首页 > 最新文献

International journal of hygiene and environmental health最新文献

英文 中文
Proximity to petrochemical industry and risk of childhood asthma occurrence 邻近石化工业与儿童哮喘发生的风险。
IF 4.5 2区 医学 Q1 INFECTIOUS DISEASES Pub Date : 2025-01-02 DOI: 10.1016/j.ijheh.2024.114515
Shih-Chun Pan , Wei-Shan Chin , Ching-Chun Huang , Yu-Cheng Chen , Chih-Da Wu , Chin-Yu Hsu , Pinpin Lin , Pau-Chung Chen , Yue Leon Guo
Adverse effects on the respiratory system were associated with intensive petroleum-related industrial activities. The study aimed to assess the impact of petrochemical exposure on childhood asthma using various surrogate indices. A singleton birth cohort from 2004 to 2017 was conducted, leveraging two linked nationwide databases in Taiwan. The distance from the nearest petrochemical industrial parks (PIPs), the probability for PIPs exposure, and benzene exposure level were used as surrogate petrochemical exposure indices. Both prenatal and postnatal exposure window were considered. The Cox proportional hazard models were applied to evaluate the effects. A total of 461,343 asthma cases were identified in this cohort by December 31, 2018. Certain risk factors such as being male, preterm birth, low birth weight, Caesarean delivery, maternal gestational hypertension, and gestational diabetes, were more prevalent in children with asthma than in those without. The results indicated an increased risk of asthma for those living near PIPs or with a higher probability for PIPs exposure during prenatal and/or postnatal periods. Increased asthma risks were also observed with higher levels of benzene exposure during either the prenatal or postnatal periods. Proximity to PIPs is associated with an increased risk of childhood asthma, as indicated by three different exposure surrogate exposure indices. This underscores the significant impact of petrochemical exposure on the occurrence of childhood asthma.
对呼吸系统的不良影响与密集的与石油有关的工业活动有关。本研究旨在利用多种替代指标评估石化产品暴露对儿童哮喘的影响。利用台湾两个关联的全国性数据库,对2004年至2017年的单胎出生队列进行了研究。以最近的石油化工园区(pip)距离、pip暴露概率和苯暴露水平作为替代石化暴露指标。考虑了产前和产后暴露窗口。采用Cox比例风险模型评价效果。截至2018年12月31日,该队列共发现461,343例哮喘病例。某些风险因素,如男性、早产、低出生体重、剖腹产、妊娠期高血压和妊娠期糖尿病,在患有哮喘的儿童中比没有哮喘的儿童更普遍。结果表明,居住在pip附近或在产前和/或产后暴露于pip的可能性较高的人患哮喘的风险增加。在产前或产后期间,高水平的苯暴露也会增加哮喘风险。三种不同的暴露替代物暴露指数表明,接近pip与儿童哮喘风险增加有关。这强调了石化暴露对儿童哮喘发生的显著影响。
{"title":"Proximity to petrochemical industry and risk of childhood asthma occurrence","authors":"Shih-Chun Pan ,&nbsp;Wei-Shan Chin ,&nbsp;Ching-Chun Huang ,&nbsp;Yu-Cheng Chen ,&nbsp;Chih-Da Wu ,&nbsp;Chin-Yu Hsu ,&nbsp;Pinpin Lin ,&nbsp;Pau-Chung Chen ,&nbsp;Yue Leon Guo","doi":"10.1016/j.ijheh.2024.114515","DOIUrl":"10.1016/j.ijheh.2024.114515","url":null,"abstract":"<div><div>Adverse effects on the respiratory system were associated with intensive petroleum-related industrial activities. The study aimed to assess the impact of petrochemical exposure on childhood asthma using various surrogate indices. A singleton birth cohort from 2004 to 2017 was conducted, leveraging two linked nationwide databases in Taiwan. The distance from the nearest petrochemical industrial parks (PIPs), the probability for PIPs exposure, and benzene exposure level were used as surrogate petrochemical exposure indices. Both prenatal and postnatal exposure window were considered. The Cox proportional hazard models were applied to evaluate the effects. A total of 461,343 asthma cases were identified in this cohort by December 31, 2018. Certain risk factors such as being male, preterm birth, low birth weight, Caesarean delivery, maternal gestational hypertension, and gestational diabetes, were more prevalent in children with asthma than in those without. The results indicated an increased risk of asthma for those living near PIPs or with a higher probability for PIPs exposure during prenatal and/or postnatal periods. Increased asthma risks were also observed with higher levels of benzene exposure during either the prenatal or postnatal periods. Proximity to PIPs is associated with an increased risk of childhood asthma, as indicated by three different exposure surrogate exposure indices. This underscores the significant impact of petrochemical exposure on the occurrence of childhood asthma.</div></div>","PeriodicalId":13994,"journal":{"name":"International journal of hygiene and environmental health","volume":"264 ","pages":"Article 114515"},"PeriodicalIF":4.5,"publicationDate":"2025-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142928917","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The association between anthropogenic heat and parent-report symptoms of childhood attention deficit hyperactivity disorder in China: A novel perspective reflecting climate change 人为热与中国儿童注意缺陷多动障碍父母报告症状之间的关系:反映气候变化的新视角
IF 4.5 2区 医学 Q1 INFECTIOUS DISEASES Pub Date : 2024-12-30 DOI: 10.1016/j.ijheh.2024.114518
Tao Yu , Yue Wen , Pei-Pei Dong , Ming-Kun Sun , Samantha E. Qian , Mario Schootman , Michael G. Vaughn , Shu-Li Xu , He-Hai Huang , Feng-Wen Shan , Shi-Fu Zhu , Jing-Yao Wang , Cheng Li , Zhao-Huan Gui , Ru-Qing Liu , Li-Wen Hu , Li-Zi Lin , Zhong Lin , Guang-Hui Dong
Anthropogenic climate change will have a negative impact on worldwide well-being over and above the direct consequences of rising average temperatures. But anthropogenic heat (AH) relationship with childhood attention deficit hyperactivity disorder (ADHD) is unknown. To assess the relationship with AH exposure and childhood ADHD symptoms in the context of global climate change, this study was conducted in a cross-sectional survey from April 2012 to May 2018 in the northeastern, northwestern, and southern regions of China, with a total enrollment of 179,846 children aged 6–18 years. Exposure to AH was evaluated by gathering socioeconomic and energy usage data along with nighttime light data from satellites and data on the Normalized Difference Vegetation Index. This encompassed four types of AH exposure: industrial processes, transportation, buildings, and human metabolism. The statistical analysis used generalized linear mixed-effects modeling to determine the association between the types of AH exposure and childhood ADHD symptoms. The mean (SD) age of the 179,846 study participants was 11.7 (2.9) years, and 7343 participants (4.1%) had ADHD symptoms. In adjusted models, increased levels of AH exposure per IQR from total AH, industry, transportation, buildings, and human metabolism all increased the odds of ADHD (odds ratios, 3.60 [95% CI, 3.42, 3.80]; 5.71 [95% CI, 5.32, 6.14]; 1.79 [95% CI, 1.75, 1.84]; 2.10 [95% CI, 2.03, 2.17]; 1.95 [95% CI, 1.89, 2.02]). The association remained robust after various sensitivity analyses. Prolonged exposure to AH is associated with the development of ADHD symptoms in children.
除了平均气温上升的直接后果之外,人为的气候变化将对全球福祉产生负面影响。但人为热(AH)与儿童注意缺陷多动障碍(ADHD)的关系尚不清楚。为了评估全球气候变化背景下AH暴露与儿童ADHD症状的关系,本研究于2012年4月至2018年5月在中国东北、西北和南部地区进行了一项横断面调查,共招募了179,846名6-18岁的儿童。通过收集社会经济和能源使用数据,以及来自卫星的夜间灯光数据和归一化植被指数的数据,对AH暴露进行了评估。这包括四种类型的AH暴露:工业过程、交通、建筑物和人体代谢。统计分析使用广义线性混合效应模型来确定AH暴露类型与儿童ADHD症状之间的关联。179,846名研究参与者的平均(SD)年龄为11.7(2.9)岁,7343名参与者(4.1%)有ADHD症状。在调整后的模型中,每IQR总AH暴露水平的增加、工业、交通、建筑物和人体代谢都增加了ADHD的几率(优势比,3.60 [95% CI, 3.42, 3.80];5.71 [95% ci, 5.32, 6.14];1.79 [95% ci, 1.75, 1.84];2.10 [95% ci, 2.03, 2.17];1.95 [95% ci, 1.89, 2.02])。在进行各种敏感性分析后,这种关联仍然很强。长期暴露于AH与儿童ADHD症状的发展有关。
{"title":"The association between anthropogenic heat and parent-report symptoms of childhood attention deficit hyperactivity disorder in China: A novel perspective reflecting climate change","authors":"Tao Yu ,&nbsp;Yue Wen ,&nbsp;Pei-Pei Dong ,&nbsp;Ming-Kun Sun ,&nbsp;Samantha E. Qian ,&nbsp;Mario Schootman ,&nbsp;Michael G. Vaughn ,&nbsp;Shu-Li Xu ,&nbsp;He-Hai Huang ,&nbsp;Feng-Wen Shan ,&nbsp;Shi-Fu Zhu ,&nbsp;Jing-Yao Wang ,&nbsp;Cheng Li ,&nbsp;Zhao-Huan Gui ,&nbsp;Ru-Qing Liu ,&nbsp;Li-Wen Hu ,&nbsp;Li-Zi Lin ,&nbsp;Zhong Lin ,&nbsp;Guang-Hui Dong","doi":"10.1016/j.ijheh.2024.114518","DOIUrl":"10.1016/j.ijheh.2024.114518","url":null,"abstract":"<div><div>Anthropogenic climate change will have a negative impact on worldwide well-being over and above the direct consequences of rising average temperatures. But anthropogenic heat (AH) relationship with childhood attention deficit hyperactivity disorder (ADHD) is unknown. To assess the relationship with AH exposure and childhood ADHD symptoms in the context of global climate change, this study was conducted in a cross-sectional survey from April 2012 to May 2018 in the northeastern, northwestern, and southern regions of China, with a total enrollment of 179,846 children aged 6–18 years. Exposure to AH was evaluated by gathering socioeconomic and energy usage data along with nighttime light data from satellites and data on the Normalized Difference Vegetation Index. This encompassed four types of AH exposure: industrial processes, transportation, buildings, and human metabolism. The statistical analysis used generalized linear mixed-effects modeling to determine the association between the types of AH exposure and childhood ADHD symptoms. The mean (SD) age of the 179,846 study participants was 11.7 (2.9) years, and 7343 participants (4.1%) had ADHD symptoms. In adjusted models, increased levels of AH exposure per IQR from total AH, industry, transportation, buildings, and human metabolism all increased the odds of ADHD (odds ratios, 3.60 [95% CI, 3.42, 3.80]; 5.71 [95% CI, 5.32, 6.14]; 1.79 [95% CI, 1.75, 1.84]; 2.10 [95% CI, 2.03, 2.17]; 1.95 [95% CI, 1.89, 2.02]). The association remained robust after various sensitivity analyses. Prolonged exposure to AH is associated with the development of ADHD symptoms in children.</div></div>","PeriodicalId":13994,"journal":{"name":"International journal of hygiene and environmental health","volume":"264 ","pages":"Article 114518"},"PeriodicalIF":4.5,"publicationDate":"2024-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142911216","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Biodegradation of trimethoprim and sulfamethoxazole in secondary effluent by microalgae-bacteria consortium 微藻-细菌联合体对二级污水中三甲氧苄啶和磺胺甲噁唑的生物降解。
IF 4.5 2区 医学 Q1 INFECTIOUS DISEASES Pub Date : 2024-12-25 DOI: 10.1016/j.ijheh.2024.114517
Daniel Aparecido da Silva Rodrigues , Camila Cristina Rodrigues Ferreira da Cunha , Andressa Rezende Pereira , Daiana Rocha do Espírito Santo , Silvana de Queiroz Silva , Maria Clara Vieira Martins Starling , Aníbal da Fonseca Santiago , Robson José de Cássia Franco Afonso
Trimethoprim (TMP) and sulfamethoxazole (SMX) are bacteriostatic agents, which are co-administered to patients during infection treatment due to their synergetic effects. Once consumed, TMP and SMX end up in wastewater and are directed to municipal wastewater treatment plants (WWTPs) which fail to remove these contaminants from municipal wastewater. The discharge of WWTP effluents containing antibiotics in the environment is a major concern for public health as it contributes to the spread of antimicrobial resistance. Improving treatment applied in WWTPs is one of the measures to tackle this issue. In this study, a natural microalgae-bacteria consortium cultivated under low intensity LED irradiation was used as a quaternary treatment to assess the removal of TMP alone (50 μg L−1) and also mixed with SMX (TMP/SMX; 50 μg L−1 of each) from real WWTP secondary effluents from anaerobic treatment systems. The removal of the sulfonamide resistance gene, sul1, was also evaluated. This is the first study assessed the removal of TMP alone and TMP associated with SMX in real effluent using microalgae-bacteria consortium without nutrient enrichment. Biodegradation experiments were conducted for 7 days, residual amount of antibiotics were assessed by low-temperature partitioning extraction (LTPE) followed by high-performance liquid chromatography coupled to electrospray ionization tandem mass spectrometry (HPLC-ESI-MS/MS) and sul1 was analyzed by quantitative Polymerase Chain Reaction (qPCR). Results showed that SMX removal (48.34%) was higher than TMP (24.58%) in the mixture. The presence of both antibiotics at 50 μg L−1 did not inhibit microalgae-bacteria consortium growth. After 7 days, there was a slight increase in the absolute abundance of sul1 and 16S rRNA. The main removal mechanism for both antibiotics might be attributed to symbiotic biodegradation as bioadsorption, bioaccumulation and abiotic factors were very low or insignificant. While the application of a microalgae-bacteria consortium as a quaternary treatment seems to be a promising alternative, further research to improve degradation rate aiming at a global removal >80% as required in the Swiss and European directives is encouraged.
甲氧苄啶(TMP)和磺胺甲恶唑(SMX)是抑菌剂,由于它们的协同作用,在感染治疗期间共同给药。一旦被消耗,TMP和SMX最终进入废水,并被引导到城市污水处理厂(WWTPs),而这些污水处理厂无法从城市污水中去除这些污染物。在环境中排放含有抗生素的污水处理厂污水是公共卫生的一个主要关切,因为它有助于抗菌素耐药性的传播。改善污水处理厂的处理是解决这一问题的措施之一。本研究采用低强度LED照射下培养的天然微藻-细菌联合体作为四元处理,评估了TMP单独(50 μg L-1)和SMX混合(TMP/SMX;各50 μg L-1)从厌氧处理系统的真实污水处理厂二次出水中提取。对磺胺抗性基因sul1的去除也进行了评价。这是第一个在没有营养物富集的情况下使用微藻-细菌联合体评估实际废水中单独去除TMP和与SMX相关的TMP的研究。进行7 d的生物降解实验,采用低温分配萃取(LTPE)、高效液相色谱-电喷雾电离串联质谱(HPLC-ESI-MS/MS)测定抗生素残留量,采用定量聚合酶链反应(qPCR)测定sul1含量。结果表明,SMX的去除率(48.34%)高于TMP(24.58%)。两种抗生素浓度均为50 μg -1时,均未抑制微藻-细菌联合体的生长。7天后,sul1和16S rRNA的绝对丰度略有增加。这两种抗生素的主要去除机制可能是共生生物降解,生物吸附、生物积累和非生物因素非常低或不显著。虽然微藻-细菌联合体作为四级处理的应用似乎是一个很有前途的选择,但鼓励进一步研究提高降解率,以达到瑞士和欧洲指令要求的80%的全球去除率。
{"title":"Biodegradation of trimethoprim and sulfamethoxazole in secondary effluent by microalgae-bacteria consortium","authors":"Daniel Aparecido da Silva Rodrigues ,&nbsp;Camila Cristina Rodrigues Ferreira da Cunha ,&nbsp;Andressa Rezende Pereira ,&nbsp;Daiana Rocha do Espírito Santo ,&nbsp;Silvana de Queiroz Silva ,&nbsp;Maria Clara Vieira Martins Starling ,&nbsp;Aníbal da Fonseca Santiago ,&nbsp;Robson José de Cássia Franco Afonso","doi":"10.1016/j.ijheh.2024.114517","DOIUrl":"10.1016/j.ijheh.2024.114517","url":null,"abstract":"<div><div>Trimethoprim (TMP) and sulfamethoxazole (SMX) are bacteriostatic agents, which are co-administered to patients during infection treatment due to their synergetic effects. Once consumed, TMP and SMX end up in wastewater and are directed to municipal wastewater treatment plants (WWTPs) which fail to remove these contaminants from municipal wastewater. The discharge of WWTP effluents containing antibiotics in the environment is a major concern for public health as it contributes to the spread of antimicrobial resistance. Improving treatment applied in WWTPs is one of the measures to tackle this issue. In this study, a natural microalgae-bacteria consortium cultivated under low intensity LED irradiation was used as a quaternary treatment to assess the removal of TMP alone (50 μg L<sup>−1</sup>) and also mixed with SMX (TMP/SMX; 50 μg L<sup>−1</sup> of each) from real WWTP secondary effluents from anaerobic treatment systems. The removal of the sulfonamide resistance gene, <em>sul1</em>, was also evaluated. This is the first study assessed the removal of TMP alone and TMP associated with SMX in real effluent using microalgae-bacteria consortium without nutrient enrichment. Biodegradation experiments were conducted for 7 days, residual amount of antibiotics were assessed by low-temperature partitioning extraction (LTPE) followed by high-performance liquid chromatography coupled to electrospray ionization tandem mass spectrometry (HPLC-ESI-MS/MS) and <em>sul1</em> was analyzed by quantitative Polymerase Chain Reaction (qPCR). Results showed that SMX removal (48.34%) was higher than TMP (24.58%) in the mixture. The presence of both antibiotics at 50 μg L<sup>−1</sup> did not inhibit microalgae-bacteria consortium growth. After 7 days, there was a slight increase in the absolute abundance of <em>sul1</em> and 16S rRNA. The main removal mechanism for both antibiotics might be attributed to symbiotic biodegradation as bioadsorption, bioaccumulation and abiotic factors were very low or insignificant. While the application of a microalgae-bacteria consortium as a quaternary treatment seems to be a promising alternative, further research to improve degradation rate aiming at a global removal &gt;80% as required in the Swiss and European directives is encouraged.</div></div>","PeriodicalId":13994,"journal":{"name":"International journal of hygiene and environmental health","volume":"264 ","pages":"Article 114517"},"PeriodicalIF":4.5,"publicationDate":"2024-12-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142901399","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A pathway-based genetic score for inflammation: An indicator of vulnerability to phthalate-induced adverse neurodevelopment outcomes 基于路径的炎症基因评分:邻苯二甲酸盐诱发不良神经发育结果的易感性指标。
IF 4.5 2区 医学 Q1 INFECTIOUS DISEASES Pub Date : 2024-12-24 DOI: 10.1016/j.ijheh.2024.114514
Ahmed Elagali , Alex Eisner , Samuel Tanner , Katherine Drummond , Christos Symeonides , Chloe Love , Mimi LK. Tang , Toby Mansell , David Burgner , Fiona Collier , Peter D. Sly , Martin O'Hely , Sarah Dunlop , Peter Vuillermin , Anne-Louise Ponsonby

Introduction

Phthalates, chemical additives used to enhance plastic products' flexibility, are easily released into the environment, and can harm the brain development through various mechanisms including inflammation. Genetic variation influencing an individual's susceptibility to inflammation may play a role in the effects of phthalate exposure on neurodevelopment however there is no summary measure developed for genetic susceptibility to inflammation.

Methods

We developed a genetic pathway function score for inflammation (gPFSin), based on the transcriptional activity of the inflammatory response pathway in the brain and other tissues. Using the Barwon Infant Study (a birth cohort of n = 1074), we examined the connection between gPFSin and key neurodevelopmental outcomes, along with the interplay between prenatal phthalate levels, children's genetic susceptibility to inflammation (gPFSin), and adverse neurodevelopmental outcomes.

Results

Regression techniques revealed consistent associations between gPFSin-phthalate combinations and key neurodevelopmental outcomes. A high gPFSin score was associated with an increased risk of doctor-diagnosed Autism Spectrum Disorder (ASD) and Attention-Deficit/Hyperactivity Disorder (ADHD) by age 11.5 years, with adjusted odds ratios of 2.15(p = 0.039) and 2.42(p = 0.005), respectively. Furthermore, individuals with both high gPFSin and prenatal phthalate exposure exhibited more neurodevelopmental problems. This included associations of high gPFSin and bis(2-ethylhexyl) phthalate (DEHP) levels with parent-reported ASD traits and doctor-diagnosed ASD. The attributable proportions due to this interaction were 0.39 (p = 0.045) and 0.37 (p = 0.037), respectively.

Conclusion

These findings contribute to the evidence linking gestational phthalate exposure and inflammation to adverse neurodevelopment and underscoring increased risks in children with higher genetic susceptibility to inflammation.
简介:邻苯二甲酸盐是一种用于增强塑料制品柔韧性的化学添加剂,它很容易释放到环境中,并会通过炎症等多种机制损害大脑发育。影响个体炎症易感性的遗传变异可能在邻苯二甲酸盐暴露对神经发育的影响中发挥作用,但目前还没有针对炎症遗传易感性的总结性测量方法。方法:基于大脑和其他组织中炎症反应通路的转录活性,我们开发了炎症遗传通路功能评分(gPFSin)。利用Barwon婴儿研究(n = 1074的出生队列),我们研究了gPFSin与关键神经发育结局之间的联系,以及产前邻苯二甲酸盐水平、儿童对炎症的遗传易感(gPFSin)和不良神经发育结局之间的相互作用。结果:回归技术揭示了gpfsin -邻苯二甲酸盐组合与关键神经发育结局之间的一致关联。高gPFSin评分与11.5岁时医生诊断的自闭症谱系障碍(ASD)和注意力缺陷/多动障碍(ADHD)的风险增加相关,调整后的优势比分别为2.15(p = 0.039)和2.42(p = 0.005)。此外,高gPFSin和产前邻苯二甲酸盐暴露的个体表现出更多的神经发育问题。这包括高gPFSin和邻苯二甲酸双(2-乙基己基)酯(DEHP)水平与父母报告的ASD特征和医生诊断的ASD之间的关联。这种相互作用的归因比例分别为0.39 (p = 0.045)和0.37 (p = 0.037)。结论:这些发现为妊娠期邻苯二甲酸盐暴露和炎症与不良神经发育联系起来提供了证据,并强调了对炎症遗传易感性较高的儿童的风险增加。
{"title":"A pathway-based genetic score for inflammation: An indicator of vulnerability to phthalate-induced adverse neurodevelopment outcomes","authors":"Ahmed Elagali ,&nbsp;Alex Eisner ,&nbsp;Samuel Tanner ,&nbsp;Katherine Drummond ,&nbsp;Christos Symeonides ,&nbsp;Chloe Love ,&nbsp;Mimi LK. Tang ,&nbsp;Toby Mansell ,&nbsp;David Burgner ,&nbsp;Fiona Collier ,&nbsp;Peter D. Sly ,&nbsp;Martin O'Hely ,&nbsp;Sarah Dunlop ,&nbsp;Peter Vuillermin ,&nbsp;Anne-Louise Ponsonby","doi":"10.1016/j.ijheh.2024.114514","DOIUrl":"10.1016/j.ijheh.2024.114514","url":null,"abstract":"<div><h3>Introduction</h3><div>Phthalates, chemical additives used to enhance plastic products' flexibility, are easily released into the environment, and can harm the brain development through various mechanisms including inflammation. Genetic variation influencing an individual's susceptibility to inflammation may play a role in the effects of phthalate exposure on neurodevelopment however there is no summary measure developed for genetic susceptibility to inflammation.</div></div><div><h3>Methods</h3><div>We developed a genetic pathway function score for inflammation (gPFS<sup>in</sup>), based on the transcriptional activity of the inflammatory response pathway in the brain and other tissues. Using the Barwon Infant Study (a birth cohort of <em>n</em> = 1074), we examined the connection between gPFS<sup>in</sup> and key neurodevelopmental outcomes, along with the interplay between prenatal phthalate levels, children's genetic susceptibility to inflammation (gPFS<sup>in</sup>), and adverse neurodevelopmental outcomes.</div></div><div><h3>Results</h3><div>Regression techniques revealed consistent associations between gPFS<sup>in</sup>-phthalate combinations and key neurodevelopmental outcomes. A high gPFS<sup>in</sup> score was associated with an increased risk of doctor-diagnosed Autism Spectrum Disorder (ASD) and Attention-Deficit/Hyperactivity Disorder (ADHD) by age 11.5 years, with adjusted odds ratios of 2.15(<em>p</em> = 0.039) and 2.42(<em>p</em> = 0.005), respectively. Furthermore, individuals with both high gPFS<sup>in</sup> and prenatal phthalate exposure exhibited more neurodevelopmental problems. This included associations of high gPFS<sup>in</sup> and bis(2-ethylhexyl) phthalate (DEHP) levels with parent-reported ASD traits and doctor-diagnosed ASD. The attributable proportions due to this interaction were 0.39 (p = 0.045) and 0.37 (p = 0.037), respectively.</div></div><div><h3>Conclusion</h3><div>These findings contribute to the evidence linking gestational phthalate exposure and inflammation to adverse neurodevelopment and underscoring increased risks in children with higher genetic susceptibility to inflammation.</div></div>","PeriodicalId":13994,"journal":{"name":"International journal of hygiene and environmental health","volume":"264 ","pages":"Article 114514"},"PeriodicalIF":4.5,"publicationDate":"2024-12-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142901397","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Long-term associations between ambient air pollution and self-perceived health status: Results from the population-based KORA-Fit study 环境空气污染与自我感知健康状况之间的长期关联:基于人群的KORA-Fit研究结果
IF 4.5 2区 医学 Q1 INFECTIOUS DISEASES Pub Date : 2024-12-23 DOI: 10.1016/j.ijheh.2024.114513
Minqi Liao , Siqi Zhang , Kathrin Wolf , Gabriele Bolte , Michael Laxy , Lars Schwettmann , Annette Peters , Alexandra Schneider , Ute Kraus

Background

Little is known about the association between air pollution and self-perceived health (including both health-related quality of life [HRQoL] and self-rated health [SRH]). The aim of this study was therefore to explore whether long-term air pollution exposure is associated with worse self-perceived health, as measured by different tools.

Methods

We used a land-use regression model to determine the annual average levels of particulate matter with a diameter <10 μm (PM10), coarse particles (PMcoarse), fine particles (PM2.5), fine particle absorbances (PM2.5abs), particle number concentration (PNC), ozone (O3), nitrogen dioxide (NO2), and nitrogen oxide (NOX) for geocoded residential addresses (2014–2015). Questionnaires and face-to-face interviews were used to collect HRQoL (measured using the European Quality of Life 5 Dimensions [EQ-5D] index and the European Quality of Life Visual Analogue Scale [EQ-VAS]) and SRH indicators (measured through two survey questions) (2018–2019) from participants of the Cooperative Health Research in the Region of Augsburg (KORA)-Fit study in Germany. We explored associations via generalized additive models, multinomial logistic regression, and logistic regression.

Results

We included 2610 participants with a mean age of 64.0 years in this cross-sectional study, of which 1428 (54.7%) were female. Each interquartile range (IQR) increase in O3 was associated with a reduced EQ-5D index value (% change of mean points and 95% confidence interval: -0.91% [-1.76; -0.06]). The average EQ-VAS score declined between -1.57% and -0.96% with each IQR increase in PM10, PMcoarse, PM2.5abs, PNC, NO2, and NOX. These pollutants were associated with increased occurrence of poor SRH, with odds ratios ranging from 1.24 to 2.67. PM2.5abs was linked to a higher likelihood of reporting a worse comparative SRH (2.59 [1.12; 5.99]). Body mass index and self-perceived stress modified these associations.

Conclusions

Long-term air pollution exposure was associated with poor self-perceived health, presenting as lower HRQoL and higher odds of poor SRH. Single-item indicators measuring self-perceived health status may work better than multi-dimensional indicators.
背景:空气污染与自我感知健康(包括与健康相关的生活质量[HRQoL]和自我评价健康[SRH])之间的关系知之甚少。因此,这项研究的目的是通过不同的工具来探索长期接触空气污染是否与自我感知的健康状况恶化有关。方法:利用土地利用回归模型确定2014-2015年地理编码居住地址的直径10)、粗颗粒(pm粗)、细颗粒(PM2.5)、细颗粒吸光度(PM2.5abs)、颗粒数浓度(PNC)、臭氧(O3)、二氧化氮(NO2)和氮氧化物(NOX)的年平均水平。采用问卷调查和面对面访谈的方式收集德国奥格斯堡地区合作健康研究(KORA)-Fit研究参与者的HRQoL(使用欧洲生活质量5维度指数[EQ-5D]和欧洲生活质量视觉模拟量表[EQ-VAS]测量)和SRH指标(通过两个调查问题测量)(2018-2019年)。我们通过广义加性模型、多项逻辑回归和逻辑回归来探索关联。结果:我们纳入了2610名平均年龄为64.0岁的参与者,其中1428名(54.7%)为女性。O3的每一个四分位数范围(IQR)的增加与EQ-5D指数值的降低相关(平均值和95%置信区间的变化百分比:-0.91% [-1.76;-0.06])。pm2.5、PM10、pm2.5、PNC、NO2和NOX每增加1个IQR,平均EQ-VAS评分下降-1.57% ~ -0.96%。这些污染物与不良SRH发生率增加有关,比值比从1.24到2.67不等。PM2.5abs与报告较差的相对SRH的可能性较高相关(2.59 [1.12;5.99])。体重指数和自我感知的压力改变了这些联系。结论:长期空气污染暴露与自我感觉健康状况不佳有关,表现为HRQoL较低,SRH较差的几率较高。衡量自我感知健康状况的单项指标可能比多维指标效果更好。
{"title":"Long-term associations between ambient air pollution and self-perceived health status: Results from the population-based KORA-Fit study","authors":"Minqi Liao ,&nbsp;Siqi Zhang ,&nbsp;Kathrin Wolf ,&nbsp;Gabriele Bolte ,&nbsp;Michael Laxy ,&nbsp;Lars Schwettmann ,&nbsp;Annette Peters ,&nbsp;Alexandra Schneider ,&nbsp;Ute Kraus","doi":"10.1016/j.ijheh.2024.114513","DOIUrl":"10.1016/j.ijheh.2024.114513","url":null,"abstract":"<div><h3>Background</h3><div>Little is known about the association between air pollution and self-perceived health (including both health-related quality of life [HRQoL] and self-rated health [SRH]). The aim of this study was therefore to explore whether long-term air pollution exposure is associated with worse self-perceived health, as measured by different tools.</div></div><div><h3>Methods</h3><div>We used a land-use regression model to determine the annual average levels of particulate matter with a diameter &lt;10 μm (PM<sub>10</sub>), coarse particles (PM<sub>coarse</sub>), fine particles (PM<sub>2.5</sub>), fine particle absorbances (PM<sub>2.5abs</sub>), particle number concentration (PNC), ozone (O<sub>3</sub>), nitrogen dioxide (NO<sub>2</sub>), and nitrogen oxide (NO<sub>X</sub>) for geocoded residential addresses (2014–2015). Questionnaires and face-to-face interviews were used to collect HRQoL (measured using the European Quality of Life 5 Dimensions [EQ-5D] index and the European Quality of Life Visual Analogue Scale [EQ-VAS]) and SRH indicators (measured through two survey questions) (2018–2019) from participants of the Cooperative Health Research in the Region of Augsburg (KORA)-Fit study in Germany. We explored associations via generalized additive models, multinomial logistic regression, and logistic regression.</div></div><div><h3>Results</h3><div>We included 2610 participants with a mean age of 64.0 years in this cross-sectional study, of which 1428 (54.7%) were female. Each interquartile range (IQR) increase in O<sub>3</sub> was associated with a reduced EQ-5D index value (% change of mean points and 95% confidence interval: -0.91% [-1.76; -0.06]). The average EQ-VAS score declined between -1.57% and -0.96% with each IQR increase in PM<sub>10</sub>, PM<sub>coarse</sub>, PM<sub>2.5abs</sub>, PNC, NO<sub>2</sub>, and NO<sub>X</sub>. These pollutants were associated with increased occurrence of poor SRH, with odds ratios ranging from 1.24 to 2.67. PM<sub>2.5abs</sub> was linked to a higher likelihood of reporting a worse comparative SRH (2.59 [1.12; 5.99]). Body mass index and self-perceived stress modified these associations.</div></div><div><h3>Conclusions</h3><div>Long-term air pollution exposure was associated with poor self-perceived health, presenting as lower HRQoL and higher odds of poor SRH. Single-item indicators measuring self-perceived health status may work better than multi-dimensional indicators.</div></div>","PeriodicalId":13994,"journal":{"name":"International journal of hygiene and environmental health","volume":"264 ","pages":"Article 114513"},"PeriodicalIF":4.5,"publicationDate":"2024-12-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142886307","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Association of urinary levels of trace metals with type 2 diabetes and obesity in postmenopausal women in Korea: A community-based cohort study 韩国绝经后妇女尿微量金属水平与2型糖尿病和肥胖的关系:一项基于社区的队列研究
IF 4.5 2区 医学 Q1 INFECTIOUS DISEASES Pub Date : 2024-12-19 DOI: 10.1016/j.ijheh.2024.114508
Min Kyong Moon , Gowoon Lee , Sohyeon Choi , Inae Lee , Aram Lee , Min Joo Kim , Suhyun Park , Yoon Hee Cho , Young Joo Park , Sohee Oh , Jeongim Park , Nam H. Cho , Kyungho Choi
Several toxic metals have been associated with metabolic diseases like obesity and diabetes mellitus (DM) in humans. However, knowledge regarding the influence of many trace elements, especially in combination with essential elements is limited. This study aims to address this research gap by investigating the associations of both non-essential and essential inorganic trace elements in urine with DM and obesity, employing a group of postmenopausal women (n = 851) from the Korean Genome and Epidemiology Study (KoGES) cohort. Urine samples were collected during 2017–2018, and were analyzed for 19 trace elements using inductively coupled plasma–mass spectrometry and an automatic mercury analyzer. Outcomes of interest were metabolic diseases (DM and obesity) and DM-related traits (insulin resistance and β-cell function). After adjustment of covariates, such as age, alcohol consumption, smoking status, educational level, and daily energy intake, urinary Zn, Ni, Tl, and U levels were associated with the prevalence of DM and homeostatic model assessment (HOMA) for insulin resistance (IR) in the postmenopausal women. In the whole mixture model, however, no significant association was observed for the prevalence of DM. Urinary levels of Zn were negatively associated with HOMA of β-cell function (HOMA-β), positively correlated with HbA1c levels, HOMA-IR, and prevalent DM. In addition, urinary Zn, Co, Tl, and Cs were positively associated with obesity (body mass index ≥25 kg/m2). The present observation shows that several individual elements and their mixtures may be associated with the prevalence of DM, IR, or obesity.
几种有毒金属与人类肥胖和糖尿病(DM)等代谢性疾病有关。然而,关于许多微量元素的影响,特别是与必需元素结合的影响的知识是有限的。本研究旨在通过调查尿液中非必需和必需无机微量元素与糖尿病和肥胖的关系来解决这一研究空白,研究对象是一组来自韩国基因组和流行病学研究(KoGES)队列的绝经后妇女(n = 851)。采集2017-2018年尿液样本,采用电感耦合等离子体质谱法和自动汞分析仪对19种微量元素进行分析。研究的结果是代谢疾病(糖尿病和肥胖)和糖尿病相关性状(胰岛素抵抗和β细胞功能)。在调整协变量(如年龄、饮酒、吸烟、教育水平和每日能量摄入)后,尿Zn、Ni、Tl和U水平与绝经后妇女糖尿病患病率和胰岛素抵抗(IR)的稳态模型评估(HOMA)相关。然而,在整个混合模型中,未观察到与糖尿病患病率的显著相关性。尿锌水平与β细胞功能HOMA (HOMA-β)呈负相关,与HbA1c水平、HOMA- ir和糖尿病患病率呈正相关。此外,尿锌、Co、Tl和Cs与肥胖(体重指数≥25 kg/m2)呈正相关。目前的观察表明,几个单独的因素及其混合物可能与糖尿病、糖尿病或肥胖症的流行有关。
{"title":"Association of urinary levels of trace metals with type 2 diabetes and obesity in postmenopausal women in Korea: A community-based cohort study","authors":"Min Kyong Moon ,&nbsp;Gowoon Lee ,&nbsp;Sohyeon Choi ,&nbsp;Inae Lee ,&nbsp;Aram Lee ,&nbsp;Min Joo Kim ,&nbsp;Suhyun Park ,&nbsp;Yoon Hee Cho ,&nbsp;Young Joo Park ,&nbsp;Sohee Oh ,&nbsp;Jeongim Park ,&nbsp;Nam H. Cho ,&nbsp;Kyungho Choi","doi":"10.1016/j.ijheh.2024.114508","DOIUrl":"10.1016/j.ijheh.2024.114508","url":null,"abstract":"<div><div>Several toxic metals have been associated with metabolic diseases like obesity and diabetes mellitus (DM) in humans. However, knowledge regarding the influence of many trace elements, especially in combination with essential elements is limited. This study aims to address this research gap by investigating the associations of both non-essential and essential inorganic trace elements in urine with DM and obesity, employing a group of postmenopausal women (<em>n</em> = 851) from the Korean Genome and Epidemiology Study (KoGES) cohort. Urine samples were collected during 2017–2018, and were analyzed for 19 trace elements using inductively coupled plasma–mass spectrometry and an automatic mercury analyzer. Outcomes of interest were metabolic diseases (DM and obesity) and DM-related traits (insulin resistance and β-cell function). After adjustment of covariates, such as age, alcohol consumption, smoking status, educational level, and daily energy intake, urinary Zn, Ni, Tl, and U levels were associated with the prevalence of DM and homeostatic model assessment (HOMA) for insulin resistance (IR) in the postmenopausal women. In the whole mixture model, however, no significant association was observed for the prevalence of DM. Urinary levels of Zn were negatively associated with HOMA of β-cell function (HOMA-β), positively correlated with HbA1c levels, HOMA-IR, and prevalent DM. In addition, urinary Zn, Co, Tl, and Cs were positively associated with obesity (body mass index ≥25 kg/m<sup>2</sup>). The present observation shows that several individual elements and their mixtures may be associated with the prevalence of DM, IR, or obesity.</div></div>","PeriodicalId":13994,"journal":{"name":"International journal of hygiene and environmental health","volume":"264 ","pages":"Article 114508"},"PeriodicalIF":4.5,"publicationDate":"2024-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142873702","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Physical urban environment and cardiometabolic diseases in the five largest Bulgarian cities 保加利亚五个最大城市的城市自然环境和心脏代谢疾病。
IF 4.5 2区 医学 Q1 INFECTIOUS DISEASES Pub Date : 2024-12-18 DOI: 10.1016/j.ijheh.2024.114512
Angel M. Dzhambov , Donka Dimitrova , Angel Burov , Marco Helbich , Iana Markevych , Mark J. Nieuwenhuijsen
This study investigated the associations between residential environmental characteristics and the prevalence of cardiometabolic diseases in the five largest Bulgarian cities. Representative cross-sectional survey data (N = 4640 adults) was collected in Sofia, Plovdiv, Varna, Burgas, and Ruse. Participants self-reported diagnosis or medication intake for hypertension, ischemic heart disease (IHD), stroke, and diabetes mellitus, as well as domestic burning of solid fuel and having a domestic garden. Residential addresses were linked to greenspace (overall vegetation level, tree cover, urban greenspace), bluespace, walkability, air pollution (NO2), and traffic noise (Lden). In the 300 m buffer, bluespace presence was inversely associated with hypertension (odds ratio [OR] = 0.67; 95% CI: 0.45, 1.00), IHD (OR = 0.45; 95% CI: 0.21, 0.99), and diabetes (OR = 0.51; 95% CI: 0.25, 1.04). Higher walkability and tree cover were inversely associated with hypertension (OR per 2 units = 0.85; 95% CI: 0.75, 0.96) and diabetes (OR per 10% = 0.77; 95% CI: 0.62, 0.97), respectively. These associations were stronger in larger buffers. Solid fuel burning was associated with IHD (OR = 1.63; 95% CI: 1.07, 2.50). There was an indication of a positive association between aircraft Lden and both stroke and IHD. The direction of the associations for domestic gardens, NO2, road traffic and railway Lden was counterintuitive. We detected some nonlinear associations. In conclusion, people living in urban neighborhoods that were more walkable, closer to bluespace, and greener had lower prevalence of cardiometabolic diseases, while solid fuel burning was associated with higher odds of cardiovascular diseases. Unexpected associations with some exposures may be due to unaccounted for urban fabric characteristics. This study is among the first assessing an understudied region in Southeastern Europe. Its findings have the potential to inform public discourse and provide evidence to support the implementation of urban design conducive to cardiometabolic health.
这项研究调查了保加利亚五个最大城市的居住环境特征与心脏代谢疾病患病率之间的关系。在索非亚、普罗夫迪夫、瓦尔纳、布尔加斯和鲁塞收集了代表性的横断面调查数据(N = 4640名成年人)。参与者自我报告了高血压、缺血性心脏病(IHD)、中风和糖尿病的诊断或药物摄入量,以及家庭燃烧固体燃料和拥有家庭花园。住宅地址与绿地(总体植被水平、树木覆盖、城市绿地)、蓝色空间、可步行性、空气污染(NO2)和交通噪音(Lden)有关。在300 m缓冲区,蓝色空间的存在与高血压呈负相关(优势比[OR] = 0.67;95% ci: 0.45, 1.00), ihd (or = 0.45;95% CI: 0.21, 0.99)和糖尿病(OR = 0.51;95% ci: 0.25, 1.04)。较高的步行能力和树木覆盖率与高血压呈负相关(OR / 2单位= 0.85;95% CI: 0.75, 0.96)和糖尿病(OR每10% = 0.77;95% CI: 0.62, 0.97)。这些关联在更大的缓冲中更强。固体燃料燃烧与IHD相关(OR = 1.63;95% ci: 1.07, 2.50)。有迹象表明,飞机Lden与中风和IHD呈正相关。家庭园林、NO2、道路交通和铁路Lden协会的方向是违反直觉的。我们发现了一些非线性关联。总之,生活在更适合步行、更靠近蓝色空间、更环保的城市社区的人患心血管代谢疾病的几率更低,而燃烧固体燃料的人患心血管疾病的几率更高。与某些暴露的意外关联可能是由于未解释的城市结构特征。这项研究是首批评估东南欧研究不足地区的研究之一。其研究结果有可能为公共话语提供信息,并为支持有利于心脏代谢健康的城市设计的实施提供证据。
{"title":"Physical urban environment and cardiometabolic diseases in the five largest Bulgarian cities","authors":"Angel M. Dzhambov ,&nbsp;Donka Dimitrova ,&nbsp;Angel Burov ,&nbsp;Marco Helbich ,&nbsp;Iana Markevych ,&nbsp;Mark J. Nieuwenhuijsen","doi":"10.1016/j.ijheh.2024.114512","DOIUrl":"10.1016/j.ijheh.2024.114512","url":null,"abstract":"<div><div>This study investigated the associations between residential environmental characteristics and the prevalence of cardiometabolic diseases in the five largest Bulgarian cities. Representative cross-sectional survey data (N = 4640 adults) was collected in Sofia, Plovdiv, Varna, Burgas, and Ruse. Participants self-reported diagnosis or medication intake for hypertension, ischemic heart disease (IHD), stroke, and diabetes mellitus, as well as domestic burning of solid fuel and having a domestic garden. Residential addresses were linked to greenspace (overall vegetation level, tree cover, urban greenspace), bluespace, walkability, air pollution (NO<sub>2</sub>), and traffic noise (L<sub>den</sub>). In the 300 m buffer, bluespace presence was inversely associated with hypertension (odds ratio [OR] = 0.67; 95% CI: 0.45, 1.00), IHD (OR = 0.45; 95% CI: 0.21, 0.99), and diabetes (OR = 0.51; 95% CI: 0.25, 1.04). Higher walkability and tree cover were inversely associated with hypertension (OR <sub>per 2 units</sub> = 0.85; 95% CI: 0.75, 0.96) and diabetes (OR <sub>per 10%</sub> = 0.77; 95% CI: 0.62, 0.97), respectively. These associations were stronger in larger buffers. Solid fuel burning was associated with IHD (OR = 1.63; 95% CI: 1.07, 2.50). There was an indication of a positive association between aircraft L<sub>den</sub> and both stroke and IHD. The direction of the associations for domestic gardens, NO<sub>2</sub>, road traffic and railway L<sub>den</sub> was counterintuitive. We detected some nonlinear associations. In conclusion, people living in urban neighborhoods that were more walkable, closer to bluespace, and greener had lower prevalence of cardiometabolic diseases, while solid fuel burning was associated with higher odds of cardiovascular diseases. Unexpected associations with some exposures may be due to unaccounted for urban fabric characteristics. This study is among the first assessing an understudied region in Southeastern Europe. Its findings have the potential to inform public discourse and provide evidence to support the implementation of urban design conducive to cardiometabolic health.</div></div>","PeriodicalId":13994,"journal":{"name":"International journal of hygiene and environmental health","volume":"264 ","pages":"Article 114512"},"PeriodicalIF":4.5,"publicationDate":"2024-12-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142866892","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Sensor-measured versus reported latrine use to characterize sanitation intervention uptake in a randomized controlled trial among households in rural Bangladesh 在孟加拉国农村家庭随机对照试验中,通过传感器测量与报告厕所使用情况来描述卫生干预措施的吸收情况。
IF 4.5 2区 医学 Q1 INFECTIOUS DISEASES Pub Date : 2024-12-13 DOI: 10.1016/j.ijheh.2024.114511
Mahfuza Islam , Jesse D. Contreras , Leanne Unicomb , Mahbubur Rahman , Benjamin F. Arnold , John M. Colford , Stephen P. Luby , Evan A. Thomas , Ayse Ercumen
Sanitation programs typically measure latrine access, which does not equate to use. We aimed to objectively measure latrine use with sensors among households enrolled in the sanitation and control groups of a randomized controlled trial (WASH Benefits) in Bangladesh. The intervention provided upgraded latrines and behavioral promotion. We recorded self-reported latrine use quarterly 1–3.5 years after intervention initiation. We installed motion sensors in household latrines in two annual waves (1.5–2.5 and 2.5–3.5 years after intervention initiation). We used zero-inflated negative binomial regression to compare sensor-measured daily latrine use events/person between (1) sanitation and control groups, and (2) households with different levels of self-reported latrine use. Households receiving the sanitation intervention had more sensor-measured daily latrine use events/person than controls in the first wave of sensor observations (ratio: 1.18, 1.06–1.32) but not in the second wave (ratio: 0.95, 0.86–1.05). In the sanitation group, households reporting exclusive latrine use (individuals >3 years always defecating in latrine) had a similar number of sensor-measured latrine use events as those not reporting exclusive use (ratio: 0.97, 0.86–1.09). In the control group, households reporting exclusive latrine use truly had more sensor-measured latrine use events than households not reporting exclusive use (ratio: 1.19, 1.03–1.37). We objectively demonstrate higher latrine use among sanitation intervention recipients than controls up to 2.5 but not 3.5 years after intervention initiation, indicating reduced uptake over time. Self-reported latrine use appears inflated among intervention recipients but not controls. Our findings underscore the importance of longitudinal follow-up and objective measurements in sanitation program assessments.
卫生项目通常会衡量厕所的使用情况,但这并不等同于厕所的使用情况。我们的目标是利用传感器客观测量孟加拉国一项随机对照试验(WASH Benefits)中卫生设施组和对照组家庭的厕所使用情况。干预措施提供了升级的厕所和行为推广。在干预开始后的 1-3.5 年中,我们每季度记录一次自我报告的厕所使用情况。我们每年分两次(干预启动后 1.5-2.5 年和 2.5-3.5 年)在家庭厕所安装移动传感器。我们使用零膨胀负二项回归法对以下两组家庭进行了比较:(1) 卫生设施组和对照组;(2) 自我报告厕所使用情况不同的家庭。在第一波传感器观测中,接受卫生设施干预的家庭比对照组有更多的传感器测量到的每日厕所使用次数/人(比率:1.18,1.06-1.32),但在第二波观测中没有发现这种情况(比率:0.95,0.86-1.05)。在卫生设施组中,报告完全使用厕所的家庭(大于 3 岁的人总是在厕所排便)与未报告完全使用厕所的家庭的传感器测量到的厕所使用次数相似(比率:0.97,0.86-1.09)。在对照组中,真正报告独家使用厕所的家庭与未报告独家使用厕所的家庭相比,传感器测量的厕所使用次数更多(比率:1.19,1.03-1.37)。我们客观地证明,在干预开始后的 2.5 年内,卫生设施干预对象的厕所使用率高于对照组,但在 3.5 年内则没有,这表明随着时间的推移,使用率有所下降。在干预对象中,自我报告的厕所使用率似乎被夸大了,但在对照组中却没有。我们的研究结果强调了在卫生项目评估中进行纵向跟踪和客观测量的重要性。
{"title":"Sensor-measured versus reported latrine use to characterize sanitation intervention uptake in a randomized controlled trial among households in rural Bangladesh","authors":"Mahfuza Islam ,&nbsp;Jesse D. Contreras ,&nbsp;Leanne Unicomb ,&nbsp;Mahbubur Rahman ,&nbsp;Benjamin F. Arnold ,&nbsp;John M. Colford ,&nbsp;Stephen P. Luby ,&nbsp;Evan A. Thomas ,&nbsp;Ayse Ercumen","doi":"10.1016/j.ijheh.2024.114511","DOIUrl":"10.1016/j.ijheh.2024.114511","url":null,"abstract":"<div><div>Sanitation programs typically measure latrine access, which does not equate to use. We aimed to objectively measure latrine use with sensors among households enrolled in the sanitation and control groups of a randomized controlled trial (WASH Benefits) in Bangladesh. The intervention provided upgraded latrines and behavioral promotion. We recorded self-reported latrine use quarterly 1–3.5 years after intervention initiation. We installed motion sensors in household latrines in two annual waves (1.5–2.5 and 2.5–3.5 years after intervention initiation). We used zero-inflated negative binomial regression to compare sensor-measured daily latrine use events/person between (1) sanitation and control groups, and (2) households with different levels of self-reported latrine use. Households receiving the sanitation intervention had more sensor-measured daily latrine use events/person than controls in the first wave of sensor observations (ratio: 1.18, 1.06–1.32) but not in the second wave (ratio: 0.95, 0.86–1.05). In the sanitation group, households reporting exclusive latrine use (individuals &gt;3 years always defecating in latrine) had a similar number of sensor-measured latrine use events as those not reporting exclusive use (ratio: 0.97, 0.86–1.09). In the control group, households reporting exclusive latrine use truly had more sensor-measured latrine use events than households not reporting exclusive use (ratio: 1.19, 1.03–1.37). We objectively demonstrate higher latrine use among sanitation intervention recipients than controls up to 2.5 but not 3.5 years after intervention initiation, indicating reduced uptake over time. Self-reported latrine use appears inflated among intervention recipients but not controls. Our findings underscore the importance of longitudinal follow-up and objective measurements in sanitation program assessments.</div></div>","PeriodicalId":13994,"journal":{"name":"International journal of hygiene and environmental health","volume":"264 ","pages":"Article 114511"},"PeriodicalIF":4.5,"publicationDate":"2024-12-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142824929","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Prenatal ozone exposure and child lung function: Exploring effect modification by oxidative balance score 产前臭氧暴露与儿童肺功能:探讨氧化平衡评分的影响。
IF 4.5 2区 医学 Q1 INFECTIOUS DISEASES Pub Date : 2024-12-12 DOI: 10.1016/j.ijheh.2024.114491
Logan C. Dearborn , Marnie F. Hazlehurst , Melissa M. Melough , Adam A. Szpiro , Allison R. Sherris , Margaret A. Adgent , Yu Ni , Rosalind J. Wright , Neeta Thakur , Nicole R. Bush , Paul E. Moore , Christine T. Loftus , Catherine J. Karr , Kecia N. Carroll

Background

Prenatal exposures to ozone (O3) may impact child lung function, including through oxidative stress pathways, contributing to lifelong morbidity. Diet, reflected in oxidative balance scores (OBS), may modify these pathways and is a potential target for interventions to mitigate O3 effects.

Methods

We examined associations between prenatal exposure to O3 and child lung function at age 8–9 years via spirometry in the CANDLE cohort within the ECHO-PATHWAYS Consortium. O3 was estimated using a point-based spatiotemporal model and averaged over fetal morphological lung development phases: pseudoglandular, canalicular, and saccular. Lung function z-scores were calculated for FEV1, FVC, FEV1/FVC, and FEF25-75. OBS during pregnancy was derived using maternal diet and lifestyle factors. Linear regression models adjusted for child, maternal, and neighborhood characteristics and exposure in other prenatal windows. Using two and three-way multiplicative interaction terms, we explored effect modification by OBS and maternal race.

Results

Women (N = 661) self-identified as Black (61%), White (33%), or another race (6%); 40.7% attended some college/technical school. Mean O3 concentrations ranged from 26.1 to 29.5 ppb across exposure windows. No associations between prenatal O3 exposure and lung function were observed in primary models, although there was a suggestive adverse association of 10 ppb higher O3 in the saccular window (24–35 weeks) with lower z-scores for FEV1/FVC (−0.23, 95% CI: −0.52, 0.05) and FEF25-75 (−0.17, 95% CI: −0.43, 0.09). No effect modification by OBS or maternal race was found in two-way models. In three-way interaction models, higher O3 was associated with lower child FEV1 among Black women with lower OBS and among White women with higher OBS although data was sparse for those with the highest OBS.

Conclusions

In a large, well-characterized pregnancy cohort, we did not find robust evidence of an effect of prenatal O3 on lung function. There was suggestion of enhanced vulnerability for some subgroups in exploratory analyses.
背景:产前暴露于臭氧(O3)可能会影响儿童的肺功能,包括通过氧化应激途径,导致终身发病。反映在氧化平衡评分(OBS)中的饮食可能会改变这些途径,是减轻臭氧影响的潜在干预目标:方法:我们在 ECHO-PATHWAYS 联盟的 CANDLE 队列中通过肺活量测定法研究了产前暴露于 O3 与 8-9 岁儿童肺功能之间的关系。采用基于点的时空模型估算 O3,并在假腺体、管状和囊状等胎儿肺部形态发育阶段取平均值。计算了FEV1、FVC、FEV1/FVC和FEF25-75的肺功能Z值。孕期 OBS 是通过母亲的饮食和生活方式因素得出的。线性回归模型调整了儿童、母亲和邻里特征以及其他产前窗口期的暴露情况。我们利用双向和三向乘法交互项,探讨了OBS和母亲种族对影响的修饰作用:妇女(N = 661)自我认同为黑人(61%)、白人(33%)或其他种族(6%);40.7%上过一些大学/技校。各暴露窗口的平均臭氧浓度介于 26.1 至 29.5 ppb 之间。在主要模型中未观察到产前暴露于臭氧与肺功能之间存在关联,但在骶骨窗口(24-35 周)中高 10 ppb 的臭氧与较低的 FEV1/FVC (-0.23, 95% CI: -0.52, 0.05) 和 FEF25-75 (-0.17, 95% CI: -0.43, 0.09) 的 z 值之间存在提示性的不利关联。在双向模型中,未发现 OBS 或母亲种族对影响的修饰作用。在三方交互模型中,在OBS较低的黑人妇女和OBS较高的白人妇女中,较高的O3与较低的儿童FEV1相关,但OBS最高的妇女数据稀少:在一个大型、特征明确的妊娠队列中,我们没有发现产前臭氧对肺功能有影响的有力证据。在探索性分析中,有迹象表明某些亚群的肺功能更易受到影响。
{"title":"Prenatal ozone exposure and child lung function: Exploring effect modification by oxidative balance score","authors":"Logan C. Dearborn ,&nbsp;Marnie F. Hazlehurst ,&nbsp;Melissa M. Melough ,&nbsp;Adam A. Szpiro ,&nbsp;Allison R. Sherris ,&nbsp;Margaret A. Adgent ,&nbsp;Yu Ni ,&nbsp;Rosalind J. Wright ,&nbsp;Neeta Thakur ,&nbsp;Nicole R. Bush ,&nbsp;Paul E. Moore ,&nbsp;Christine T. Loftus ,&nbsp;Catherine J. Karr ,&nbsp;Kecia N. Carroll","doi":"10.1016/j.ijheh.2024.114491","DOIUrl":"10.1016/j.ijheh.2024.114491","url":null,"abstract":"<div><h3>Background</h3><div>Prenatal exposures to ozone (O<sub>3</sub>) may impact child lung function, including through oxidative stress pathways, contributing to lifelong morbidity. Diet, reflected in oxidative balance scores (OBS), may modify these pathways and is a potential target for interventions to mitigate O<sub>3</sub> effects.</div></div><div><h3>Methods</h3><div>We examined associations between prenatal exposure to O<sub>3</sub> and child lung function at age 8–9 years via spirometry in the CANDLE cohort within the ECHO-PATHWAYS Consortium. O<sub>3</sub> was estimated using a point-based spatiotemporal model and averaged over fetal morphological lung development phases: pseudoglandular, canalicular, and saccular. Lung function z-scores were calculated for FEV<sub>1</sub>, FVC, FEV<sub>1</sub>/FVC, and FEF<sub>25-75</sub>. OBS during pregnancy was derived using maternal diet and lifestyle factors. Linear regression models adjusted for child, maternal, and neighborhood characteristics and exposure in other prenatal windows. Using two and three-way multiplicative interaction terms, we explored effect modification by OBS and maternal race.</div></div><div><h3>Results</h3><div>Women (N = 661) self-identified as Black (61%), White (33%), or another race (6%); 40.7% attended some college/technical school. Mean O<sub>3</sub> concentrations ranged from 26.1 to 29.5 ppb across exposure windows. No associations between prenatal O<sub>3</sub> exposure and lung function were observed in primary models, although there was a suggestive adverse association of 10 ppb higher O<sub>3</sub> in the saccular window (24–35 weeks) with lower z-scores for FEV<sub>1</sub>/FVC (−0.23, 95% CI: −0.52, 0.05) and FEF<sub>25-75</sub> (−0.17, 95% CI: −0.43, 0.09). No effect modification by OBS or maternal race was found in two-way models. In three-way interaction models, higher O<sub>3</sub> was associated with lower child FEV<sub>1</sub> among Black women with lower OBS and among White women with higher OBS although data was sparse for those with the highest OBS.</div></div><div><h3>Conclusions</h3><div>In a large, well-characterized pregnancy cohort, we did not find robust evidence of an effect of prenatal O<sub>3</sub> on lung function. There was suggestion of enhanced vulnerability for some subgroups in exploratory analyses.</div></div>","PeriodicalId":13994,"journal":{"name":"International journal of hygiene and environmental health","volume":"264 ","pages":"Article 114491"},"PeriodicalIF":4.5,"publicationDate":"2024-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11788037/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142822987","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Biomonitoring of toxic metal exposure in New Jersey adults in 2015–2018 2015-2018年新泽西州成人有毒金属暴露的生物监测。
IF 4.5 2区 医学 Q1 INFECTIOUS DISEASES Pub Date : 2024-12-12 DOI: 10.1016/j.ijheh.2024.114510
Chang Ho Yu, Eric Bind, Andrew Steffens, Douglas Haltmeier, Collin D. Riker, Jhindan Mukherjee, Zhihua Tina Fan
This study explores the potential of a convenience sample-based probing approach as a cost-effective alternative for state-level biomonitoring surveillance, addressing the logistical and practical challenges when applying comprehensive probability-based population studies at a state-level. The New Jersey Department of Health (NJDOH) conducted a large-scale biomonitoring study using 2988 blood samples and 1007 urine samples collected from clinical laboratories and blood banks statewide from 2015 to 2018 to characterize toxic metal exposure patterns and trends. The resulting data were analyzed to identify contributing factors and compared to concurrent U.S. population levels from the National Health and Nutrition Examination Survey (NHANES). The study also examined spatial factors such as proximity to environmental sources and residential classification (urban, suburban, and rural) on exposure levels. Results showed that New Jersey adults had higher prevalence levels of mercury in blood (8.1%; ≥5 μg/L) and arsenic in urine (4.1%; ≥100 μg/L) than US adults (5.98% and 2.87%, respectively). Metal levels varied by sex and age, with lower levels observed in younger populations (20–39 years). Proximity to Superfund sites and residential classification were generally not significant factors in explaining measured metal concentrations. This first-of-its-kind study of toxic metal levels in New Jersey adults demonstrates the effectiveness of the convenience sample-based approach in rapidly establishing statewide baseline data. The results highlight the need for ongoing biomonitoring of the New Jersey population and provide valuable baseline information for future research. These findings offer crucial insights for healthcare providers and policymakers in addressing environmental contaminant exposures and developing targeted public health interventions.
本研究探讨了基于便利样本的探测方法作为州级生物监测监控的一种具有成本效益的替代方法的潜力,解决了在州级应用基于概率的综合人口研究时的后勤和实际挑战。新泽西州卫生部(NJDOH)利用 2015 年至 2018 年期间从全州临床实验室和血库收集的 2988 份血液样本和 1007 份尿液样本开展了一项大规模生物监测研究,以确定有毒金属暴露模式和趋势。对所得数据进行了分析,以确定致病因素,并与美国国家健康与营养调查(NHANES)中的同期美国人口水平进行了比较。该研究还考察了空间因素,如与环境源的距离和住宅分类(城市、郊区和农村)对暴露水平的影响。结果显示,与美国成年人(分别为 5.98% 和 2.87%)相比,新泽西州成年人血液中汞(8.1%;≥5 微克/升)和尿液中砷(4.1%;≥100 微克/升)的普遍水平更高。金属含量因性别和年龄而异,较年轻人群(20-39 岁)的金属含量较低。在解释测量到的金属浓度时,靠近超级基金场地和住宅分类通常不是重要因素。这项针对新泽西州成年人有毒金属含量的研究尚属首次,它证明了方便取样法在快速建立全州基线数据方面的有效性。研究结果强调了对新泽西州人口进行持续生物监测的必要性,并为未来研究提供了宝贵的基线信息。这些发现为医疗保健提供者和政策制定者解决环境污染物暴露问题和制定有针对性的公共卫生干预措施提供了重要的启示。
{"title":"Biomonitoring of toxic metal exposure in New Jersey adults in 2015–2018","authors":"Chang Ho Yu,&nbsp;Eric Bind,&nbsp;Andrew Steffens,&nbsp;Douglas Haltmeier,&nbsp;Collin D. Riker,&nbsp;Jhindan Mukherjee,&nbsp;Zhihua Tina Fan","doi":"10.1016/j.ijheh.2024.114510","DOIUrl":"10.1016/j.ijheh.2024.114510","url":null,"abstract":"<div><div>This study explores the potential of a convenience sample-based probing approach as a cost-effective alternative for state-level biomonitoring surveillance, addressing the logistical and practical challenges when applying comprehensive probability-based population studies at a state-level. The New Jersey Department of Health (NJDOH) conducted a large-scale biomonitoring study using 2988 blood samples and 1007 urine samples collected from clinical laboratories and blood banks statewide from 2015 to 2018 to characterize toxic metal exposure patterns and trends. The resulting data were analyzed to identify contributing factors and compared to concurrent U.S. population levels from the National Health and Nutrition Examination Survey (NHANES). The study also examined spatial factors such as proximity to environmental sources and residential classification (urban, suburban, and rural) on exposure levels. Results showed that New Jersey adults had higher prevalence levels of mercury in blood (8.1%; ≥5 μg/L) and arsenic in urine (4.1%; ≥100 μg/L) than US adults (5.98% and 2.87%, respectively). Metal levels varied by sex and age, with lower levels observed in younger populations (20–39 years). Proximity to Superfund sites and residential classification were generally not significant factors in explaining measured metal concentrations. This first-of-its-kind study of toxic metal levels in New Jersey adults demonstrates the effectiveness of the convenience sample-based approach in rapidly establishing statewide baseline data. The results highlight the need for ongoing biomonitoring of the New Jersey population and provide valuable baseline information for future research. These findings offer crucial insights for healthcare providers and policymakers in addressing environmental contaminant exposures and developing targeted public health interventions.</div></div>","PeriodicalId":13994,"journal":{"name":"International journal of hygiene and environmental health","volume":"264 ","pages":"Article 114510"},"PeriodicalIF":4.5,"publicationDate":"2024-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142822983","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
期刊
International journal of hygiene and environmental health
全部 Acc. Chem. Res. ACS Applied Bio Materials ACS Appl. Electron. Mater. ACS Appl. Energy Mater. ACS Appl. Mater. Interfaces ACS Appl. Nano Mater. ACS Appl. Polym. Mater. ACS BIOMATER-SCI ENG ACS Catal. ACS Cent. Sci. ACS Chem. Biol. ACS Chemical Health & Safety ACS Chem. Neurosci. ACS Comb. Sci. ACS Earth Space Chem. ACS Energy Lett. ACS Infect. Dis. ACS Macro Lett. ACS Mater. Lett. ACS Med. Chem. Lett. ACS Nano ACS Omega ACS Photonics ACS Sens. ACS Sustainable Chem. Eng. ACS Synth. Biol. Anal. Chem. BIOCHEMISTRY-US Bioconjugate Chem. BIOMACROMOLECULES Chem. Res. Toxicol. Chem. Rev. Chem. Mater. CRYST GROWTH DES ENERG FUEL Environ. Sci. Technol. Environ. Sci. Technol. Lett. Eur. J. Inorg. Chem. IND ENG CHEM RES Inorg. Chem. J. Agric. Food. Chem. J. Chem. Eng. Data J. Chem. Educ. J. Chem. Inf. Model. J. Chem. Theory Comput. J. Med. Chem. J. Nat. Prod. J PROTEOME RES J. Am. Chem. Soc. LANGMUIR MACROMOLECULES Mol. Pharmaceutics Nano Lett. Org. Lett. ORG PROCESS RES DEV ORGANOMETALLICS J. Org. Chem. J. Phys. Chem. J. Phys. Chem. A J. Phys. Chem. B J. Phys. Chem. C J. Phys. Chem. Lett. Analyst Anal. Methods Biomater. Sci. Catal. Sci. Technol. Chem. Commun. Chem. Soc. Rev. CHEM EDUC RES PRACT CRYSTENGCOMM Dalton Trans. Energy Environ. Sci. ENVIRON SCI-NANO ENVIRON SCI-PROC IMP ENVIRON SCI-WAT RES Faraday Discuss. Food Funct. Green Chem. Inorg. Chem. Front. Integr. Biol. J. Anal. At. Spectrom. J. Mater. Chem. A J. Mater. Chem. B J. Mater. Chem. C Lab Chip Mater. Chem. Front. Mater. Horiz. MEDCHEMCOMM Metallomics Mol. Biosyst. Mol. Syst. Des. Eng. Nanoscale Nanoscale Horiz. Nat. Prod. Rep. New J. Chem. Org. Biomol. Chem. Org. Chem. Front. PHOTOCH PHOTOBIO SCI PCCP Polym. Chem.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
0
微信
客服QQ
Book学术公众号 扫码关注我们
反馈
×
意见反馈
请填写您的意见或建议
请填写您的手机或邮箱
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
Book学术官方微信
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术
文献互助 智能选刊 最新文献 互助须知 联系我们:info@booksci.cn
Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。
Copyright © 2023 Book学术 All rights reserved.
ghs 京公网安备 11010802042870号 京ICP备2023020795号-1