OBGYN screening for environmental exposures: A call for action.
OBGYN screening for environmental exposures: A call for action.
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DOI：
10.1371/journal.pone.0195375
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发表时间：
2018
期刊：
影响因子：
3.7
通讯作者：
Polotsky AJ
中科院分区：
文献类型：
--
作者：
Grindler NM;Allshouse AA;Jungheim E;Powell TL;Jansson T;Polotsky AJ
已知产前暴露对产妇和新生儿结局有不利影响。专业协会建议对环境、职业和饮食暴露进行常规筛查，以减少暴露及其相关后遗症。我们的目标是确定产科医生和妇科医生(OBGYN)在初次就诊时进行环境暴露筛查的频率。科罗拉多大学和社交媒体接洽了OBGYN。该调查工具询问了人口统计数据、环境素养和筛查做法。统计分析采用卡方检验和两样本t检验。我们收到了312份在线调查回复(回复率为12%)。回答OBGYN的主要是女性(96%)，董事会认证的(78%)，多面手(65%)，平均年龄37.1岁。不到一半的医生进行了以下因素的筛查：职业暴露、环境化学品、空气污染、杀虫剂使用、个人护理产品、家庭清洁剂、水源、使用塑料储存食物以及铅和汞暴露。85%的受访者报告说，他们对获取环境历史感到不舒服，58%的受访者报告说，他们没有对环境暴露进行定期筛查。较高的筛查频率与执业4年(p=0.001)以及阅读过环境委员会的意见(p=0.001)有关。大多数OBGYN没有将已知环境暴露的筛查纳入常规做法。阅读环境委员会的意见与更高的筛查率密切相关。在咨询患者时提高医生的舒适度可能会加强对影响生殖健康的暴露的筛查。
Prenatal exposures have known adverse effects on maternal and neonatal outcomes. Professional societies recommend routine screening for environmental, occupational, and dietary exposures to reduce exposures and their associated sequelae. Our objective was to determine the frequency of environmental exposure screening by obstetricians and gynecologists (OBGYNs) at initial patient visits. Practicing OBGYNs were approached at the University of Colorado and by social media. The survey instrument queried demographics, environmental literacy, and screening practices. Statistical analysis was performed using Chi-square and two-sample t-test. We received 312 online survey responses (response rate of 12%). Responding OBGYNs were predominantly female (96%), board-certified (78%), generalists (65%) with a mean age of 37.1 years. Fewer than half of physicians screened for the following factors: occupational exposures, environmental chemicals, air pollution, pesticide use, personal care products, household cleaners, water source, use of plastics for food storage, and lead and mercury exposure. Eighty five percent of respondents reported that they did not feel comfortable obtaining an environmental history and 58% respondents reported that they performed no regular screening of environmental exposures. A higher frequency of screening was associated with > 4 years of practice (p = 0.001), and having read the environmental committee opinion (p = <0.001). The majority of OBGYNs did not incorporate screening for known environmental exposures into routine practice. Reading the environmental committee opinions was strongly and significantly associated with a higher rate of screening. Improving physician comfort in counseling patients may enhance screening for exposures that affect reproductive health.
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DOI：
10.1016/j.ijgo.2015.09.002
发表时间：
2015-12
期刊：
International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics
影响因子：
--
作者：
Di Renzo GC;Conry JA;Blake J;DeFrancesco MS;DeNicola N;Martin JN Jr;McCue KA;Richmond D;Shah A;Sutton P;Woodruff TJ;van der Poel SZ;Giudice LC
通讯作者：
Giudice LC
影响因子：
6.7
作者：
通讯作者：
--
影响因子：
7.2
作者：
通讯作者：
--
影响因子：
10.4
作者：
Woodruff TJ;Zota AR;Schwartz JM
通讯作者：
Schwartz JM
影响因子：
4.8
作者：
Zoeller, R. Thomas;Brown, T. R.;Saal, F. S. Vom
通讯作者：
Saal, F. S. Vom