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Superiority of Reproductive Histories to Sperm Counts in Detecting Infertility at a Dibromochloropropane Manufacturing Plant

 

作者: Richard Levine,   Patricia Blunden,   R. DalCorso,   Thomas Starr,   Charles Ross,  

 

期刊: Journal of Occupational Medicine  (OVID Available online 1983)
卷期: Volume 25, issue 8  

页码: 591-597

 

ISSN:0096-1736

 

年代: 1983

 

出版商: OVID

 

数据来源: OVID

 

摘要:

Sperm count distributions among exposed and control groups at a dibromochloropropane (DBCP) manufacturing plant were remarkably similar. Yet reproductive histories from 60 exposed men obtained in conjunction with the semen analyses indicated that fertility had been reduced during exposure. Ratios of observed to expected births or standardized fertility ratios (SFRs) were computed for reproductive experience at parities of I or greater. The SFR for the period at risk from DBCP exposure (SFR = 0.63) was significantly lower than those derived from the entire not-at-risk period (SFR = 1.21) or the portion related to nonexposed employment at the plant preceding exposure (SFR = 1.33). Significant reductions would have been evident at least 18 years prior to the year in which the histories were obtained. The effect on fertility seems to have been greatest during the initial period of DBCP production. Most fertility reduction occurred after 3.5 years of exposure. Fertility returned to normal following cessation of exposure (SFR = 1.18), although it appeared to remain subnormal for about two years. Wherever there is concern about the potential for adverse reproductive effects in the workplace, data suitable for fertility analyses should be collected during annual medical examinations.

 

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