Traffic pollution, reproductive health, and depressive symptoms in a healthy multiethnic sample of reproductive age women in the Ovarian Aging Study.

IF 2.8 3区 医学 Q1 OBSTETRICS & GYNECOLOGY Menopause: The Journal of The North American Menopause Society Pub Date : 2025-01-21 DOI:10.1097/GME.0000000000002483
Anwesha Pan, Martha Grace Cromeens, Marcelle I Cedars, Maria E Bleil
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Abstract

Objective: This study aimed to determine whether exposure to traffic-related air pollution (TRAP) is associated with depressive symptoms while also characterizing the contribution of key explanatory factors related to sociodemographics and health. In addition, it aimed to also explore the role of reproductive health as a pathway through which exposure to TRAP may relate to depressive symptoms.

Methods: Participants were 688 healthy reproductive-age women in the Ovarian Aging Study. TRAP was derived from distance-weighted traffic counts using residential addresses. Depressive symptoms were assessed by the Center for Epidemiological Studies Depression scale. Explanatory factors were assessed by interview and clinic measures, including demographics (age, race/ethnicity), socioeconomic status (SES) (individual SES, neighborhood SES), general health (smoking, body mass index), and reproductive health (menarcheal age, contraceptive use, parity, menstrual cycle characteristics).

Results: In cross-sectional, step-wise multivariate regression analyses, greater exposure to TRAP was related to more depressive symptoms (b = 0.779, P = 0.015). Lower individual SES, longer menstrual cycle length, and experiencing change (vs no change) in menstrual cycle length were also related to more depressive symptoms (P's < 0.05). Examination of each model step showed that variance in depressive symptoms was attributable to TRAP (1.2%, P = 0.004), demographics (1.0%, P = 0.217), SES (1.4%, P = 0.007), general health (0.3%, P = 0.356), and reproductive health (2.0%, P = 0.015). Finally, menstrual cycle length, a marker of reproductive health status, partially mediated effects of TRAP on depressive symptoms (indirect effect: b = 0.064, P = 0.020).

Conclusions: Findings showed that exposure to TRAP is associated with depression, along with SES and reproductive health factors, and that reproductive health may be a pathway through which TRAP relates to depression.

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交通污染,生殖健康和抑郁症状在一个健康的多民族育龄妇女样本卵巢老化研究。
目的:本研究旨在确定暴露于交通相关空气污染(TRAP)是否与抑郁症状有关,同时也表征了与社会人口统计学和健康相关的关键解释因素的贡献。此外,它还旨在探索生殖健康作为接触TRAP可能与抑郁症状相关的途径的作用。方法:参与卵巢衰老研究的688名健康育龄妇女。TRAP是从使用居住地址的距离加权交通计数中得出的。抑郁症状由流行病学研究中心抑郁量表评估。通过访谈和临床措施评估解释因素,包括人口统计学(年龄、种族/民族)、社会经济地位(SES)(个人SES、社区SES)、一般健康(吸烟、体重指数)和生殖健康(月经初潮年龄、避孕药具使用、胎次、月经周期特征)。结果:在横断面、逐步多元回归分析中,TRAP暴露程度越高,抑郁症状越多(b = 0.779, P = 0.015)。个体社会经济地位越低、月经周期长度越长、月经周期长度发生变化(P < 0.05)也与抑郁症状增加有关。对每个模型步骤的检验表明,抑郁症状的方差可归因于TRAP (1.2%, P = 0.004)、人口统计学(1.0%,P = 0.217)、社会经济地位(1.4%,P = 0.007)、一般健康(0.3%,P = 0.356)和生殖健康(2.0%,P = 0.015)。最后,月经周期长度作为生殖健康状况的标志,部分介导了TRAP对抑郁症状的影响(间接效应:b = 0.064, P = 0.020)。结论:研究结果表明,TRAP暴露与抑郁、社会经济地位和生殖健康因素有关,生殖健康可能是TRAP与抑郁相关的一个途径。
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来源期刊
CiteScore
5.40
自引率
7.40%
发文量
330
审稿时长
3-8 weeks
期刊介绍: ​Menopause, published monthly, provides a forum for new research, applied basic science, and clinical guidelines on all aspects of menopause. The scope and usefulness of the journal extend beyond gynecology, encompassing many varied biomedical areas, including internal medicine, family practice, medical subspecialties such as cardiology and geriatrics, epidemiology, pathology, sociology, psychology, anthropology, and pharmacology. This forum is essential to help integrate these areas, highlight needs for future research, and enhance health care.
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