Effects of cigarette smoking, caffeine consumption, and alcohol intake on fecundability

KM Curtis, DA Savitz, TE Arbuckle - American journal of …, 1997 - academic.oup.com
KM Curtis, DA Savitz, TE Arbuckle
American journal of epidemiology, 1997academic.oup.com
Abstract Data from the Ontano Farm Family Health Study were analyzed to determine
whether smoking, caffeine, or alcohol use among men and women affect fecundability (the
monthly probability of conception). In this retrospective cohort study of farm couples in
Ontano, Canada, the farm operator, husband, and wife completed questionnaires during
1991–1992, ylaiding information on 2,607 planned pregnancies that had occurred over the
previous 30 years. Fecundability ratios were calculated using an analog of the Cox …
Abstract
Data from the Ontano Farm Family Health Study were analyzed to determine whether smoking, caffeine, or alcohol use among men and women affect fecundability (the monthly probability of conception). In this retrospective cohort study of farm couples in Ontano, Canada, the farm operator, husband, and wife completed questionnaires during 1991–1992, ylaiding information on 2,607 planned pregnancies that had occurred over the previous 30 years. Fecundability ratios were calculated using an analog of the Cox proportional hazards model. Cigarette smoking among women and men was associated with decreased fecundability (fecundability ratio=0.90, 95% confidence interval (CI) 0 82–0.98 and fecundability ratio=0.88, 95% CI 0.81–0.95, respectively). Caffeine consumption of 100 mg or less versus more than 100 mg in women and men was not associated with fecundability (fecundabilrty ratio=0.98, 95% CI 0.91–1.07 and fecundability ratio=1.05, 95% CI 0.97–1.14, respectively). Decreases were observed among women who were coffee drinkers (fecundability ratio=0.92, 95% CI 0.84–1.00) and men who were heavy tea drinkers (fecundabilrty ratio=0.85, 95% CI 0.69–1.05), regardless of caffeine content. Alcohol use among women and men was not associated with fecundability. These data are consistent with previous studies of the adverse effect of tobacco on fecundability in female smokers and suggest an effect of smoking among males. Continued evaluation of coffee and tea is warranted to address constituents other than caffeine. Am J Epidemiol 1997;146:32–41.
Oxford University Press
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