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Occup Environ Med 61:915-923 doi:10.1136/oem.2004.014944
  • Original article

Decreased fecundity among male lead workers

Table 4

 Adjusted fecundity ratio according to lead exposure and confounding factors; multivariable Cox discrete proportional hazard models

Factors All valid pregnancies One randomly selected pregnancy Restricted to the first pregnancy
No. FR (95%CI) No. FR (95%CI) No. FR (95%CI)
†Reference category.
‡p = 0.06; *p<0.05; ***<0.001.
Adjusted with paternal and maternal lead exposure at the beginning of calendar year when TTP started, maternal age at the beginning of TTP, and pregnancy sequence (all valid pregnancies).
FR, fecundability ratio; TTP, time to pregnancy.
Male factors
Lead exposure at the beginning of the calendar year when TTP started (μg/dl)
    Non-exposed† 153 1.00 65 1.00 67 1.00
    <20 31 0.91 (0.61 to 1.35) 21 0.88 (0.54 to 1.44) 17 0.88 (0.50 to 1.53)
    20 to 29 25 0.71 (0.46 to 1.09) 15 0.66 (0.38 to 1.16) 13 0.62 (0.33 to 1.14)
    30 to 39 34 0.50* (0.34 to 0.74) 17 0.50* (0.29 to 0.89) 11 0.52* (0.27 to 0.99)
    ⩾40 37 0.38*** (0.26 to 0.56) 15 0.37*** (0.22 to 0.64) 7 0.48* (0.23 to 0.78)
Female factors
Lead exposure at the beginning of the calendar year when TTP started
    No† 263 1.00 124 1.00 106 1.00
    Yes 17 0.61‡ (0.37 to 1.01) 9 0.62 (0.31 to 1.25) 9 0.69 (0.34 to 1.40)
Age at the beginning of TTP
    18 to 24 115 1.29 (0.98 to 1.70) 53 1.28 (0.88 to 1.88) 65 0.95 (0.64 to 1.41)
    25 to 29† 124 1.00 60 1.00 44 1.00
    30 to 34 41 0.83 (0.58 to 1.20) 20 0.76 (0.43 to 1.37) 6 0.57 (0.22 to 1.50)
Sequence of the pregnancy
    1† 115 1.00
    ⩾2 165 1.07 (0.83 to 1.38)

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