# Associations of Exposure to Parabens During Pregnancy with Behavior in Early Childhood

## TL;DR

This study finds that exposure to parabens during pregnancy may be linked to behavioral issues in young children, especially in boys and at younger ages.

## Contribution

The study is among the first to link gestational paraben exposure with early childhood neurodevelopmental outcomes using multiple statistical approaches.

## Key findings

- Ethylparaben exposure during pregnancy was associated with increased externalizing behaviors and ADHD problems in children.
- Paraben mixtures were linked to elevated scores in CBCL subscales, with oppositional defiant problems showing significant associations.
- Male children showed reduced withdrawn symptoms associated with paraben exposure, particularly at age 2.

## Abstract

(1) Background: Few studies have examined gestational paraben exposure and early childhood neurodevelopment. We evaluated associations between gestational exposure to methyl, ethyl and propyl paraben and neurodevelopment via the Child Behavior Checklist (CBCL) administered at ages 2, 3, and 4 years. (2) Methods: Gestational exposures were assessed using pooled prenatal urine samples from five time points across pregnancy. CBCL outcomes included internalizing, externalizing, and sub-scale scores. Covariate-adjusted generalized linear regression was employed to assess individual paraben exposures. Mixture analysis was performed using Bayesian Kernel Machine Regression and Quantile g-computation. (3) Results: In individual paraben analyses, each paraben was associated with increased externalizing behaviors, particularly ethylparaben (age 2: β = 0.40, 95% CI = −0.02, 0.83; age 3: β = 0.42, 95% CI = −0.19, 0.01; age 4: β = 0.18, 95% CI = −0.34, 0.70), ADHD problems at age 2 (β = 0.21, 95% CI = 0.05, 0.37), and both aggressive behavior (β = 0.38, 95% CI = 0.01, 0.74) and oppositional defiant problems (β = 0.25, 95% CI = 0.09, 0.41) at age 3. All three parabens were also associated with a reduction in withdrawn symptoms for males, especially at age 2 (ethylparaben: β = −0.09, 95% CI = −0.01, 0.85; methylparaben: β = −0.20, 95% CI = −0.34, −0.05; propylparaben: β = −0.13, 95% CI = −0.24, −0.03). The parabens mixture was associated with elevated scores in multiple CBCL subscales, though only association with oppositional defiant scores at age 3 reached significance in both BKMR (change in score when all components are at 50th percentile values compared with their 75th percentile values = 0.15; 95% CI = 0.01, 0.29) and quantile g-computation (β = 0.33, 95% CI = 0.02, 0.65), driven primarily by ethylparaben. (4) Conclusions: Individual parabens and the paraben mixture showed significant association with domains of childhood neurodevelopment, with possible detriments especially evident (a) at earlier time points, (b) in male children, and (c) in terms of externalizing behaviors.