{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,3]],"date-time":"2026-09-03T12:12:22Z","timestamp":1788437542285,"version":"build-2803163510"},"reference-count":81,"publisher":"MDPI AG","issue":"11","license":[{"start":{"date-parts":[[2024,10,23]],"date-time":"2024-10-23T00:00:00Z","timestamp":1729641600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100000024","name":"Canadian Institutes of Health Research","doi-asserted-by":"publisher","award":["165868"],"award-info":[{"award-number":["165868"]}],"id":[{"id":"10.13039\/501100000024","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJERPH"],"abstract":"<jats:p>Prenatal exposures to environmental toxicants can adversely affect fetal and child development and lead to increased risk of chronic disease. While regulatory action is essential to reduce sources of environmental toxicants, prenatal care presents an opportunity to educate, mobilize, and support prospective parents to reduce exposures to such hazards. As the first phase of an interdisciplinary research collaboration to inform the development of prenatal environmental health education strategy in Canada, we surveyed reproductive-aged female individuals. The online survey (July\u2013September 2021) yielded a nationally representative sample of 1914 reproductive-aged females living in Canada. The questionnaire topics addressed the respondents\u2019 knowledge and perceptions of environmental health risks, preventive actions and related facilitators and barriers, information sources and preferences, reproductive history, and demographics. The analysis included bivariate and multivariate techniques. Our results suggest broad awareness among reproductive-aged females that exposure to toxicants can be harmful, and that reducing prenatal exposures can benefit child health. However, fewer than half of respondents felt that they had enough knowledge to take protective measures. Despite high levels of preference for prenatal care as an ideal context for learning about environmental health risks and protective measures, fewer than one in four respondents had ever discussed environmental health concerns with a healthcare provider. Our findings reveal a knowledge\u2013action gap and a corresponding opportunity to improve environmental health education and advocacy in prenatal care in the Canadian context.<\/jats:p>","DOI":"10.3390\/ijerph21111397","type":"journal-article","created":{"date-parts":[[2024,10,23]],"date-time":"2024-10-23T09:07:04Z","timestamp":1729674424000},"page":"1397","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Environmental Health Attitudes, Practices, and Educational Preferences: A National Survey of Reproductive-Aged Women in Canada"],"prefix":"10.3390","volume":"21","author":[{"given":"Eric J.","family":"Crighton","sequence":"first","affiliation":[{"name":"Department of Geography, Environment and Geomatics, University of Ottawa, Ottawa, ON K1N 6N5, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9014-4312","authenticated-orcid":false,"given":"Erica","family":"Phipps","sequence":"additional","affiliation":[{"name":"Department of Geography, Environment and Geomatics, University of Ottawa, Ottawa, ON K1N 6N5, Canada"},{"name":"Canadian Partnership for Children\u2019s Health and Environment, Ottawa, ON K1S 2Z1, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Graeme N.","family":"Smith","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Queen\u2019s University, Kingston, ON K7L 2V7, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0381-4491","authenticated-orcid":false,"given":"Rukhsana","family":"Ahmed","sequence":"additional","affiliation":[{"name":"Department of Communication, University at Albany, State University of New York, Albany, NY 12222, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jocelynn L.","family":"Cook","sequence":"additional","affiliation":[{"name":"Society of Obstetricians and Gynecologists of Canada, Ottawa, ON K1B 1A7, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jeffrey R.","family":"Masuda","sequence":"additional","affiliation":[{"name":"School of Public Health and Social Policy, University of Victoria, Victoria, BC V8W 2Y2, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8287-7102","authenticated-orcid":false,"given":"Alvaro R.","family":"Osornio-Vargas","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, University of Alberta, Edmonton, AB T6G 1C9, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Margaret","family":"Sanborn","sequence":"additional","affiliation":[{"name":"Department of Family Medicine, McMaster University, Hamilton, ON L8P 1H6, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lesley J.","family":"Brennan","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, University of Alberta, Edmonton, AB T6G 1C9, Canada"},{"name":"WHO Collaborating Centre in Child Health and the Environment, University of Alberta, Edmonton, AB T5R 4H5, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karen P.","family":"Phillips","sequence":"additional","affiliation":[{"name":"Interdisciplinary School of Health Sciences, University of Ottawa, Ottawa, ON K1N 6N5, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"name":"on behalf of the PEHE Collaboration","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2024,10,23]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"e208243","DOI":"10.1001\/jamanetworkopen.2020.8243","article-title":"Association of air pollution and heat exposure with preterm birth, low birth weight, and stillbirth in the US: A systematic review","volume":"3","author":"Bekkar","year":"2020","journal-title":"JAMA Netw. 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