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Table 1 Occupational studies: The risk of fertility disorders and pregnancy complications among hairdressers

From: Fertility disorders and pregnancy complications in hairdressers - a systematic review

Reference

Study

design

Country, time

Study question

Study

population

Exposure assessment

Result

Thulstrup 2006

[3]

Review

Medline,

1966-2004

Occupational exposures during pregnancy and birth defects

Employed women,

26 original studies

Occupation during pregnancy

Hairdressers

No clear evidence for causal associations between maternal occupational exposures and specific birth defects

Garlantézec 2009

[15]

Cohort study

France,

2002-05

Risk of malformations and exposure to solvents

3,399 pregnant women (55 hairdressers) before 19th gestational week

Self-reported exposure (never/occasional/regular, job exposure matrix (JEM) no/medium/high exposure

Hairdressers

Self-reported: regular exposure

JEM-assessed: medium exposure

Goulet 1991

[16]

Case-control study

Canada,

1982-84

Stillbirth and chemical exposure during pregnancy

227 stillbirths (> 20 weeks of gestation),

227 live births

Women working full-time (> 30 h/week) at the beginning of pregnancy,

occupation, specific exposure to chemicals (light/moderate/high)

Hairdressers

Odds Ratio (OR) 0.1* (#CI 0.0-0.3) P = 0.05

Kuijten 1992

[17]

Case-control study

USA,

1980-86

Childhood astrocytoma (< 15 years) and parental occupation

163 cases,

163 controls

Job categories, parental occupational history

Maternal occupation - hairdresser

Preconception OR 2.5 (CI 0.4-26.2)

Pregnancy OR 1.5 (CI 0.2-18)

Postnatal OR 3.0 (CI 0.2-157.7)

Cordier 2001

[18]

Case-control study

Under IARC coordination in 7 countries,

1976-94

Childhood brain tumours and parental occupations

1,218 cases,

2,223 controls

Occupational history during 5-year period before child's birth

Maternal occupation - hairdresser

OR 1.1 (CI 0.7-2.0)

Olshan 1999

[19]

Case-control study

Canada/USA, 1992-96

Childhood neuroblastoma (< 19 years) and parental occupation

538 cases,

504 controls

Occupational history, occupational groups

Maternal occupation - hairdresser

OR 2.8 (CI 1.2-6.3)

Paternal occupation - hairdresser

OR 3.3 (OR 0.2-45.7)

Bianchi 1997

[12]

Case-control study

Italy,

1982-89

Congenital malformations and maternal occupation

1,791 cases,

3,223 controls

Maternal occupation during pregnancy

Hairdressers

Orofacial clefts OR 2.2 (99% CI 0.4-10.7);

Limb defects OR 2.2 (99% CI 0.8-6.1);

multiple anomalies OR 1.7 (99% CI 0.7-4)

Lorente 2000

[13]

Case-control study

France/United Kingdom/Italy/Netherlands, 1989-92

Orofacial clefts and maternal occupational risk factors

100 cases

(4 hairdressers),

751 controls

(9 hairdressers)

Occupations before and during pregnancy, tasks, products handled, frequency of use

Hairdressers/beauticians

Cleft palate only OR 5.1 (CI 1.01-25.9)

Cleft lip with or without cleft palate

OR 1.86 (CI 0.36-9.65)

Nguyen 2007

[20]

Case-control study

Norway,

1996-2001

Orofacial clefts and parental occupation

574 cases (without other malformations)

(4 hairdressers),

763 controls

(3 hairdressers)

Job title, industry type, status of work during early pregnancy (first 3 months)

Maternal occupation - hairdresser

Cleft lip with or without palate

OR 4.8* (CI 0.99-23)

Cleft palate only OR 2.3* (CI 0.21-25)

Ormond 2009

[21]

Case-control study

England,

2000-03

Hypospadias and maternal occupational exposures to endocrine disrupting chemicals (EDCs)

471 cases,

490 controls

Job title, main tasks, self-reported exposure,

job exposure matrix (JEM)

Hairdressers

OR 2.59* (CI 0.7-12.3)

Occupational exposure

Hair spray OR 2.39*(CI 1.4-4.17)

Phthalates OR 3.12*(CI 1.04-11.46)

Mutanen 2001

[22]

Register-based study

Sweden,

1958-96

Childhood cancer and parental occupation

8,185 cases

< 15 years

(45 hairdressers)

Job title

Hairdressers

Kidney cancer

(Father) Standardized Incidence Ratio (SIR) 10.6 (CI 2.9-27.2)

(Mother) SIR 1.0 (CI 0.1-3.7)

Vrijheid 2003

[14]

Register-based study

England, Wales, 1980-96

Hypospadias and maternal occupational exposure to EDCs

3,471 cases

(98 hairdressers),

35,962 controls -all congenital anomaly cases

Job title,

exposure categories unlikely/possible/probable

Maternal occupation - hairdresser

Observed/Expected Ratio (O/E)

0.99 (CI 0.81-1.19)

(1980-89) O/E 0.94 (CI 0.74-1.17)

(1992-96) O/E 1.18 (CI 0.8-1.64)

  1. # The Confidence Interval (CI) is for the 95% level, unless otherwise noted.
  2. * Adjusted for smoking