Weinstein JR, Asteria-Peñaloza R, Diaz-Artiga A, Davila G, Hammond SK, Ryde IT, et al. Exposure to polycyclic aromatic hydrocarbons and volatile organic compounds among recently pregnant rural Guatemalan women cooking and heating with solid fuels. Int J Hyg Environ Health. 2017;220:726–35.

Article  CAS  PubMed  PubMed Central  Google Scholar 

Karakoltzidis A, Papaioannou N, Gabriel C, Chatzimpaloglou A, Andersson AM, Juul A, et al. Polycyclic aromatic hydrocarbon (PAH) exposure among European adults: evidence from the HBM4EU aligned studies. Environ Int. 2025;198:109383.

Article  CAS  PubMed  Google Scholar 

Yang P, Sun H, Gong YJ, Wang YX, Liu C, Chen YJ, et al. Repeated measures of urinary polycyclic aromatic hydrocarbon metabolites in relation to altered reproductive hormones: a cross-sectional study in China. Int J Hyg Environ Health. 2017;220:1340–6.

Article  CAS  PubMed  Google Scholar 

MoghaddamHosseini V, Ebrahimi Aval H, Lari Najafi M, Lotfi H, Heydari H, Miri M et al. The association between exposure to polycyclic aromatic hydrocarbons and birth outcomes: A systematic review and meta-analysis of observational studies. Sci Total Environ. 2023;905:166922.

Perera FP, Rauh V, Tsai WY, Kinney P, Camann D, Barr D, et al. Effects of transplacental exposure to environmental pollutants on birth outcomes in a multiethnic population. Environ Health Perspect. 2003;111:201–5.

Article  CAS  PubMed  PubMed Central  Google Scholar 

Patel J, Nembhard WN, Politis MD, Rocheleau CM, Langlois PH, Shaw GM, et al. Maternal occupational exposure to polycyclic aromatic hydrocarbons and the risk of isolated congenital heart defects among offspring. Environ Res. 2020;186:109550.

Article  CAS  PubMed  PubMed Central  Google Scholar 

Sturla Irizarry SM, Cathey AL, Zimmerman E, Rosario Pabón ZY, Huerta Montañez G, Vélez Vega CM, et al. Prenatal polycyclic aromatic hydrocarbon exposure and neurodevelopment among children in Puerto Rico. Chemosphere. 2024;366:143468.

Article  CAS  PubMed  PubMed Central  Google Scholar 

Huo X, Wu Y, Xu L, Zeng X, Qin Q, Xu X. Maternal urinary metabolites of PAHs and its association with adverse birth outcomes in an intensive e-waste recycling area. Environ Pollut. 2019;245:453–61.

Article  CAS  PubMed  Google Scholar 

Polanska K, Dettbarn G, Jurewicz J, Sobala W, Magnus P, Seidel A, et al. Effect of prenatal polycyclic aromatic hydrocarbons exposure on birth outcomes: the Polish mother and child cohort study. Biomed Res Int. 2014;2014:408939.

Article  PubMed  PubMed Central  Google Scholar 

Lee C-L, Yang L, Shang L, Wang S, Yang W, Huang L, et al. The association between prenatal exposure to polycyclic aromatic hydrocarbons and birth weight: a meta-analysis. PLoS ONE. 2020;15:e0236708.

Article  Google Scholar 

Choi H, Rauh V, Garfinkel R, Tu Y, Perera FP. Prenatal exposure to airborne polycyclic aromatic hydrocarbons and risk of intrauterine growth restriction. Environ Health Perspect. 2008;116:658–65.

Article  CAS  PubMed  PubMed Central  Google Scholar 

Wang Y, Zhu L, James-Todd T, Sun Q. Urinary polycyclic aromatic hydrocarbon excretion and regional body fat distribution: evidence from the U.S. National Health and Nutrition Examination Survey 2001–2016. Environ Health. 2022;21:75.

Article  CAS  PubMed  PubMed Central  Google Scholar 

Sexton K, Linder SH. Cumulative risk assessment for combined health effects from chemical and nonchemical stressors. Am J Public Health. 2011;101:S81–88.

Article  PubMed  PubMed Central  Google Scholar 

Zhou C, Weng J, Tan F, Wu S, Ma J, Zhang B, et al. Pregnancy-related anxiety among Chinese pregnant women in mid-late pregnancy under the two-child policy and its significant correlates. J Affect Disord. 2020;276:272–8.

Article  PubMed  Google Scholar 

Zhou C, Tan F, Li X, Chen J, Huang Q, Lin X, et al. Trend of antenatal depression and its risk factors among pregnant women in China from 2016 to 2021: a repeated cross-sectional study under multiple fertility policy adjustments and economic development. Depress Anxiety. 2025;2025:6823160.

Article  PubMed  PubMed Central  Google Scholar 

Ashrap P, Aker A, Watkins DJ, Mukherjee B, Rosario-Pabón Z, Vélez-Vega CM, et al. Psychosocial status modifies the effect of maternal blood metal and metalloid concentrations on birth outcomes. Environ Int. 2021;149:106418.

Article  CAS  PubMed  PubMed Central  Google Scholar 

Huang H, Wang A, Morello-Frosch R, Lam J, Sirota M, Padula A, et al. Cumulative risk and impact modeling on environmental chemical and social stressors. Curr Environ Health Rep. 2018;5:88–99.

Article  CAS  PubMed  PubMed Central  Google Scholar 

Hartung F, Krutmann J, Haarmann-Stemmann T. Evidence that the aryl hydrocarbon receptor orchestrates oxinflammatory responses and contributes to airborne particulate matter-induced skin aging. Free Radic Biol Med. 2025;233:264–78.

Article  CAS  PubMed  Google Scholar 

Zänkert S, Bellingrath S, Wüst S, Kudielka BM. HPA axis responses to psychological challenge linking stress and disease: what do we know on sources of intra- and interindividual variability? Psychoneuroendocrinology. 2019;105:86–97.

Article  PubMed  Google Scholar 

Dong CD, Huang CP, Chen CW, Hung CM. The remediation of marine sediments containing polycyclic aromatic hydrocarbons by peroxymonosulfate activated with Sphagnum moss-derived biochar and its benthic microbial ecology. Environ Pollut. 2024;341:122912.

Article  CAS  PubMed  Google Scholar 

Dennis CL, Falah-Hassani K, Shiri R. Prevalence of antenatal and postnatal anxiety: systematic review and meta-analysis. Br J Psychiatry. 2017;210:315–23.

Article  PubMed  Google Scholar 

Zhen H, Jia Y, Zhu B, Hu F, Cheng H, Lu M, et al. Associations of polycyclic aromatic hydrocarbons exposure with perinatal anxiety symptoms. BMC Public Health. 2025;25:1245.

Article  CAS  PubMed  PubMed Central  Google Scholar 

Herbstman JB, Tang D, Zhu D, Qu L, Sjödin A, Li Z, et al. Prenatal exposure to polycyclic aromatic hydrocarbons, benzo[a]pyrene-DNA adducts, and genomic DNA methylation in cord blood. Environ Health Perspect. 2012;120:733–8.

Article  CAS  PubMed  PubMed Central  Google Scholar 

Cox J. Thirty years with the edinburgh postnatal depression scale: voices from the past and recommendations for the future. Br J Psychiatry. 2019;214:127–9.

Article  PubMed  Google Scholar 

Cheng J, Ren Z, Rehman S, Zhou Z, Wang X, Wang Y, et al. Comparative assessment of Patient Health Questionnaire-9 and Edinburgh postnatal depression scale for screening antenatal depression among Chinese pregnant women. J Affect Disord. 2025;376:104–112.

Article  PubMed  Google Scholar 

Löwe B, Decker O, Müller S, Brähler E, Schellberg D, Herzog W, et al. Validation and standardization of the Generalized Anxiety Disorder Screener (GAD-7) in the general population. Med care. 2008;46:266–74.

Article  PubMed  Google Scholar 

Gong Y, Zhou H, Zhang Y, Zhu X, Wang X, Shen B, et al. Validation of the 7-item Generalized Anxiety Disorder scale (GAD-7) as a screening tool for anxiety among pregnant Chinese women. J Affect Disord. 2021;282:98–103.

Article  PubMed  Google Scholar 

Li N, Li Z, Ye R, Zhang L, Li H, Zhu Y, et al. Preconception blood pressure and risk of low birth weight and small for gestational age: a large cohort study in China. Hypertension. 2016;68:873–9.

Article  CAS  PubMed  Google Scholar 

Liu X, Zhang C, Lin Z, Zhu K, He R, Jiang Z, et al. Association of maternal mild hypothyroidism in the first and third trimesters with obstetric and perinatal outcomes: a prospective cohort study. Am J Obstet Gynecol. 2025;232:480.e481–480.e419.

Article  Google Scholar 

Guo B, Jiang X. Association between atmospheric particulate matter pollution during pregnancy and premature birth in China: a meta-analysis. Front Public Health. 2025;13:1474134.

Article  PubMed  PubMed Central  Google Scholar 

Zhou BF. Effect of body mass index on all-cause mortality and incidence of cardiovascular diseases—report for meta-analysis of prospective studies open optimal cut-off points of body mass index in Chinese adults. Biomed Environ Sci. 2002;15:245–52.