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Anti-Müllerian Hormone Levels among Female Firefighters

Author

Listed:
  • Samantha Davidson

    (Department of Epidemiology and Biostatistics, Mel and Enid Zuckerman College of Public Health, University of Arizona, Tucson, AZ 85724, USA)

  • Sara Jahnke

    (Center for Fire, Rescue & EMS Health Research, NDRI-USA, Inc., Leawood, KS 66224, USA)

  • Alesia M. Jung

    (Department of Epidemiology and Biostatistics, Mel and Enid Zuckerman College of Public Health, University of Arizona, Tucson, AZ 85724, USA
    Department of Community, Environment & Policy, Mel and Enid Zuckerman College of Public Health, University of Arizona, Tucson, AZ 85724, USA)

  • Jefferey L. Burgess

    (Department of Community, Environment & Policy, Mel and Enid Zuckerman College of Public Health, University of Arizona, Tucson, AZ 85724, USA
    Cancer Prevention and Control Program, University of Arizona Cancer Center, Tucson, AZ 85719, USA)

  • Elizabeth T. Jacobs

    (Department of Epidemiology and Biostatistics, Mel and Enid Zuckerman College of Public Health, University of Arizona, Tucson, AZ 85724, USA
    Cancer Prevention and Control Program, University of Arizona Cancer Center, Tucson, AZ 85719, USA)

  • Dean Billheimer

    (Department of Epidemiology and Biostatistics, Mel and Enid Zuckerman College of Public Health, University of Arizona, Tucson, AZ 85724, USA)

  • Leslie V. Farland

    (Department of Epidemiology and Biostatistics, Mel and Enid Zuckerman College of Public Health, University of Arizona, Tucson, AZ 85724, USA
    Cancer Prevention and Control Program, University of Arizona Cancer Center, Tucson, AZ 85719, USA
    Department of Obstetrics and Gynecology, College of Medicine-Tucson, University of Arizona, Tucson, AZ 85724, USA)

Abstract

Female firefighters have occupational exposures which may negatively impact their reproductive health. Anti-müllerian hormone (AMH) is a clinical marker of ovarian reserve. We investigated whether AMH levels differed in female firefighters compared to non-firefighters and whether there was a dose-dependent relationship between years of firefighting and AMH levels. Female firefighters from a pre-existing cohort completed a cross-sectional survey regarding their occupational and health history and were asked to recruit a non-firefighter friend or relative. All participants provided a dried blood spot (DBS) for AMH analysis. Linear regression was used to assess the relationship between firefighting status and AMH levels. Among firefighters, the influence of firefighting-related exposures was evaluated. Firefighters ( n = 106) and non-firefighters ( n = 58) had similar age and BMI. Firefighters had a lower mean AMH compared to non-firefighters (2.93 ng/mL vs. 4.37 ng/mL). In multivariable adjusted models, firefighters had a 33% lower AMH value than non-firefighters (−33.38%∆ (95% CI: −54.97, −1.43)). Years of firefighting was not associated with a decrease in AMH. Firefighters in this study had lower AMH levels than non-firefighters. More research is needed to understand the mechanisms by which firefighting could reduce AMH and affect fertility.

Suggested Citation

  • Samantha Davidson & Sara Jahnke & Alesia M. Jung & Jefferey L. Burgess & Elizabeth T. Jacobs & Dean Billheimer & Leslie V. Farland, 2022. "Anti-Müllerian Hormone Levels among Female Firefighters," IJERPH, MDPI, vol. 19(10), pages 1-12, May.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:10:p:5981-:d:815795
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