2013. Current exposure of 200 pregnant Danish women to phthalates, parabens and phenols. Reproduction 147 (4): 443–453. doi:10.1530/rep-13-0461.

    Article  Google Scholar 

  • The social determinants of child health: variations across health outcomes. A population-based cross-sectional analysis. 2010. Child: Care, Health and Development 36(1): 150–150. http://dx.doi.org/10.1111/j.1365-2214.2009.01063_3.x.

  • Ye, X., X. Zhou, L. Wong, and A. Calafat. 2012. Concentrations of bisphenol A and seven other phenols in pooled sera from 3 to 11 year-old children: 2001–2002 National Health and Nutrition Examination Survey. Environmental Science and Technology 46 (22): 12664–12671. doi:10.1021/es303109c.

    Article  Google Scholar 

Download references

Acknowledgements

The project described is supported by Grant Award Number P42ES017198 from the National Institute of Environmental Health Sciences (NIEHS). The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institute of Environmental Health Sciences or the National Institutes of Health.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Nancy R. Cardona-Cordero .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2018 Springer International Publishing AG

About this paper

Cite this paper

Cardona-Cordero, N.R. et al. (2018). Social Determinants of Contaminant Exposure and Pregnancy in the Northern Karst of Puerto Rico. In: White, W., Herman, J., Herman, E., Rutigliano, M. (eds) Karst Groundwater Contamination and Public Health. Advances in Karst Science. Springer, Cham. https://doi.org/10.1007/978-3-319-51070-5_18

Download citation

Publish with us

Policies and ethics