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Air Toxics in Relation to Autism Diagnosis, Phenotype, and Severity in a U.S. Family-Based Study
Journal article   Open access   Peer reviewed

Air Toxics in Relation to Autism Diagnosis, Phenotype, and Severity in a U.S. Family-Based Study

Amy E Kalkbrenner, Gayle C Windham, Cheng Zheng, Rob McConnell, Nora L Lee, James J Schauer, Brian Thayer, Juhi Pandey and Heather E Volk
Environmental health perspectives, v 126(3), pp 037004-037004
12 Mar 2018
PMID: 29553459
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Air Toxics in Relation to Autism Diagnosis, Phenotype, and Severity in a U.S. Family-Based Study216.32 kBDownloadView
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https://doi.org/10.1289/ehp1867View
Published, Version of Record (VoR)access removed by US government, 1 Dec 2025Open Access (License Unspecified) Restricted
url
https://doi.org/10.1289/EHP1867View
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Abstract

Air Pollutants - toxicity Aldehydes Autism Spectrum Disorder - epidemiology Autism Spectrum Disorder - genetics Autistic Disorder - epidemiology Autistic Disorder - etiology Benzidines - toxicity Chlorobenzenes - toxicity Dioxanes - toxicity Environmental Exposure - adverse effects Female Humans Male Methyl Ethers - toxicity Trihalomethanes - toxicity Urethane - toxicity
Previous studies have reported associations of perinatal exposure to air toxics, including some metals and volatile organic compounds, with autism spectrum disorder (ASD). Our goal was to further explore associations of perinatal air toxics with ASD and associated quantitative traits in high-risk multiplex families. We included participants of a U.S. family-based study [the Autism Genetic Resource Exchange (AGRE)] who were born between 1994 and 2007 and had address information. We assessed associations between average annual concentrations at birth for each of 155 air toxics from the U.S. EPA emissions-based National-scale Air Toxics Assessment and ) ASD diagnosis (1,540 cases and 477 controls); ) a continuous measure of autism-related traits, the Social Responsiveness Scale (SRS, among 1,272 cases and controls); and ) a measure of autism severity, the Calibrated Severity Score (among 1,380 cases). In addition to the individual's air toxic level, mixed models (clustering on family) included the family mean air toxic level, birth year, and census covariates, with consideration of the false discovery rate. ASD diagnosis was positively associated with propionaldehyde, methyl -butyl ether (MTBE), bromoform, 1,4-dioxane, dibenzofurans, and glycol ethers and was inversely associated with 1,4-dichlorobenzene, 4,4'-methylene diphenyl diisocyanate (MDI), benzidine, and ethyl carbamate (urethane). These associations were robust to adjustment in two-pollutant models. Autism severity was associated positively with carbon disulfide and chlorobenzene, and negatively with 1,4-dichlorobenzene. There were no associations with the SRS. Some air toxics were associated with ASD risk and severity, including some traffic-related air pollutants and newly-reported associations, but other previously reported associations with metals and volatile organic compounds were not reproducible. https://doi.org/10.1289/EHP1867.

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Collaboration types
Domestic collaboration
Web of Science research areas
Environmental Sciences
Public, Environmental & Occupational Health
Toxicology
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