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Perinatal Environmental Health Education Intervention to Reduce Exposure to Endocrine Disruptors: The PREVED Project

Environmental health promotion interventions may reduce endocrine disruptor (ED) exposure. The PREVED (PREgnancy, preVention, Endocrine Disruptors) project was developed to improve knowledge, to enhance risk perception, and to change exposure behavior. Our objective was to present the phases of the...

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Autores principales: El Ouazzani, Houria, Fortin, Simon, Venisse, Nicolas, Dupuis, Antoine, Rouillon, Steeve, Cambien, Guillaume, Gourgues, Anne-Sophie, Pierre-Eugène, Pascale, Rabouan, Sylvie, Migeot, Virginie, Albouy-Llaty, Marion
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8750995/
https://www.ncbi.nlm.nih.gov/pubmed/35010328
http://dx.doi.org/10.3390/ijerph19010070
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author El Ouazzani, Houria
Fortin, Simon
Venisse, Nicolas
Dupuis, Antoine
Rouillon, Steeve
Cambien, Guillaume
Gourgues, Anne-Sophie
Pierre-Eugène, Pascale
Rabouan, Sylvie
Migeot, Virginie
Albouy-Llaty, Marion
author_facet El Ouazzani, Houria
Fortin, Simon
Venisse, Nicolas
Dupuis, Antoine
Rouillon, Steeve
Cambien, Guillaume
Gourgues, Anne-Sophie
Pierre-Eugène, Pascale
Rabouan, Sylvie
Migeot, Virginie
Albouy-Llaty, Marion
author_sort El Ouazzani, Houria
collection PubMed
description Environmental health promotion interventions may reduce endocrine disruptor (ED) exposure. The PREVED (PREgnancy, preVention, Endocrine Disruptors) project was developed to improve knowledge, to enhance risk perception, and to change exposure behavior. Our objective was to present the phases of the PREVED project using the RE-AIM method. PREVED intervention consisted of three workshops during pregnancy. Reach, adoption, and implementation phases were assessed with qualitative studies. Efficacy study consisted of a three-arm randomized controlled trial (RCT) on 268 pregnant women: (i) control group (leaflet), (ii) intervention group in neutral location, (iii) intervention group in contextualized location. The main outcome was the percentage evolution of participants who reported consuming canned food. Secondary outcomes were evolution of psycho-social scores, evolution of ED presence in urine, and ED presence in colostrum. The intervention adoption was centered on upper-privileged women, but implementation assessment showed that key features (highly practical intervention) seemed to be carried out and had initiated some behavior changes. A total of 268 pregnant women participated in the intervention and 230 in a randomized controlled trial (control group: 86 and intervention groups: 172). We found no significant differences in consumption of canned food and in percentage of women having a decrease of bisphenol A or parabens in urine, but we found a significant increase in the evolution of risk perception score and overall psychosocial score in intervention groups (respectively: +15.73 control versus +21.03 intervention, p = 0.003 and +12.39 versus +16.20, p = 0.02). We found a significant difference in percentage of women with butylparaben detection between control group and intervention groups (13% versus 3%, p = 0.03). PREVED intervention is the first intervention research dedicated to perinatal environmental health education in France. By sharing know-how/experience in a positive non-alarmist approach, it improved risk perception, which is key to behavior change, aiming to reduce perinatal ED exposure. Including women in precarious situations remains a major issue.
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spelling pubmed-87509952022-01-12 Perinatal Environmental Health Education Intervention to Reduce Exposure to Endocrine Disruptors: The PREVED Project El Ouazzani, Houria Fortin, Simon Venisse, Nicolas Dupuis, Antoine Rouillon, Steeve Cambien, Guillaume Gourgues, Anne-Sophie Pierre-Eugène, Pascale Rabouan, Sylvie Migeot, Virginie Albouy-Llaty, Marion Int J Environ Res Public Health Article Environmental health promotion interventions may reduce endocrine disruptor (ED) exposure. The PREVED (PREgnancy, preVention, Endocrine Disruptors) project was developed to improve knowledge, to enhance risk perception, and to change exposure behavior. Our objective was to present the phases of the PREVED project using the RE-AIM method. PREVED intervention consisted of three workshops during pregnancy. Reach, adoption, and implementation phases were assessed with qualitative studies. Efficacy study consisted of a three-arm randomized controlled trial (RCT) on 268 pregnant women: (i) control group (leaflet), (ii) intervention group in neutral location, (iii) intervention group in contextualized location. The main outcome was the percentage evolution of participants who reported consuming canned food. Secondary outcomes were evolution of psycho-social scores, evolution of ED presence in urine, and ED presence in colostrum. The intervention adoption was centered on upper-privileged women, but implementation assessment showed that key features (highly practical intervention) seemed to be carried out and had initiated some behavior changes. A total of 268 pregnant women participated in the intervention and 230 in a randomized controlled trial (control group: 86 and intervention groups: 172). We found no significant differences in consumption of canned food and in percentage of women having a decrease of bisphenol A or parabens in urine, but we found a significant increase in the evolution of risk perception score and overall psychosocial score in intervention groups (respectively: +15.73 control versus +21.03 intervention, p = 0.003 and +12.39 versus +16.20, p = 0.02). We found a significant difference in percentage of women with butylparaben detection between control group and intervention groups (13% versus 3%, p = 0.03). PREVED intervention is the first intervention research dedicated to perinatal environmental health education in France. By sharing know-how/experience in a positive non-alarmist approach, it improved risk perception, which is key to behavior change, aiming to reduce perinatal ED exposure. Including women in precarious situations remains a major issue. MDPI 2021-12-22 /pmc/articles/PMC8750995/ /pubmed/35010328 http://dx.doi.org/10.3390/ijerph19010070 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
El Ouazzani, Houria
Fortin, Simon
Venisse, Nicolas
Dupuis, Antoine
Rouillon, Steeve
Cambien, Guillaume
Gourgues, Anne-Sophie
Pierre-Eugène, Pascale
Rabouan, Sylvie
Migeot, Virginie
Albouy-Llaty, Marion
Perinatal Environmental Health Education Intervention to Reduce Exposure to Endocrine Disruptors: The PREVED Project
title Perinatal Environmental Health Education Intervention to Reduce Exposure to Endocrine Disruptors: The PREVED Project
title_full Perinatal Environmental Health Education Intervention to Reduce Exposure to Endocrine Disruptors: The PREVED Project
title_fullStr Perinatal Environmental Health Education Intervention to Reduce Exposure to Endocrine Disruptors: The PREVED Project
title_full_unstemmed Perinatal Environmental Health Education Intervention to Reduce Exposure to Endocrine Disruptors: The PREVED Project
title_short Perinatal Environmental Health Education Intervention to Reduce Exposure to Endocrine Disruptors: The PREVED Project
title_sort perinatal environmental health education intervention to reduce exposure to endocrine disruptors: the preved project
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8750995/
https://www.ncbi.nlm.nih.gov/pubmed/35010328
http://dx.doi.org/10.3390/ijerph19010070
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