More than tears: associations between exposure to chemical agents used by law enforcement and adverse reproductive health outcomes

Despite routine law enforcement use of chemical agents for crowd control, the reproductive health safety profiles of these products are unknown. Moreover, limited evidence has documented a link between such exposures and adverse reproductive health outcomes including abnormal uterine bleeding and po...

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Main Authors: Asha Hassan, Alison Ojanen-Goldsmith, Anna K. Hing, Madeline Mahoney, Sarah Traxler, Christy M. Boraas
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-08-01
Series:Frontiers in Epidemiology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fepid.2023.1177874/full
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author Asha Hassan
Asha Hassan
Alison Ojanen-Goldsmith
Anna K. Hing
Madeline Mahoney
Sarah Traxler
Christy M. Boraas
Christy M. Boraas
author_facet Asha Hassan
Asha Hassan
Alison Ojanen-Goldsmith
Anna K. Hing
Madeline Mahoney
Sarah Traxler
Christy M. Boraas
Christy M. Boraas
author_sort Asha Hassan
collection DOAJ
description Despite routine law enforcement use of chemical agents for crowd control, the reproductive health safety profiles of these products are unknown. Moreover, limited evidence has documented a link between such exposures and adverse reproductive health outcomes including abnormal uterine bleeding and potential pregnancy disruption. This cross-sectional study examined reproductive outcomes in adults with uteri exposed to chemical agents used by law enforcement, more commonly known as “tear gas”. Participants were recruited through social media in the wake of police violence protests. Of the 1,276 participants included in analysis, 83% reported experiencing at least one of the outcomes of interest, included uterine cramping (69%), early menstrual bleeding (55%), breast tenderness (30%), and delayed menstrual bleeding (19%). Chemical agent exposure was significantly associated with higher odds of an adverse reproductive health outcome, those with 5 days or more of exposure have 2.6 times the odds (CI: 1.61, 4.22) of adverse outcomes and having a perception that one's menstruation may fluctuate according to psychosocial stressors was associated (OR = 1.94, CI: 1.36, 2.79) with a higher odds of an adverse reproductive health experience. These findings suggest a potential relationship between exposure to chemical agents and adverse reproductive health outcomes. Given the pervasive use of these chemical agents and their potential for reproductive health harm, further investigation into the safety of these products and their impacts on individual and community health is warranted urgently.
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spelling doaj.art-89d3fc1ca32e4db4842c09f6b6bb67b42024-03-07T13:02:48ZengFrontiers Media S.A.Frontiers in Epidemiology2674-11992023-08-01310.3389/fepid.2023.11778741177874More than tears: associations between exposure to chemical agents used by law enforcement and adverse reproductive health outcomesAsha Hassan0Asha Hassan1Alison Ojanen-Goldsmith2Anna K. Hing3Madeline Mahoney4Sarah Traxler5Christy M. Boraas6Christy M. Boraas7Research Division, Planned Parenthood North Central States, Minneapolis, MN, United StatesCenter for Antiracism Research for Health Equity, University of Minnesota School of Public Health, Minneapolis, MN, United StatesResearch Division, Planned Parenthood North Central States, Minneapolis, MN, United StatesCenter for Antiracism Research for Health Equity, University of Minnesota School of Public Health, Minneapolis, MN, United StatesResearch Division, Planned Parenthood North Central States, Minneapolis, MN, United StatesResearch Division, Planned Parenthood North Central States, Minneapolis, MN, United StatesResearch Division, Planned Parenthood North Central States, Minneapolis, MN, United StatesDepartment of Obstetrics, Gynecology, and Women’s Health, University of Minnesota Medical School, Minneapolis, MN, United StatesDespite routine law enforcement use of chemical agents for crowd control, the reproductive health safety profiles of these products are unknown. Moreover, limited evidence has documented a link between such exposures and adverse reproductive health outcomes including abnormal uterine bleeding and potential pregnancy disruption. This cross-sectional study examined reproductive outcomes in adults with uteri exposed to chemical agents used by law enforcement, more commonly known as “tear gas”. Participants were recruited through social media in the wake of police violence protests. Of the 1,276 participants included in analysis, 83% reported experiencing at least one of the outcomes of interest, included uterine cramping (69%), early menstrual bleeding (55%), breast tenderness (30%), and delayed menstrual bleeding (19%). Chemical agent exposure was significantly associated with higher odds of an adverse reproductive health outcome, those with 5 days or more of exposure have 2.6 times the odds (CI: 1.61, 4.22) of adverse outcomes and having a perception that one's menstruation may fluctuate according to psychosocial stressors was associated (OR = 1.94, CI: 1.36, 2.79) with a higher odds of an adverse reproductive health experience. These findings suggest a potential relationship between exposure to chemical agents and adverse reproductive health outcomes. Given the pervasive use of these chemical agents and their potential for reproductive health harm, further investigation into the safety of these products and their impacts on individual and community health is warranted urgently.https://www.frontiersin.org/articles/10.3389/fepid.2023.1177874/fulltear gasespolice violencecrowd-controlreproductive healthmenstrual cyclestructural racism
spellingShingle Asha Hassan
Asha Hassan
Alison Ojanen-Goldsmith
Anna K. Hing
Madeline Mahoney
Sarah Traxler
Christy M. Boraas
Christy M. Boraas
More than tears: associations between exposure to chemical agents used by law enforcement and adverse reproductive health outcomes
Frontiers in Epidemiology
tear gases
police violence
crowd-control
reproductive health
menstrual cycle
structural racism
title More than tears: associations between exposure to chemical agents used by law enforcement and adverse reproductive health outcomes
title_full More than tears: associations between exposure to chemical agents used by law enforcement and adverse reproductive health outcomes
title_fullStr More than tears: associations between exposure to chemical agents used by law enforcement and adverse reproductive health outcomes
title_full_unstemmed More than tears: associations between exposure to chemical agents used by law enforcement and adverse reproductive health outcomes
title_short More than tears: associations between exposure to chemical agents used by law enforcement and adverse reproductive health outcomes
title_sort more than tears associations between exposure to chemical agents used by law enforcement and adverse reproductive health outcomes
topic tear gases
police violence
crowd-control
reproductive health
menstrual cycle
structural racism
url https://www.frontiersin.org/articles/10.3389/fepid.2023.1177874/full
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