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Cited by 276

The DOI matches its Crossref record; 48 of the 48 references it cites were found in a registry or an index.

Prenatal Phthalate Exposures and Anogenital Distance in Swedish Boys

Open access
Bornehag, Carl-Gustaf, Carlstedt, Fredrik, Jönsson, Bo AG., Lindh, Christian H., Jensen, Tina K., Bodin, Anna, Jonsson, Carin, Janson, Staffan, Swan, Shanna H.·2015·Environmental Health Perspectives

Abstract

BACKGROUND: Phthalates are used as plasticizers in soft polyvinyl chloride (PVC) and in a large number of consumer products. Because of reported health risks, diisononyl phthalate (DiNP) has been introduced as a replacement for di(2-ethylhexyl) phthalate (DEHP) in soft PVC. This raises concerns because animal data suggest that DiNP may have antiandrogenic properties similar to those of DEHP. The anogenital distance (AGD)--the distance from the anus to the genitals--has been used to assess reproductive toxicity. OBJECTIVE: The objective of this study was to examine the associations between prenatal phthalate exposure and AGD in Swedish infants. METHODS: AGD was measured in 196 boys at 21 months of age, and first-trimester urine was analyzed for 10 phthalate metabolites of DEP (diethyl phthalate), DBP (dibutyl phthalate), DEHP, BBzP (benzylbutyl phthalate), as well as DiNP and creatinine. Data on covariates were collected by questionnaires. RESULTS: The most significant associations were found between the shorter of two AGD measures (anoscrotal distance; AGDas) and DiNP metabolites and strongest for oh-MMeOP [mono-(4-methyl-7-hydroxyloctyl) phthalate] and oxo-MMeOP [mono-(2-ethyl-5-oxohexyl) phthalate]. However, the AGDas reduction was small (4%) in relation to more than an interquartile range increase in DiNP exposure. CONCLUSIONS: These findings call into question the safety of substituting DiNP for DEHP in soft PVC, particularly because a shorter male AGD has been shown to relate to male genital birth defects in children and impaired reproductive function in adult males and the fact that human levels of DiNP are increasing globally.

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Metadata

Authors
Bornehag, C.-G., Carlstedt, F., Jönsson, B. A., Lindh, C. H., Jensen, T. K., Bodin, A., Jonsson, C., Janson, S., & Swan, S. H.
Venue
Environmental Health Perspectives
Published
2015-01
Volume
123
Issue
1
Pages
101-107
ISSN
  • 0091-6765 (ISSN-L)
  • 1552-9924
OpenAlex
W1983290283
Cited by
276
References
48
FWCI
14.12
Type
journal article
Language
en
Open access
gold

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CoChat. (2026). Citation check: Prenatal Phthalate Exposures and Anogenital Distance in Swedish Boys. https://app.cochat.ai/papers/10.1289/ehp.1408163
The paper
Bornehag, C.-G., Carlstedt, F., Jönsson, B. A., Lindh, C. H., Jensen, T. K., Bodin, A., Jonsson, C., Janson, S., & Swan, S. H. (2015). Prenatal Phthalate Exposures and Anogenital Distance in Swedish Boys. Environmental Health Perspectives. https://doi.org/10.1289/ehp.1408163

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