Kwok, Richard KKaufmann, Rachel BJakariya, M2006-06-022009-05-272006-06-022009-05-272006-06-02Kwok RK, Kaufmann RB, Jakariya M. Arsenic in drinking-water and reproductive health outcomes: a study of participants in the Bangladesh Integrated Nutrition Programme. Journal of Health, Population, and Nutrition. 2006 Jun; 24(2): 190-205http://imsear.searo.who.int/handle/123456789/738Journal of Health, Population, and Nutrition.This study examined 2,006 pregnant women chronically exposed to a range of naturally-occurring concentrations of arsenic in drinking-water in three upazilas in Bangladesh to find out relationships between arsenic exposure and selected reproductive health outcomes. While there was a small but statistically significant association between arsenic exposure and birth-defects (odds ratio=1.005, 95% confidence interval 1.001-1.010), other outcomes, such as stillbirth, low birth-weight, childhood stunting, and childhood under-weight, were not associated with arsenic exposure. It is possible that the association between arsenic exposure from drinking-water and birth-defects may be a statistical anomaly due to the small number of birth-defects observed. Future studies should look more closely at birth-defects, especially neural tube defects, to elucidate any potential health effects associated with arsenic exposure from drinking-water. Further, given the knowledge that serious health effects can result from chronic arsenic exposure, efforts to find alternatives of safe drinking-water for the population must continue.engAbnormalities, Drug-Induced --epidemiologyAnalysis of VarianceArsenic --adverse effectsArsenic Poisoning --complicationsBangladesh --epidemiologyChronic DiseaseEnvironmental Exposure --adverse effectsFemaleFetal Growth Retardation --chemically inducedFood ServicesGrowth Disorders --chemically inducedHealth SurveysHumansLogistic ModelsMaternal-Child Health CentersPopulation SurveillancePregnancyPregnancy Outcome --epidemiologyQuestionnairesRisk FactorsStillbirth --epidemiologyWater Pollutants, Chemical --adverse effectsWater Supply --analysisJournal Article