RT Journal Article SR Electronic T1 Health outcomes among offspring of US Coast Guard responders to the Deepwater Horizon oil spill, 2010–2011 JF Occupational and Environmental Medicine JO Occup Environ Med FD BMJ Publishing Group Ltd SP 192 OP 195 DO 10.1136/oemed-2022-108714 VO 80 IS 4 A1 Clinton Hall A1 Ava Marie S Conlin A1 Monica Burrell A1 Celeste J Romano A1 Anna T Bukowinski A1 Gia R Gumbs A1 Emily W Harville A1 Dana L Thomas A1 Hristina Denic-Roberts A1 Jennifer A Rusiecki YR 2023 UL http://oem.bmj.com/content/80/4/192.abstract AB Objective To evaluate the potential for adverse health outcomes among infants born to US Coast Guard (USCG) responders to the Deepwater Horizon (DWH) oil spill disaster.Methods Department of Defense Birth and Infant Health Research programme data identified a cohort of singleton infants born 2010–2011 to USCG personnel in the DWH Oil Spill Coast Guard Cohort study. Infants were included if their military parent (‘sponsor’) responded to the oil spill during a selected reproductive exposure window (ie, 3 months preconception for male sponsors and periconception through pregnancy for female sponsors), or if their sponsor was a non-responder. χ2 tests and multivariable log-binomial regression were used to compare the demographic and health characteristics of infants born to spill responders and non-responders.Results Overall, 1974 infants with a male sponsor (n=182 responder, n=1792 non-responder) and 628 infants with a female sponsor (n=35 responder, n=593 non-responder) in the DWH Oil Spill Coast Guard Cohort were identified. Health outcomes were similar among the offspring of male responders and non-responders. The frequency of any poor live birth outcome (ie, low birth weight, preterm birth or birth defect) was higher among infants born to female responders (17.1%, n=6) than non-responders (8.9%, n=53); the maternal age-adjusted association was suggestively elevated (risk ratio 1.93, 95% CI 0.89 to 4.16).Conclusion Infant health outcomes were comparable between the offspring of male USCG oil spill responders and non-responders. Findings were limited by the small number of infants identified, particularly among female responders, and should be interpreted with caution.Data are available upon reasonable request. The datasets generated and/or analyzed during the current study are not publicly available due to security protocols and privacy regulations, but they may be made available on reasonable request by the Naval Health Research Center Institutional Review Board (contact phone +1 619 553 8400).