Exposure to toxic environmental agents.
Exposure to toxic environmental agents.
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DOI：
10.1016/j.fertnstert.2013.08.043
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发表时间：
2013-10
影响因子：
6.7
通讯作者：
中科院分区：
文献类型：
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作者：
减少接触有毒环境因素是产科医生、妇科医生和其他生殖保健专业人员干预的一个关键领域。患者接触有毒环境化学物质和其他压力源是普遍存在的，孕前和产前接触有毒环境物质可能对整个生命过程中的生殖健康产生深远而持久的影响。据记录，产前接触某些化学物质会增加儿童患癌症的风险；成年男性接触农药与精液质量改变、不育和前列腺癌有关；产后接触某些农药可能会干扰成年女性生殖功能的所有发育阶段，包括青春期、月经和排卵、生育力和生育力以及更年期。许多对生殖健康有害的环境因素不成比例地影响弱势和服务不足的人群，这使得一些人群，包括服务不足的妇女，比其他人群更容易受到不利的生殖健康影响。将接触有毒环境因素与不利的生殖和发育健康结果联系起来的证据足够充分，美国妇产科医师学会和美国生殖医学学会与顶尖科学家和其他临床从业者一起呼吁及时采取行动，识别和减少对有毒环境因素的接触，同时解决此类接触的后果。
Reducing exposure to toxic environmental agents is a critical area of intervention for obstetricians, gynecologists, and other reproductive health care professionals. Patient exposure to toxic environmental chemicals and other stressors is ubiquitous, and preconception and prenatal exposure to toxic environmental agents can have a profound and lasting effect on reproductive health across the life course. Prenatal exposure to certain chemicals has been documented to increase the risk of cancer in childhood; adult male exposure to pesticides is linked to altered semen quality, sterility, and prostate cancer; and postnatal exposure to some pesticides can interfere with all developmental stages of reproductive function in adult females, including puberty, menstruation and ovulation, fertility and fecundity, and menopause. Many environmental factors harmful to reproductive health disproportionately affect vulnerable and underserved populations, which leaves some populations, including underserved women, more vulnerable to adverse reproductive health effects than other populations. The evidence that links exposure to toxic environmental agents and adverse reproductive and developmental health outcomes is sufficiently robust, and the American College of Obstetricians and Gynecologists and the American Society for Reproductive Medicine join leading scientists and other clinical practitioners in calling for timely action to identify and reduce exposure to toxic environmental agents while addressing the consequences of such exposure.
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影响因子：
--
作者：
Hines, Cynthia J.;Hopf, Nancy B. Nilsen;Sammons, Deborah L.
通讯作者：
Sammons, Deborah L.
影响因子：
9.7
作者：
Morello-Frosch, Rachel;Zuk, Miriam;Kyle, Amy D.
通讯作者：
Kyle, Amy D.
影响因子：
10.4
作者：
Rudel RA;Gray JM;Engel CL;Rawsthorne TW;Dodson RE;Ackerman JM;Rizzo J;Nudelman JL;Brody JG
通讯作者：
Brody JG
影响因子：
8.3
作者：
Ji, Kyunghee;Kho, Young Lim;Choi, Kyungho
通讯作者：
Choi, Kyungho
影响因子：
3.5
作者：
Pransky, G;Moshenberg, D;Hill-Fotouhi, C
通讯作者：
Hill-Fotouhi, C