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Influence of Prenatal Exposure to Mercury, Perceived Stress, and Depression on Birth Outcomes in Suriname: Results from the MeKiTamara Study

Author

Listed:
  • Anisma R. Gokoel

    (Scientific Research Center Suriname, Academic Hospital Paramaribo, Paramaribo, Suriname
    Faculty of Medical Sciences, Anton de Kom University of Suriname, Paramaribo, Suriname)

  • Wilco C. W. R. Zijlmans

    (Scientific Research Center Suriname, Academic Hospital Paramaribo, Paramaribo, Suriname
    Faculty of Medical Sciences, Anton de Kom University of Suriname, Paramaribo, Suriname
    Department of Environmental Health Sciences, School of Public Health and Tropical Medicine, Tulane University, New Orleans, LA 70112, USA)

  • Hannah H. Covert

    (Department of Environmental Health Sciences, School of Public Health and Tropical Medicine, Tulane University, New Orleans, LA 70112, USA)

  • Firoz Abdoel Wahid

    (Scientific Research Center Suriname, Academic Hospital Paramaribo, Paramaribo, Suriname
    Department of Environmental Health Sciences, School of Public Health and Tropical Medicine, Tulane University, New Orleans, LA 70112, USA)

  • Arti Shankar

    (Department of Biostatistics and Data Science, School of Public Health and Tropical Medicine, Tulane University, New Orleans, LA 70112, USA)

  • M. Sigrid MacDonald-Ottevanger

    (Scientific Research Center Suriname, Academic Hospital Paramaribo, Paramaribo, Suriname
    Department of Medical Microbiology, Academic University Medical Center, 1105 AZ Amsterdam, The Netherlands)

  • Ashna D. Hindori-Mohangoo

    (Department of Environmental Health Sciences, School of Public Health and Tropical Medicine, Tulane University, New Orleans, LA 70112, USA
    Foundation for Perinatal Interventions and Research in Suriname (Perisur), Paramaribo, Suriname)

  • Jeffrey K. Wickliffe

    (Department of Environmental Health Sciences, School of Public Health and Tropical Medicine, Tulane University, New Orleans, LA 70112, USA)

  • Maureen Y. Lichtveld

    (Department of Environmental Health Sciences, School of Public Health and Tropical Medicine, Tulane University, New Orleans, LA 70112, USA)

  • Emily W. Harville

    (Department of Epidemiology, School of Public Health and Tropical Medicine, Tulane University, New Orleans, LA 70112, USA)

Abstract

Prenatal exposure to mercury, stress, and depression may have adverse effects on birth outcomes. Little is known on the influence of chemical and non-chemical stressors on birth outcomes in the country of Suriname. We assessed the influence of prenatal exposure to mercury, perceived stress, and depression on adverse birth outcomes in 1143 pregnant Surinamese women who participated in the Caribbean Consortium for Research in Environmental and Occupational Health-MeKiTamara prospective cohort study. Associations between mercury (≥1.1 μg/g hair, USEPA action level/top versus bottom quartile), probable depression (Edinburgh Depression Scale ≥12), high perceived stress (Cohen’s Perceived Stress Scale ≥20), and adverse birth outcomes (low birthweight (<2500 g), preterm birth (<37 completed weeks of gestation), and low Apgar score (<7 at 5 min)) were assessed using bivariate and multivariate logistic regressions. Prevalence of elevated mercury levels, high perceived stress, and probable depression were 37.5%, 27.2%, and 22.4%, respectively. Mercury exposure was significantly associated with preterm birth in the overall study cohort (OR 2.47; 95% CI 1.05–5.83) and perceived stress with a low Apgar score (OR 9.73; 95% CI 2.03–46.70). Depression was not associated with any birth outcomes. These findings can inform policy- and practice-oriented solutions to improve maternal and child health in Suriname.

Suggested Citation

  • Anisma R. Gokoel & Wilco C. W. R. Zijlmans & Hannah H. Covert & Firoz Abdoel Wahid & Arti Shankar & M. Sigrid MacDonald-Ottevanger & Ashna D. Hindori-Mohangoo & Jeffrey K. Wickliffe & Maureen Y. Licht, 2020. "Influence of Prenatal Exposure to Mercury, Perceived Stress, and Depression on Birth Outcomes in Suriname: Results from the MeKiTamara Study," IJERPH, MDPI, vol. 17(12), pages 1-14, June.
    • Handle: RePEc:gam:jijerp:v:17:y:2020:i:12:p:4444-:d:374309
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    References listed on IDEAS

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    1. Cynthia J. Bashore & Laura A. Geer & Xin He & Robin Puett & Patrick J. Parsons & Christopher D. Palmer & Amy J. Steuerwald & Ovadia Abulafia & Mudar Dalloul & Amir Sapkota, 2014. "Maternal Mercury Exposure, Season of Conception and Adverse Birth Outcomes in an Urban Immigrant Community in Brooklyn, New York, U.S.A," IJERPH, MDPI, vol. 11(8), pages 1-29, August.
    2. Paul E. Ouboter & Gwendolyn Landburg & Gaitrie U. Satnarain & Sheryl Y. Starke & Indra Nanden & Bridget Simon-Friedt & William B. Hawkins & Robert Taylor & Maureen Y. Lichtveld & Emily Harville & Jeff, 2018. "Mercury Levels in Women and Children from Interior Villages in Suriname, South America," IJERPH, MDPI, vol. 15(5), pages 1-13, May.
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    1. Anisma R. Gokoel & Arti Shankar & Firoz Abdoel Wahid & Ashna D. Hindori-Mohangoo & Hannah H. Covert & Jeffrey K. Wickliffe & Emily W. Harville & Wilco C. W. R. Zijlmans & Maureen Y. Lichtveld, 2021. "The Cumulative Risk of Prenatal Exposures to Chemical and Non-Chemical Stressors on Birth Outcomes in Suriname," IJERPH, MDPI, vol. 18(14), pages 1-13, July.
    2. Gaitree K. Baldewsingh & Ashna D. Hindori-Mohangoo & Edward D. van Eer & Hannah H. Covert & Arti Shankar & Jeffrey K. Wickliffe & Lizheng Shi & Maureen Y. Lichtveld & Wilco C. W. R. Zijlmans, 2021. "Association of Mercury Exposure and Maternal Sociodemographics on Birth Outcomes of Indigenous and Tribal Women in Suriname," IJERPH, MDPI, vol. 18(12), pages 1-17, June.

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