Previous studies have examined the
predictors of PFAS
concentrations
among pregnant women and children. However, no study has explored
the predictors of preconception PFAS concentrations among couples
in the United States. This study included 572 females and 279 males
(249 couples) who attended a U.S. fertility clinic between 2005 and
2019. Questionnaire information on demographics, reproductive history,
and lifestyles and serum samples quantified for PFAS concentrations
were collected at study enrollment. We examined the PFAS distribution
and correlation within couples. We used Ridge regressions to predict
the serum concentration of each PFAS in females and males using data
of (1) socio-demographic and reproductive history, (2) diet, (3) behavioral
factors, and (4) all factors included in (1) to (3) after accounting
for temporal exposure trends. We used general linear models for univariate
association of each factor with the PFAS concentration. We found moderate
to high correlations for PFAS concentrations within couples. Among
all examined factors, diet explained more of the variation in PFAS
concentrations (1–48%), while behavioral factors explained
the least (0–4%). Individuals reporting White race, with a
higher body mass index, and nulliparous women had higher PFAS concentrations
than others. Fish and shellfish consumption was positively associated
with PFAS concentrations among both females and males, while intake
of beans (females), peas (male), kale (females), and tortilla (both)
was inversely associated with PFAS concentrations. Our findings provide
important data for identifying sources of couples’ PFAS exposure
and informing interventions to reduce PFAS exposure in the preconception
period.