1
|
Wortzel JD, Champlin LK, Wortzel JR, Lewis J, Haase E, Mark B. Reframing Climate Change: Using Children's Literature as a Residency Training Tool to Address Climate Anxiety and Model Innovation. Acad Psychiatry 2022; 46:584-585. [PMID: 35608778 PMCID: PMC10952007 DOI: 10.1007/s40596-022-01651-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/14/2022] [Accepted: 05/05/2022] [Indexed: 06/15/2023]
Affiliation(s)
| | - Lena K Champlin
- Academy of Natural Sciences of Drexel University, Philadelphia, PA, USA
| | - Joshua R Wortzel
- Group for the Advancement of Psychiatry, Climate Committee, Dallas, TX, USA
- University of Rochester, Rochester, NY, USA
| | - Janet Lewis
- Group for the Advancement of Psychiatry, Climate Committee, Dallas, TX, USA
- University of Rochester, Rochester, NY, USA
| | - Elizabeth Haase
- Group for the Advancement of Psychiatry, Climate Committee, Dallas, TX, USA
- University of Nevada School of Medicine, Reno, NV, USA
| | - Beth Mark
- University of Pennsylvania, Philadelphia, PA, USA
- Group for the Advancement of Psychiatry, Climate Committee, Dallas, TX, USA
| |
Collapse
|
2
|
Moore TM, Visoki E, Argabright ST, Didomenico GE, Sotelo I, Wortzel JD, Naeem A, Gur RC, Gur RE, Warrier V, Guloksuz S, Barzilay R. Modeling environment through a general exposome factor in two independent adolescent cohorts. Exposome 2022; 2:osac010. [PMID: 36606125 PMCID: PMC9798749 DOI: 10.1093/exposome/osac010] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 08/05/2022] [Revised: 11/15/2022] [Accepted: 12/05/2022] [Indexed: 12/15/2022]
Abstract
Exposures to perinatal, familial, social, and physical environmental stimuli can have substantial effects on human development. We aimed to generate a single measure that capture's the complex network structure of the environment (ie, exposome) using multi-level data (participant's report, parent report, and geocoded measures) of environmental exposures (primarily from the psychosocial environment) in two independent adolescent cohorts: The Adolescent Brain Cognitive Development Study (ABCD Study, N = 11 235; mean age, 10.9 years; 47.7% females) and an age- and sex-matched sample from the Philadelphia Neurodevelopmental Cohort (PNC, N = 4993). We conducted a series of data-driven iterative factor analyses and bifactor modeling in the ABCD Study, reducing dimensionality from 348 variables tapping to environment to six orthogonal exposome subfactors and a general (adverse) exposome factor. The general exposome factor was associated with overall psychopathology (B = 0.28, 95% CI, 0.26-0.3) and key health-related outcomes: obesity (odds ratio [OR] , 1.4; 95% CI, 1.3-1.5) and advanced pubertal development (OR, 1.3; 95% CI, 1.2-1.5). A similar approach in PNC reduced dimensionality of environment from 29 variables to 4 exposome subfactors and a general exposome factor. PNC analyses yielded consistent associations of the general exposome factor with psychopathology (B = 0.15; 95% CI, 0.13-0.17), obesity (OR, 1.4; 95% CI, 1.3-1.6), and advanced pubertal development (OR, 1.3; 95% CI, 1-1.6). In both cohorts, inclusion of exposome factors greatly increased variance explained in overall psychopathology compared with models relying solely on demographics and parental education (from <4% to >38% in ABCD; from <4% to >18.5% in PNC). Findings suggest that a general exposome factor capturing multi-level environmental exposures can be derived and can consistently explain variance in youth's mental and general health.
Collapse
Affiliation(s)
- Tyler M Moore
- Department of Psychiatry, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.,Lifespan Brain Institute of the Children's Hospital of Philadelphia (CHOP) and Penn Medicine, Philadelphia, PA, USA
| | - Elina Visoki
- Lifespan Brain Institute of the Children's Hospital of Philadelphia (CHOP) and Penn Medicine, Philadelphia, PA, USA
| | - Stirling T Argabright
- Lifespan Brain Institute of the Children's Hospital of Philadelphia (CHOP) and Penn Medicine, Philadelphia, PA, USA
| | - Grace E Didomenico
- Lifespan Brain Institute of the Children's Hospital of Philadelphia (CHOP) and Penn Medicine, Philadelphia, PA, USA
| | - Ingrid Sotelo
- Lifespan Brain Institute of the Children's Hospital of Philadelphia (CHOP) and Penn Medicine, Philadelphia, PA, USA
| | - Jeremy D Wortzel
- Lifespan Brain Institute of the Children's Hospital of Philadelphia (CHOP) and Penn Medicine, Philadelphia, PA, USA
| | - Areebah Naeem
- Lifespan Brain Institute of the Children's Hospital of Philadelphia (CHOP) and Penn Medicine, Philadelphia, PA, USA
| | - Ruben C Gur
- Department of Psychiatry, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.,Lifespan Brain Institute of the Children's Hospital of Philadelphia (CHOP) and Penn Medicine, Philadelphia, PA, USA
| | - Raquel E Gur
- Department of Psychiatry, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.,Lifespan Brain Institute of the Children's Hospital of Philadelphia (CHOP) and Penn Medicine, Philadelphia, PA, USA
| | - Varun Warrier
- Autism Research Centre, Department of Psychiatry, University of Cambridge, Cambridge, UK
| | - Sinan Guloksuz
- Department of Psychiatry, Yale University School of Medicine, New Haven, CT, USA.,Department of Psychiatry and Neuropsychology, School for Mental Health and Neuroscience, Maastricht University Medical Centre, Maastricht, The Netherlands
| | - Ran Barzilay
- Department of Psychiatry, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.,Lifespan Brain Institute of the Children's Hospital of Philadelphia (CHOP) and Penn Medicine, Philadelphia, PA, USA.,Department of Child and Adolescent Psychiatry and Behavioral Science, Children's Hospital of Philadelphia (CHOP), Philadelphia, PA, USA
| |
Collapse
|
3
|
Wortzel JD, Wiebe DJ, Elahi S, Agawu A, Barg FK, Emmett EA. Ascertainment Bias in a Historic Cohort Study of Residents in an Asbestos Manufacturing Community. Int J Environ Res Public Health 2021; 18:2211. [PMID: 33668103 PMCID: PMC7956794 DOI: 10.3390/ijerph18052211] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 02/08/2021] [Revised: 02/18/2021] [Accepted: 02/20/2021] [Indexed: 11/16/2022]
Abstract
This paper describes follow-up for a cohort of 4530 residents living in the asbestos manufacturing community of Ambler, PA, U.S. in 1930. Using re-identified census data, cause and date of death data obtained from the genealogic website Ancestry.com, along with geospatial analysis, we explored relationships among demographic characteristics, occupational, paraoccupational and environmental asbestos exposures. We identified death data for 2430/4530 individuals. Exposure differed significantly according to race, gender, age, and recency of immigration to the U.S. Notably, there was a significant difference in the availability of year of death information for non-white vs. white individuals (odds ratio (OR) = 0.62 p-value < 0.001), females (OR = 0.53, p-value < 0.001), first-generation immigrants (OR = 0.67, p-value = 0.001), second-generation immigrants (OR = 0.31, p-value < 0.001) vs. non-immigrants, individuals aged less than 20 (OR = 0.31 p-value < 0.001) and individuals aged 20 to 59 (OR = 0.63, p-value < 0.001) vs. older individuals. Similarly, the cause of death was less often available for non-white individuals (OR = 0.42, p-value <0.001), first-generation immigrants and (OR = 0.71, p-value = 0.009), second-generation immigrants (OR = 0.49, p-value < 0.001), individuals aged less than 20 (OR = 0.028 p-value < 0.001), and individuals aged 20 to 59 (OR = 0.26, p-value < 0.001). These results identified ascertainment bias that is important to consider in analyses that investigate occupational, para-occupational and environmental asbestos exposure as risk factors for mortality in this historic cohort. While this study attempts to describe methods for assessing itemized asbestos exposure profiles for a community in 1930 using Ancestry.com and other publicly accessible databases, it also highlights how historic cohort studies likely underestimate the impact of asbestos exposure on vulnerable populations. Future work will aim to assess mortality patterns in this cohort.
Collapse
Affiliation(s)
- Jeremy D. Wortzel
- Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA 19104, USA; (J.D.W.); (D.J.W.); (A.A.); (E.A.E.)
| | - Douglas J. Wiebe
- Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA 19104, USA; (J.D.W.); (D.J.W.); (A.A.); (E.A.E.)
| | - Shabnam Elahi
- School of Medicine, Georgetown University, Washington, DC 20007, USA;
| | - Atu Agawu
- Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA 19104, USA; (J.D.W.); (D.J.W.); (A.A.); (E.A.E.)
- Department of Pediatrics, Children’s Hospital of Philadelphia, Philadelphia, PA 19104, USA
| | - Frances K. Barg
- Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA 19104, USA; (J.D.W.); (D.J.W.); (A.A.); (E.A.E.)
| | - Edward A. Emmett
- Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA 19104, USA; (J.D.W.); (D.J.W.); (A.A.); (E.A.E.)
| |
Collapse
|
4
|
Wortzel JR, Stashevsky A, Wortzel JD, Mark B, Lewis J, Haase E. Estimation of the Carbon Footprint Associated With Attendees of the American Psychiatric Association Annual Meeting. JAMA Netw Open 2021; 4:e2035641. [PMID: 33507255 PMCID: PMC7844591 DOI: 10.1001/jamanetworkopen.2020.35641] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/24/2022] Open
Abstract
This cross-sectional study uses data from the 2018 and 2019 American Psychiatric Association (APA) annual meetings to assess the carbon dioxide equivalent emissions associated with the conferences and how they may be reduced.
Collapse
Affiliation(s)
- Joshua R. Wortzel
- Group for the Advancement of Psychiatry, Climate Committee
- Department of Psychiatry, Strong Memorial Hospital, University of Rochester Medical Center Complex, Rochester, New York
| | | | - Jeremy D. Wortzel
- Group for the Advancement of Psychiatry, Climate Committee
- University of Pennsylvania School of Medicine, Philadelphia
| | - Beth Mark
- Group for the Advancement of Psychiatry, Climate Committee
- University of Pennsylvania Counseling and Psychological Services, Philadelphia
| | - Janet Lewis
- Group for the Advancement of Psychiatry, Climate Committee
- Department of Psychiatry, Strong Memorial Hospital, University of Rochester Medical Center Complex, Rochester, New York
| | - Elizabeth Haase
- Group for the Advancement of Psychiatry, Climate Committee
- Department of Psychiatry and Behavioral Sciences, University of Nevada School of Medicine, Reno
| |
Collapse
|
5
|
Spade DJ, Hall SJ, Wortzel JD, Reyes G, Boekelheide K. All-trans Retinoic Acid Disrupts Development in Ex Vivo Cultured Fetal Rat Testes. II: Modulation of Mono-(2-ethylhexyl) Phthalate Toxicity. Toxicol Sci 2020; 168:149-159. [PMID: 30476341 DOI: 10.1093/toxsci/kfy283] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/12/2023] Open
Abstract
Humans are universally exposed to low levels of phthalate esters (phthalates), which are used to plasticize polyvinyl chloride. Phthalates exert adverse effects on the development of seminiferous cords in the fetal testis through unknown toxicity pathways. To investigate the hypothesis that phthalates alter seminiferous cord development by disrupting retinoic acid (RA) signaling in the fetal testis, gestational day 15 fetal rat testes were exposed for 1-3 days to 10-6 M all-trans retinoic acid (ATRA) alone or in combination with 10-6-10-4 M mono-(2-ethylhexyl) phthalate (MEHP) in ex vivo culture. As previously reported, exogenous ATRA reduced seminiferous cord number. This effect was attenuated in a concentration-dependent fashion by MEHP co-exposure. ATRA and MEHP-exposed testes were depleted of DDX4-positive germ cells but not Sertoli cells. MEHP alone enhanced the expression of the RA receptor target Rbp1 and the ovary development-associated genes Wnt4 and Nr0b1, and suppressed expression of the Leydig cell marker, Star, and the germ cell markers, Ddx4 and Pou5f1. In co-exposures, MEHP predominantly enhanced the gene expression effects of ATRA, but the Wnt4 and Nr0b1 concentration-responses were nonlinear. Similarly, ATRA increased the number of cells expressing the granulosa cell marker FOXL2 in testis cultures, but this induction was attenuated by addition of MEHP. These results indicate that MEHP can both enhance and inhibit actions of ATRA during fetal testis development and provide evidence that RA signaling is a target for phthalate toxicity in the fetal testis.
Collapse
Affiliation(s)
- Daniel J Spade
- Department of Pathology and Laboratory Medicine, Brown University, Providence, Rhode Island 02912
| | - Susan J Hall
- Department of Pathology and Laboratory Medicine, Brown University, Providence, Rhode Island 02912
| | - Jeremy D Wortzel
- Department of Pathology and Laboratory Medicine, Brown University, Providence, Rhode Island 02912
| | - Gerardo Reyes
- Department of Pathology and Laboratory Medicine, Brown University, Providence, Rhode Island 02912.,Division of Natural Sciences, College of Mount Saint Vincent, Riverdale, New York 10471
| | - Kim Boekelheide
- Department of Pathology and Laboratory Medicine, Brown University, Providence, Rhode Island 02912
| |
Collapse
|