Investigating environmental links to disease
Our ground-breaking, multidisciplinary research answers important questions on how chemicals and contaminants in our homes and environment affect fertility, pregnancy, fetal and child development, and health equity. We prioritize filling gaps in knowledge that support clinical decision-making and public policy.
We have written or contributed to more than 180 studies on health and the environment with 23 studies published in peer-reviewed journals in 2020 alone.
UCSF Study Finds Evidence of 55 Chemicals Never Before Reported in People
Scientists at UC San Francisco have detected 109 chemicals in a study of pregnant women, including 55 chemicals never before reported in people and 42 “mystery chemicals,” whose sources and uses are unknown. The chemicals most likely come from consumer products or other industrial sources.
The study was published March 17 in Environmental Science & Technology.
Major Research Areas

Chemicals
We study how harmful chemicals put into our air, food, water, homes, products, and workplaces affect pregnancy, child development, and health.

Plastics
Plastics are a petro-chemical product packed with endocrine-disrupting chemicals that can harm pregnancy, birth outcomes, neurodevelopment, and immune systems.

Climate and Wildfires
We examine how climate is impacting women's and children's health and how to protect pregnant people from wildfire smoke.
Key Research Projects

ECHO
The Environmental Influences on Child Health Outcomes (ECHO) is the largest NIH-funded study to date to explore how chemicals and pollutants in our environment impact pregnancy and child development.

DREAM
The Discovering cancer Risks from Environmental contaminants And Maternal/child health (DREAM) project collected data to explore how chemicals put in our air, food, and water increase cancer risk.

ENACT Center
In partnership with Stanford University, the Endometriosis Center for Action, Community Engagement and Training (ENACT) will work to improve endometriosis diagnosis and treatment by exploring the origins and environmental links to this disease.

PRHE conducts groundbreaking, multi-disciplinary research that answers important questions of how chemicals and contaminants in our homes and environment affect fertility, pregnancy, and fetal and child development. PRHE also mentors and trains the next generation of environmental health scientists.
Published Studies
Pregnant women who experience psychosocial stressors, such as stressful life events, poor neighborhood quality, and financial hardship, are at an increased risk for adverse pregnancy outcomes. Yet, few studies have examined associations between multiple stressors from different sources, which may be helpful to better inform causal pathways leading to adverse birth outcomes.
Recent studies report an association between preterm birth and exposure to unconventional oil and gas wells. There has been limited previous study on exposure to conventional wells, which are common in California. Our objective was to determine whether exposure to well sites was associated with increased odds of spontaneous preterm birth.
Polybrominated diphenyl ether (PBDE) exposures have been associated with adverse pregnancy outcomes. A hypothesized mechanism is via alterations in placental development and function. However, we lack biomarkers that can be used as early indicators of maternal/fetal response to PBDE exposures and/or perturbations in placental development or function.
Non-targeted analysis provides a comprehensive approach to analyze environmental and biological samples for nearly all chemicals present. One of the main shortcomings of current analytical methods and workflows is that they are unable to provide any quantitative information constituting an important obstacle in understanding environmental fate and human exposure.
Pregnant women and their offspring are vulnerable to the adverse effects of environmental and psychosocial stressors, individually and in combination. Here, we review the literature on how air pollution and metal exposures may interact with structural and individual-level stressors (including poverty and stressful life events) to impact perinatal and child outcomes.
Previous studies have shown a correlation between fluoride concentrations in urine and community water fluoride concentrations. However, there are no studies of the relationship between community water fluoridation, urine, serum, and amniotic fluid fluoride concentrations in pregnant women in the US.
Our objective was to incorporate social and built environment factors into a compendium of multilevel factors among a cohort of very low birth weight infants to understand their contributions to inequities in NICU quality of care and support providers and NICUs in addressing these inequities via development of a health equity dashboard.