Department of Biostatistics, Center for Biostatistics in AIDS Research, Harvard T.H. Chan School of Public Health, Boston, MA (W.Y., D.L.J., S.S.B., P.L.W., T.-J.Y.).; Departments of Biostatistics and Epidemiology, Harvard T.H. Chan School of Public Health, Boston, MA (P.L.W.).
Phillip L Williams studies the effects of HIV exposure on young people, examining issues such as blood pressure, inflammation, and cognitive abilities. He investigates how maternal health and medications given during pregnancy can influence the development and health of children, especially those exposed to HIV. Additionally, he researches how environmental factors, like mercury exposure and omega-3 fatty acids, impact fertility and pregnancy outcomes in women seeking to conceive.
Key findings
Youth living with HIV had lower diastolic blood pressure levels (63.3 mmHg) compared to those without HIV (65.0 mmHg), primarily due to lower body fat.
Inflammation markers, such as IL-18, were significantly higher in youth with perinatal HIV compared to those without, but decreased over time with treatment.
Boys exposed to HIV in the womb were 2.07 times more likely to show signs of puberty by age 9 compared to unexposed boys.
Higher mercury levels in pregnant women were linked to a 2.05 times greater risk of developing impaired glucose tolerance during pregnancy.
26.4% of women living with HIV reported experiencing intimate partner violence, with pregnant women being particularly vulnerable.
Frequently asked questions
Does Dr. Williams study the health effects of HIV exposure?
Yes, he researches various health outcomes in youth and children exposed to HIV, including their cardiovascular health and development.
What treatments has Dr. Williams researched for pregnant women?
He has studied the impact of HIV medications on pregnant women and their infants, focusing on developmental outcomes and health risks.
Is Dr. Williams's work relevant to women trying to conceive?
Yes, he investigates factors affecting fertility and pregnancy health, including the effects of mercury exposure and omega-3 fatty acids.
How does Dr. Williams's research help children exposed to HIV?
His studies provide insights into the developmental challenges and health risks faced by these children, guiding healthcare providers in monitoring and support.
What is the connection between mercury and pregnancy risks in Dr. Williams's research?
His findings indicate that higher mercury exposure in pregnant women can increase the risk of complications, such as impaired glucose tolerance.
Publications in plain English
Pubertal onset in children with in-utero HIV/antiretroviral exposure in Botswana.
2026
AIDS (London, England)
Jao J, Gochanour C, Williams PL, Schenkel S, Kgole S +11 more
Plain English This study looked at whether children aged 9-11 who were exposed to HIV before birth but did not become infected had different timing for starting puberty compared to those who were not exposed to HIV. They found that while girls who were exposed to HIV had a higher chance of developing pubic hair earlier, overall, there were no significant differences in puberty onset based on HIV exposure or the type of medication used during pregnancy. This matters because understanding how HIV exposure impacts children's development can help in planning better healthcare.
Who this helps: This helps healthcare providers and researchers studying the effects of HIV on children's growth and development.
Plasma Inflammatory Biomarkers Lack Strong Association With Cognitive Outcomes Among Young Adults With Perinatal HIV Exposure and/or Acquisition.
2026
Journal of acquired immune deficiency syndromes (1999)
McHenry MS, Huo Y, Williams PL, Patel K, Li W +3 more
Plain English This study looked at how certain inflammatory substances in the blood relate to cognitive abilities in young adults who were exposed to HIV during birth but are not infected, as well as those who have HIV. Out of 638 participants, researchers found no significant links between these inflammatory markers and cognitive performance, meaning that having higher levels of inflammation did not seem to lead to worse thinking skills. This is important because it suggests that inflammation may not be a major factor affecting cognitive health in this group of young adults.
Who this helps: This helps young adults with perinatal HIV exposure and their healthcare providers.
Brief Report: Is Gestational Exposure to HIV and Protease Inhibitors Associated With Timing of Pubertal Onset?
2026
Journal of acquired immune deficiency syndromes (1999)
Serghides L, Lee J, Jacobson DL, Geffner ME, DiMeglio LA +5 more
Plain English This study looked at how being exposed to HIV in the womb, especially with specific medications called protease inhibitors, affects when boys start puberty. It found that boys who were exposed to these conditions were 2.07 times more likely to show signs of puberty by age 9 compared to boys who were not exposed, and certain high levels of the mother's HIV during pregnancy increased this likelihood even more, with a 12.6 times higher chance for genital development. Understanding these effects can help healthcare providers better monitor and support the health of children who are exposed to HIV during pregnancy.
Who this helps: This benefits doctors and healthcare providers working with children who were exposed to HIV in the womb.
Hair Mercury, Serum ω-3 Fatty Acids, and Menstrual Symptoms among Women Seeking Fertility Care.
2026
The Journal of nutrition
Allan Y, Shen X, Williams PL, Ford JB, Souter I +5 more
Plain English This study examined the effects of mercury exposure from fish and omega-3 fatty acids on menstrual symptoms in 320 women seeking fertility care. Researchers found that women with higher levels of omega-3s in their blood experienced fewer symptoms like hot flashes and headaches, even if they had higher mercury levels in their hair. Specifically, the chance of experiencing hot flashes was reduced from about 23% in women with low mercury to about 9% in those with high mercury but high omega-3, and headaches dropped from 14% to 4%.
Who this helps: This helps women trying to conceive, particularly those concerned about the impact of mercury from fish consumption on their reproductive health.
Longitudinal assessment of inflammatory biomarkers among youth living with perinatal HIV infection and HIV exposure.
2026
AIDS (London, England)
Van Dyke RB, Sawyer GW, Williams PL, Yu W, Mendez AJ +4 more
Plain English This study looked at young people living with HIV they got from their mothers (PHIV) and those who were exposed to HIV but do not have it (PHEU). The researchers measured certain inflammation markers in a group of 99 PHIV youths and 59 PHEU youths at the start and about 11 years later. They found that while inflammation decreased in both groups over time, some markers were higher in the PHIV group, especially at the beginning; for example, their median levels of IL-18 were significantly higher. These findings are important because they show that treatment can help reduce inflammation in young people with HIV, which may lower their risk of other health problems related to HIV in the future.
Who this helps: This helps young patients living with HIV and their healthcare providers.
Association of Perinatal HIV Exposure and HIV Disease Severity With BP in Youth.
2026
Hypertension (Dallas, Tex. : 1979)
Brady TM, Yu W, Jacobson DL, Brummel SS, Lipshultz SE +7 more
Plain English This study looked at blood pressure (BP) in young people, comparing those with HIV from birth to those without HIV. It found that while youth with HIV generally had lower blood pressure levels, particularly in diastolic BP (63.3 mmHg compared to 65.0 mmHg in those without HIV), this difference was largely due to their lower body fat. The research highlights the importance of managing other heart health risks in young people living with HIV, as their lower BP might not be enough to reduce cardiovascular disease risk.
Who this helps: This benefits youth living with HIV, their healthcare providers, and researchers focusing on heart health.
Paternal and maternal preconception and maternal pregnancy urinary concentrations of parabens in relation to child behavior.
2025
Andrology
Leader J, Mínguez-Alarcón L, Williams PL, Ford JB, Dadd R +6 more
Plain English This research studied how levels of certain chemicals called parabens in parents’ urine before and during pregnancy relate to behavioral issues in their children. The findings showed that higher levels of specific parabens in fathers’ urine were linked to more problem behaviors in children; for example, higher levels of propyl paraben in fathers were associated with a 1.7-point increase in a measure of internalizing problems. Understanding this connection matters because it suggests that exposure to these chemicals before conception could have harmful effects on child development.
Who this helps: Parents and healthcare providers.
Intraindividual variability of semen quality, proteome, and sncRNA profiles in a healthy cohort of young adults.
2025
Andrology
Sergeyev O, Bezuglov V, Soloveva N, Smigulina L, Denisova T +9 more
Plain English This study looked at the quality of semen and certain biological markers in 164 healthy young men aged 18-19 by analyzing samples taken 6-8 days apart. Researchers found that many semen qualities and molecular profiles showed low variability, meaning results were consistent over time, with less than 15% variation in protein and RNA levels. This matters because identifying stable biomarkers can help in assessing male fertility and reproductive health.
Who this helps: This helps young men concerned about their fertility and doctors who study male reproductive health.
Birth outcomes following bictegravir exposure during pregnancy.
2025
AIDS (London, England)
Olivero R, Williams PL, Sawyer G, Yee LM, Patel K +5 more
Plain English This study looked at the health outcomes of infants born to pregnant women with HIV who took a medication called bictegravir during their pregnancy. Out of 177 infants studied, most were born at a healthy average of 38.1 weeks, with 15.8% born preterm and 9.3% considered small for their gestational age. Importantly, there were no recorded deaths in the newborns, and there were no cases of HIV being passed from mother to child during this time, suggesting bictegravir is generally safe to use in pregnancy.
Who this helps: This research benefits pregnant women with HIV and their healthcare providers.
Neurodevelopmental outcomes in children exposed in utero to dolutegravir- or efavirenz-based antiretroviral treatment.
2025
AIDS (London, England)
Cassidy AR, Mayondi G, Williams PL, Moabi K, LeMahieu A +8 more
Plain English This study looked at how two different HIV treatments given to pregnant women—dolutegravir (DTG) and efavirenz (EFV)—affect the brain development of their children by age two. It found that children whose mothers took EFV during pregnancy were more likely to have language and thinking difficulties, with 10% having poor language skills compared to 2.5% for those whose mothers took DTG. Most importantly, children exposed to DTG generally had similar development outcomes to those born to mothers without HIV, which shows DTG might be a safer option for expecting mothers with HIV.
Who this helps: This research benefits mothers with HIV and their children.
Central arterial stiffness in young adults with perinatal HIV exposure and infection.
2025
AIDS (London, England)
Urbina EM, Yu W, Williams PL, Sawyer G, Van Dyke R +3 more
Plain English This study looked at young adults who were either infected with HIV at birth (YAPHIV) or exposed to the virus but not infected (YAPHEU) to see if there were differences in their arterial stiffness, measured by how fast blood travels through their arteries. Researchers found that both groups had similar levels of arterial stiffness, with average speeds of 5.63 m/s for YAPHIV and 5.39 m/s for YAPHEU, indicating normal arterial health. Importantly, only a small percentage (3%) of those with HIV had higher stiffness levels that could indicate increased risk for heart issues.
Who this helps: This research is beneficial for young adults with perinatal HIV exposure, as it highlights the need for consistent cardiovascular health monitoring for all individuals in this group.
Accounting for Twins and Other Multiple Births in Perinatal Studies of Live Births Conducted Using Healthcare Administration Data.
2025
Epidemiology (Cambridge, Mass.)
Brown JP, Yland JJ, Williams PL, Huybrechts KF, Hernández-Díaz S
Plain English This study looked at how to analyze birth outcomes when twins or other multiple births are involved, particularly using data from healthcare administration databases. The researchers found that using different methods—like focusing on only single births or considering the outcomes at the pregnancy level instead of for each individual baby—can lead to different results and conclusions. It matters because getting these details right helps ensure accurate understanding of infant health outcomes and better informs healthcare practices.
Who this helps: This helps researchers, doctors, and healthcare policymakers.
Perceived stress in relation to testicular function markers among men attending a fertility center.
2025
Fertility and sterility
Reddy AG, Williams PL, Souter I, Ford JB, Dadd R +5 more
Plain English This study looked at whether men’s perceived stress levels affect their sperm quality and reproductive hormone levels. Researchers found that men with the highest stress scores had 22% lower total sperm count (118 million per ejaculation compared to 153 million for low-stress men) and a lower rate of normal sperm shape (6% versus 9%). These findings are important because they suggest that high stress may negatively impact fertility in men, which can be vital for couples trying to conceive.
Who this helps: This helps men facing infertility issues and healthcare providers treating them.
Associations of personal care product use during pregnancy and the postpartum period with markers of postpartum glycemic control - Results from the ERGO Study.
2025
International journal of hygiene and environmental health
Preston EV, Lytel-Sternberg J, Quinn MR, Williams PL, Seely EW +8 more
Plain English This study looked at how using personal care products during pregnancy and shortly after childbirth affects blood sugar control in new mothers. Out of 270 women, those who used certain hair products showed 22.8% lower insulin sensitivity, while those using deodorants had 32.1% higher insulin sensitivity and lower fasting glucose levels. Understanding these effects is important because poor blood sugar control can lead to long-term health issues for mothers.
Who this helps: This helps new mothers and healthcare providers.
Effect Modification of Serum Omega-3 Fatty Acids on the Associations between Urinary Phthalate Biomarkers Mixture and Pregnancy Outcomes among Women Seeking Fertility Care.
2025
Environmental health perspectives
Shen X, Génard-Walton M, Williams PL, Ford JB, Souter I +7 more
Plain English This study looked at how omega-3 fatty acids in the blood might influence the effects of phthalate exposure on pregnancy outcomes in women trying to conceive. Researchers found that women with low levels of omega-3s who were exposed to high levels of phthalates had a 44% chance of losing their pregnancy, compared to just 5% for those with low phthalate exposure. This matters because improving omega-3 intake could help reduce the negative effects of phthalates on fertility and pregnancy.
Who this helps: Patients trying to conceive and healthcare providers.
Association of urinary phthalate metabolite concentrations with inflammatory biomarker levels among pregnant women.
2025
Environmental research
Han H, Grill S, Shen X, Williams PL, James-Todd T +7 more
Plain English This study looked at how exposure to certain chemicals called phthalates affects inflammation in pregnant women. Researchers analyzed urine samples from 175 women and found that two specific phthalates were linked to increased levels of an inflammatory marker called IL-6, with women who had a higher body weight before pregnancy showing a stronger connection. Understanding these links is important because inflammation during pregnancy can affect both maternal and fetal health.
Who this helps: This helps pregnant women, especially those with higher pre-pregnancy body weight.
Using mixture and exposome methods to assess the associations and interactions of chemical biomarkers with semen parameters.
2025
Environment international
Génard-Walton M, Warembourg C, Williams PL, Souter I, Ford JB +4 more
Plain English This study looked at how various environmental chemicals in men's bodies relate to sperm health by analyzing data from 420 men aged 18 to 55. Researchers found that mercury was linked to some positive sperm traits, while triclosan was linked to negative traits, such as reduced sperm shape and movement. For instance, increasing exposure to the mixture of chemicals was associated with a decrease in normal sperm shape by about 1.42%.
Who this helps: This research benefits men concerned about their reproductive health and the effects of environmental chemicals.
Brief Report: Prenatal Antiretroviral Exposure and Concomitant Neurodevelopmental Problems Among 5-Year-Old Children Who Are HIV-Exposed and Uninfected.
2025
Journal of acquired immune deficiency syndromes (1999)
Yao TJ, Zhang J, Malee K, Smith R, Rice ML +3 more
Plain English This study looked at how different HIV medications taken by pregnant women affect the brain development of their children who are exposed to HIV but do not have the virus themselves. Researchers found that children exposed to a specific combination of medications (tenofovir/emtricitabine with or without atazanavir) tended to have more behavioral issues compared to those whose mothers took a different combination (zidovudine/lamivudine) when treatments started during early pregnancy. Specifically, children exposed to the first combination had more parent-reported concerns about their behavior.
Who this helps: This information is important for doctors and pregnant women living with HIV as they consider treatment options.
Preconception thyroid function in relation to pregnancy lipids among women attending a fertility center.
2025
Thyroid research
Shen X, Korevaar TIM, James-Todd T, Williams PL, Ford JB +7 more
Plain English This study looked at how thyroid function before pregnancy affects cholesterol levels in pregnant women who were receiving fertility treatment. Researchers found that higher levels of certain thyroid hormones before conception were linked to lower levels of beneficial HDL cholesterol during pregnancy, and higher levels of total cholesterol and harmful LDL cholesterol later in pregnancy. These findings emphasize the importance of managing thyroid health before and during pregnancy to help support better cholesterol balance, which is crucial for both maternal and fetal health.
Who this helps: This helps women planning to become pregnant and their healthcare providers.
Pregnancy urinary phenol biomarker concentrations in relation to serum levels of inflammatory cytokines: Results from the EARTH study.
2025
Environment international
Liang X, Grill S, Shen X, Williams PL, James-Todd T +7 more
Plain English This study looked at how certain chemicals (phenols) found in the urine of pregnant women are related to inflammation in their bodies during pregnancy. The researchers tested 175 women and found that higher levels of ethylparaben in urine were linked to elevated inflammatory markers in the blood. For example, in the first trimester, butylparaben was linked to increased inflammation, while in the third trimester, bisphenol A was associated with reduced inflammation. This information is important because it helps us understand how exposure to these chemicals at different stages of pregnancy might affect the health of both mothers and their babies.
Who this helps: This helps pregnant women and healthcare providers better understand the risks of chemical exposure during pregnancy.
Phenol biomarker concentrations in human ovarian follicular fluid and the associations with in-vitro fertilization outcomes.
2025
International journal of hygiene and environmental health
Dimitriadis I, Souter I, Williams PL, Weller D, Ford JB +2 more
Plain English This study looked at the levels of certain chemicals called phenols found in the fluid surrounding human eggs (follicular fluid) and how these levels might affect the success of in-vitro fertilization (IVF). Researchers analyzed data from 143 women and found that while some phenols were commonly detected, most did not have a clear link to the success of IVF procedures. Notably, one phenol, propyl-paraben, was associated with thicker uterine lining, and another, benzophenone-3, was linked to a higher yield of mature eggs, but these factors didn’t translate into better pregnancy outcomes.
Who this helps: This research helps patients undergoing IVF and doctors aiming to improve reproductive health.
Urinary phthalates, serum omega-3 fatty acids and ovarian reserve among women seeking fertility treatment.
2025
International journal of hygiene and environmental health
Shen X, Génard-Walton M, Williams PL, Ford JB, Souter I +7 more
Plain English This study looked at how urinary exposure to phthalates, which are common chemicals found in many products, affects women's fertility, specifically their ovarian reserve, measured by antral follicle count (AFC). Among 139 women seeking fertility treatment, researchers found that higher levels of certain omega-3 fatty acids (EPA and DHA) in the blood seemed to reduce the negative impact of phthalates on ovarian reserve. Specifically, women with lower to moderate levels of these omega-3s had lower AFC in relation to phthalate exposure, while those with higher levels did not, indicating that omega-3s may protect against the harmful effects of phthalates.
Who this helps: This research helps women seeking fertility treatment and healthcare providers who support them.
Structural Dynamics and Topology of Human KCNE3 in Lipid Bilayers Studied by Site-Directed Spin Labeling and Electron Paramagnetic Resonance Spectroscopy.
2025
The journal of physical chemistry. B
Reynolds DB, Campbell C, Scheyer MW, Williams PL, Loka P +9 more
Plain English This study looked at a protein called KCNE3, which is important for how certain cells function, particularly in the intestines and stomach. The researchers discovered that parts of KCNE3 that cross the cell membrane stay relatively still compared to other parts, and they found that the part of KCNE3 that is outside the cell is mostly exposed to the surrounding fluid. These findings help us understand how KCNE3 works in the body and its role in various health conditions linked to its dysfunction.
Who this helps: This helps patients with disorders related to KCNE3, as well as doctors treating those conditions.
Reproductive stage and other risk factors associated with intimate partner violence: a multi-site study of women living with HIV in the United States.
2025
AIDS (London, England)
Kuchukhidze S, Kacanek D, Brummel SS, Davtyan M, Lee J +8 more
Plain English This study examined the link between stages of pregnancy and the risk of intimate partner violence (IPV) among women living with HIV in the U.S. It found that 26.4% of these women experienced IPV in the past year, and pregnant women were four times more likely to face reproductive coercion and 1.7 times more likely to encounter psychological IPV compared to those who were not pregnant. This research highlights the urgent need for better access to contraception and IPV screening, as both issues disproportionately affect women with HIV.
Who this helps: This helps women living with HIV, especially those who are pregnant.
Hair mercury levels, serum n-3 fatty acids, and pregnancy glucose outcomes among women from a fertility center.
2025
The Journal of clinical endocrinology and metabolism
Liang X, Han H, Shen X, Williams PL, James-Todd T +7 more
Plain English This study looked at how mercury levels in hair and the presence of certain beneficial fats (n-3 fatty acids) influence blood sugar levels during pregnancy in women from a fertility clinic. Researchers found that higher mercury was linked to increased glucose levels and more than double the risk of developing impaired glucose tolerance (IGT). Specifically, women with high mercury levels were about 2.05 times more likely to have IGT compared to those with lower levels, especially if they had higher body weight or lower levels of those beneficial fats.
Who this helps: This study helps pregnant women and their healthcare providers understand the impact of mercury exposure on blood sugar health.
A case of congenital long QT syndrome and medically induced menopause.
2025
Post reproductive health
Wilkinson JF, Williams PL, Green JC, Modi S, Briggs PE
Plain English This study looked at a 47-year-old woman with a heart condition called Long QT Syndrome who experienced serious heart issues after being treated with hormone therapy to induce menopause before surgery. She had multiple dangerous heart rhythms, including episodes that caused her heart to stop. Understanding how hormones can impact heart health is important for managing risks in women with this condition.
Who this helps: This helps doctors and patients with Long QT Syndrome, especially women facing menopause.
Maternal Use of Integrase Strand Transfer Inhibitors During Pregnancy and Infant Neurodevelopment.
2025
JAMA network open
Williams PL, Boahene M, Mash LE, Chadwick EG, Huo Y +4 more
Plain English Researchers investigated the impact of certain HIV medications given to pregnant women on the brain development of their infants. They found that infants born to mothers treated with integrase strand transfer inhibitors (INSTIs) scored similarly in cognitive, language, and motor skills as those whose mothers received different medications (protease inhibitors). However, the INSTI babies scored slightly lower than those exposed to nonnucleoside reverse transcriptase inhibitors (NNRTIs), especially if their mothers started treatment during pregnancy. This study highlights the importance of ensuring safe and effective HIV treatment options for pregnant women to protect their infants' development.
Who this helps: This helps pregnant women with HIV and their infants.
Male urinary phthalate metabolite concentrations and serum metabolic signatures in relation to live birth among couples undergoing in vitro fertilization.
2025
The Science of the total environment
Mínguez-Alarcón L, Hood RB, Lasky-Su J, Williams PL, Ford JB +4 more
Plain English This study looked at how exposure to phthalates (chemicals found in many consumer products) might affect men's fertility, especially in couples trying to conceive through in vitro fertilization (IVF). Researchers analyzed samples from 115 men and found that some phthalate levels were linked to specific changes in serum metabolites (substances produced during metabolism) and were associated with a higher chance of live births. For example, men with higher urinary levels of certain phthalates had different patterns in their blood related to important metabolic processes, which are crucial for reproductive health.
Who this helps: This helps couples undergoing IVF and their healthcare providers.
Preconception Hair Mercury and Serum Omega-3 Fatty Acids in Relation to Gestational Weight Gain Among Women Seeking Fertility Care.
2025
Toxics
Han H, Liang X, Shen X, Williams PL, James-Todd T +7 more
Plain English This research studied how levels of mercury in hair and omega-3 fatty acids in the blood affect weight gain during pregnancy in women trying to conceive. The study found that higher mercury levels were linked to less weight gain and a greater chance of not gaining enough weight during pregnancy, but these links became unclear when other factors were considered. Understanding these relationships is important because they help identify factors that could impact a healthy pregnancy and baby.
Who this helps: This helps women looking to conceive and healthcare providers supporting their reproductive health.
A Bayesian Parametric and Nonparametric Approach for the Imputation of Multivariate Left-Censored Data Due to Limit of Detection.
2025
Statistics in medicine
Perlino FL, Nipoti B, Williams PL, Bellavia A
Plain English This study looked at a common problem in medical research where some data points can't be measured and are marked as missing. Researchers developed a new statistical method to better estimate these missing values when multiple related measurements are involved. They found that their method improves the accuracy of data analysis, which is crucial for understanding health risks; for example, their approach helped to accurately analyze cardiovascular biomarker data.
Who this helps: This helps researchers and doctors who analyze complex health data.
Hearing Measures in Children Perinatally HIV-exposed and Uninfected in the PHACS SMARTT Study.
2025
The Pediatric infectious disease journal
Torre P, Sirag E, Williams PL, Zhang Z, Frederick T +4 more
Plain English This study looked at the hearing ability of 5-year-old children who were exposed to HIV medications while in their mother's womb but who themselves are not HIV-positive. Out of 1,078 children studied, 13% had some hearing loss, but the research did not find strong connections between specific HIV medications taken during pregnancy and hearing issues. This matters because it helps us understand the potential hearing impacts of these medications, which can inform better health and treatment strategies for pregnant women with HIV.
Who this helps: This helps doctors and health care providers working with pregnant women living with HIV.
Maternal and birth outcomes in pregnant people with and without HIV in the Western Cape, South Africa.
2024
AIDS (London, England)
Slogrove AL, Bovu A, de Beer S, Phelanyane F, Williams PL +9 more
Plain English This study looked at the effects of HIV and HIV treatment on pregnant people in the Western Cape, South Africa. Researchers studied over 171,000 pregnant individuals from 2018 to 2019 and found that those with HIV, especially those not taking treatment (ART), had higher rates of complications. For instance, stillbirths were 31% more common in those without ART compared to those without HIV, and low birth weight babies were more likely among all individuals with HIV.
Who this helps: This information helps expectant parents and healthcare providers understand the risks associated with HIV during pregnancy.
Fetal growth assessed via ultrasound in relation to maternal HIV infection status and antiretroviral regimens.
2024
AIDS (London, England)
Williams PL, Karalius B, Patel K, Aschengrau A, Chakhtoura N +8 more
Plain English This study examined how maternal HIV infection and different HIV treatments affect the growth of babies during pregnancy. Researchers looked at 166 women living with HIV and 705 women not living with HIV and found that early in pregnancy, babies of mothers with HIV grew a bit less than those of mothers without HIV. However, by the end of pregnancy, their growth rates were similar, which is encouraging. The type of HIV treatment didn't significantly impact fetal growth, with one exception where a specific treatment resulted in slightly smaller head measurements.
Who this helps: This research benefits pregnant women living with HIV and their healthcare providers.
Relationship between brain structural network integrity and emotional symptoms in youth with perinatally-acquired HIV.
2024
Brain, behavior, and immunity
Caceres GA, Scambray KA, Malee K, Smith R, Williams PL +3 more
Plain English This study focused on how brain structure relates to emotional problems in young people with HIV they acquired at birth. Researchers found that these youth had weaker connections in important brain networks compared to those without HIV—specifically, their brain networks were less efficient, which was linked to higher emotional difficulties. Understanding these connections helps highlight the effects of HIV on brain development and mental health in this group.
Who this helps: This benefits young people with HIV and their healthcare providers.
Paternal and maternal preconception and maternal pregnancy urinary phthalate metabolite and BPA concentrations in relation to child behavior.
2024
Environment international
Leader J, Mínguez-Alarcón L, Williams PL, Ford JB, Dadd R +6 more
Plain English This study looked at the levels of certain chemicals (phthalates and BPA) in the urine of mothers and fathers before and during pregnancy, and how these levels relate to the behavior of their children aged 6-11. Researchers found that higher levels of one chemical (monobenzyl phthalate or MBzP) in mothers were linked to more behavioral problems in children, while higher levels of another chemical (monocarboxyoctyl phthalate or MCOP) were associated with fewer problems. This is significant because it highlights the potential impact of parental chemical exposure on children's behavior, suggesting that reducing these exposures could help improve child outcomes.
Who this helps: This helps parents and healthcare providers understand the effects of environmental chemicals on child behavior.
Accounting for Twins and Other Multiple Births in Perinatal Studies Conducted Using Healthcare Administration Data.
2024
medRxiv : the preprint server for health sciences
Brown JP, Yland J JJ, Williams PL, Huybrechts KF, Hernández-Díaz S
Plain English This study examined how to better account for twins and other multiple births in research about infant health outcomes. Researchers found that using different methods to analyze data can lead to varying conclusions, showing significant differences depending on the approach taken. For instance, some methods might miss key details about the health of each twin.
Who this helps: This information benefits researchers and healthcare providers who study and treat multiple births.
Associations of parental preconception and maternal pregnancy urinary phthalate biomarker and bisphenol-a concentrations with child eating behaviors.
2024
International journal of hygiene and environmental health
Leader J, Mínguez-Alarcón L, Williams PL, Ford JB, Dadd R +5 more
Plain English This study looked at how chemicals found in urine from parents before and during pregnancy might affect their children's eating habits. Researchers found that higher levels of certain chemicals, like monobenzyl phthalate, were linked to children being more prone to emotional overeating and wanting to eat more, while other chemicals were associated with less avoidance of food. These findings are important because they suggest that exposure to these chemicals could influence children's eating behaviors and potentially contribute to weight gain.
Who this helps: This helps parents and health professionals understand how environmental factors may impact children's eating habits.
Women's preconception psychological stress and birth outcomes in a fertility clinic: the EARTH study.
2024
Frontiers in global women's health
Mínguez-Alarcón L, Williams PL, Souter I, Ford JB, Hauser R +1 more
Plain English This study looked at how stress before conception affects pregnancy outcomes for women seeking fertility treatments. Researchers found that higher stress levels were linked to a lower chance of having a live birth, especially in women using IVF, with a 5% reduced probability of success. However, stress did not seem to impact the length of the pregnancy or the baby's weight at birth.
Who this helps: This helps women trying to conceive, particularly those undergoing fertility treatments.
Cohort profile: the Environmental Reproductive and Glucose Outcomes (ERGO) Study (Boston, Massachusetts, USA) - a prospective pregnancy cohort study of the impacts of environmental exposures on parental cardiometabolic health.
2024
BMJ open
Preston EV, Quinn MR, Williams PL, McElrath TF, Cantonwine DE +12 more
Plain English The ERGO Study looked at how environmental factors during pregnancy affect the health of parents after childbirth, particularly concerning cardiovascular and metabolic issues. Researchers followed 653 pregnant individuals, finding that 10% developed gestational diabetes and 8% experienced pre-eclampsia. They discovered that higher exposure to chemicals like phthalates was linked to poor blood sugar control during pregnancy and that some personal care products increased these chemical levels.
Who this helps: This study benefits future parents and healthcare providers by highlighting the risks associated with environmental exposures during pregnancy.
Distinct cytokine profiles in late pregnancy in Ugandan people with HIV.
2024
Scientific reports
Bebell LM, Ngonzi J, Butler A, Kumbakumba E, Adong J +10 more
Plain English This study looked at the immune responses during late pregnancy in people with HIV compared to those without HIV. Researchers analyzed blood samples from 147 pregnant individuals with HIV and 142 who were uninfected. They found that while overall levels of certain immune signals (cytokines) were similar, pregnant people with HIV had higher levels of IL-5 and lower levels of IL-8 and MIP-1α, while those without HIV had higher levels of RANTES and E-selectin. This matters because it shows that maternal HIV infection affects the immune response during pregnancy, which may have implications for the health of both the mother and the baby.
Who this helps: This helps pregnant individuals living with HIV and their healthcare providers.
Phthalates and sex steroid hormones across the perimenopausal period: A longitudinal analysis of the Midlife Women's Health Study.
2024
Environment international
Babadi RS, Williams PL, Preston EV, Li Z, Smith RL +5 more
Plain English This study looked at how certain chemicals called phthalates affect sex hormones in women going through menopause. Researchers noticed that higher levels of some phthalates led to lower testosterone levels and higher levels of a type of progesterone associated with irregular ovulation. For example, when levels of a specific phthalate increased, testosterone decreased by about 4.5%. Understanding these changes is important because they can impact women's health during a critical transition period.
Who this helps: This helps women going through menopause and healthcare providers who support their health during this time.
Polybrominated diphenyl ethers and gestational weight gain: a multi-center prospective cohort study.
2024
BJOG : an international journal of obstetrics and gynaecology
Wang Z, Williams PL, Bellavia A, Wylie BJ, Kannan K +5 more
Plain English This study looked at how certain chemicals called PBDEs, found in the blood during early pregnancy, affect weight gain during pregnancy. Researchers found that for women with obesity, an increase in PBDE 47 levels was linked to an extra weight gain of about 1.87 kg during pregnancy and a slightly faster rate of weight gain. This is important because understanding these connections can help manage health risks for pregnant women with obesity.
Who this helps: This helps pregnant women, particularly those with obesity, and their healthcare providers.
First-trimester exposure to newer antiretroviral agents and congenital anomalies in a US cohort.
2024
AIDS (London, England)
Fung K, Hernandez-Diaz S, Zash R, Chadwick EG, Van Dyke RB +6 more
Plain English This study examined whether taking newer HIV medications during the first trimester of pregnancy affects the likelihood of birth defects in babies. Among 2,034 infants studied, 135 (or 6.6%) had major birth defects, mainly heart and bone issues. The research found that the chance of having these defects didn't significantly differ between babies whose mothers took specific newer HIV medications and those who didn't, which is good news for pregnant women with HIV.
Who this helps: This helps pregnant women with HIV and their healthcare providers understand the safety of HIV treatments during early pregnancy.
Health Outcomes around Pregnancy and Exposure to HIV/Antiretrovirals (HOPE) study protocol: a prospective observational cohort study of reproductive-aged women living with HIV.
2024
BMJ open
Kacanek D, Yee LM, Yao TJ, Lee J, Chadwick EG +25 more
Plain English The HOPE study is examining the health of over 1,600 women living with HIV who are of childbearing age. Researchers are focusing on various aspects of their health, including how HIV affects pregnancy, mental health, and overall well-being. So far, they have enrolled 437 participants and plan to learn how these women's health changes throughout their reproductive years, which is crucial for improving health outcomes.
Who this helps: This helps women living with HIV, healthcare providers, and public health officials.
Mixtures of Urinary Phenol and Phthalate Metabolite Concentrations in Relation to Serum Lipid Levels among Pregnant Women: Results from the EARTH Study.
2024
Toxics
Shen X, Génard-Walton M, Williams PL, James-Todd T, Ford JB +7 more
Plain English This study investigated whether certain chemicals commonly found in consumer products, like bisphenol A (BPA), parabens, and phthalate metabolites, affect cholesterol and fat levels in the blood of 175 pregnant women. The researchers found no clear links between these chemicals and overall lipid levels, like total cholesterol or LDL cholesterol, although women with a higher body mass index (BMI) showed some possible associations with propylparaben and cholesterol levels. Understanding these relationships is important because high lipid levels during pregnancy can affect both maternal and fetal health.
Who this helps: This research helps pregnant women and their healthcare providers understand the impact of environmental chemicals on health during pregnancy.
Bacteria pyruvate metabolism modulates AFBtoxicity in Caenorhabditis elegans.
2023
The Science of the total environment
Tang B, Xue KS, Wang JS, Williams PL, Tang L
Plain English This study looked at how certain bacteria in the gut affect the harmful impact of aflatoxin B (AFB), a potent toxin that can cause cancer, especially in developing countries. Researchers found that the way bacteria break down a compound called pyruvate significantly affects AFB's toxicity: specifically, modifying bacterial metabolism led to changes in how toxic AFB was to a tiny worm called C. elegans. This is important because understanding this interaction could help develop strategies to reduce the risks associated with AFB exposure.
Who this helps: This benefits patients at risk of aflatoxin exposure, especially in developing areas.
Lower academic performance among children with perinatal HIV exposure in Botswana.
2023
Journal of the International AIDS Society
Powis KM, Lebanna L, Schenkel S, Masasa G, Kgole SW +10 more
Plain English This study looked at how well children in Botswana who were exposed to HIV at birth (but did not contract the virus) perform in school compared to children who weren't exposed. Researchers found that 67% of these HIV-exposed uninfected (HEU) children scored a "C" or lower in their subjects like Mathematics and Science, which is significantly worse than their HIV-unexposed peers. This matters because identifying the reasons for lower academic performance can help in creating better support and interventions for these children to improve their learning outcomes.
Who this helps: This helps children with perinatal HIV exposure and their families.
Pubertal progression in relation to peripubertal exposure to organochlorine chemicals in a cohort of Russian boys.
2023
International journal of hygiene and environmental health
Plaku B, Williams PL, Sergeyev O, Korrick SA, Burns JS +4 more
Plain English This study looked at how exposure to certain harmful chemicals, like dioxins and PCBs, affects the timing of puberty in Russian boys. Among 489 boys, researchers identified three patterns of pubertal development: 34% progressed slowly, 48% at a moderate pace, and 18% fast. Boys with higher levels of dioxins were more likely to have moderate or slow progress compared to fast progress, while those with higher levels of non-dioxin-like PCBs had a greater chance of faster development.
Who this helps: This benefits parents and health professionals monitoring boys' growth and development.
Preconception Stress and Pregnancy Serum Glucose Levels Among Women Attending a Fertility Center.
2023
Journal of the Endocrine Society
Mínguez-Alarcón L, Chagnon O, Tanaka A, Williams PL, James-Todd T +5 more
Plain English This study examined how stress before getting pregnant affects blood sugar levels during pregnancy in women who sought help at a fertility center. Researchers found that higher stress levels were linked to increased blood sugar: women with lower stress had average glucose levels of 115 mg/dL, while those with moderate and high stress had levels of 119 mg/dL and 124 mg/dL, respectively. Importantly, women with higher stress had a 4% to 13% greater chance of experiencing abnormal glucose levels, which can lead to health issues during pregnancy.
Who this helps: This benefits women planning to conceive, as well as healthcare providers working in fertility and prenatal care.
Racial and ethnic disparities in preterm birth: a mediation analysis incorporating mixtures of polybrominated diphenyl ethers.
2023
Frontiers in reproductive health
Wang Z, Zhang C, Williams PL, Bellavia A, Wylie BJ +4 more
Plain English This study looked at how exposure to certain chemicals, called polybrominated diphenyl ethers (PBDEs), may affect the differences in preterm birth (PTB) rates among different racial and ethnic groups in the U.S. Researchers found that non-Hispanic Black individuals had the highest levels of PBDEs and the shortest average pregnancy duration, resulting in a 0.30-week earlier delivery compared to non-Hispanic White women. The study suggests that reducing PBDE exposure could help address these disparities in preterm birth rates.
Who this helps: This research benefits pregnant women, especially those in racial and ethnic minority groups.