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Plastic induced urinary tract disease and dysfunction: a scoping review 塑料引起的尿路疾病和功能障碍:范围综述。
IF 4.7 3区 医学 Q2 ENVIRONMENTAL SCIENCES Pub Date : 2024-08-31 DOI: 10.1038/s41370-024-00709-3
Liam O’Callaghan, Matthew Olsen, Lotti Tajouri, Davinia Beaver, Carly Hudson, Rashed Alghafri, Simon McKirdy, Adrian Goldsworthy
In 2019 the World Health Organisation published a report which concluded microplastics in drinking water did not present a threat to human health. Since this time a plethora of research has emerged demonstrating the presence of plastic in various organ systems and their deleterious pathophysiological effects. A scoping review was undertaken in line with recommendations from the Johanna Briggs Institute. Five databases (PubMed, SCOPUS, CINAHL, Web of Science and EMBASE) were systematically searched in addition to a further grey literature search. Eighteen articles were identified, six of which investigated and characterised the presence of microplastics and nanoplastics (MNPs) in the human urinary tract. Microplastics were found to be present in kidney, urine and bladder cancer samples. Twelve articles investigated the effect of MNPs on human cell lines associated with the human urinary tract. These articles suggest MNPs have a cytotoxic effect, increase inflammation, decrease cell viability and alter mitogen-activated protein kinases (MAPK) signalling pathways. Given the reported presence MNPs in human tissues and organs, these plastics may have potential health implications in bladder disease and dysfunction. As a result, institutions such as the World Health Organisation need to urgently re-evaluate their position on the threat of microplastics to public health. This scoping review highlights the rapidly emerging threat of microplastic contamination within the human urinary tract, challenging the World Health Organisation’s assertion that microplastics pose no risk to public health. The documented cytotoxic effects of microplastics, alongside their ability to induce inflammation, reduce cell viability and disrupt signalling pathways, raise significant public health concerns relating to bladder cancer, chronic kidney disease, chronic urinary tract infections and incontinence. As a result, this study emphasises the pressing need for further research and policy development to address the challenges surrounding microplastic contamination.
导言:2019 年,世界卫生组织发布了一份报告,认为饮用水中的微塑料不会对人类健康构成威胁。此后,大量研究表明,塑料存在于各种器官系统中,并对病理生理产生有害影响:根据约翰娜-布里格斯研究所(Johanna Briggs Institute)的建议,我们进行了一次范围界定审查。除了进一步的灰色文献检索外,还对五个数据库(PubMed、SCOPUS、CINAHL、Web of Science 和 EMBASE)进行了系统检索:结果:共发现了18篇文章,其中6篇对人体泌尿道中存在的微塑料和纳米塑料(MNPs)进行了调查和定性。在肾脏、尿液和膀胱癌样本中发现了微塑料。有 12 篇文章研究了 MNP 对与人体泌尿道有关的人类细胞系的影响。这些文章表明,MNPs 具有细胞毒性、增加炎症反应、降低细胞活力并改变丝裂原活化蛋白激酶 (MAPK) 信号通路:结论:鉴于有报道称人体组织和器官中存在 MNPs,这些塑料可能会对膀胱疾病和功能障碍产生潜在的健康影响。因此,世界卫生组织等机构急需重新评估其对微塑料威胁公众健康的立场:本范围界定综述强调了人类泌尿道内迅速出现的微塑料污染威胁,对世界卫生组织关于微塑料不会对公众健康构成威胁的说法提出了质疑。有文献记载,微塑料具有细胞毒性作用,并能诱发炎症、降低细胞活力和破坏信号通路,这引起了人们对膀胱癌、慢性肾病、慢性尿路感染和尿失禁等重大公共卫生问题的关注。因此,本研究强调迫切需要进一步开展研究和制定政策,以应对围绕微塑料污染的挑战。
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引用次数: 0
Qualitative and mixed methods: informing and enhancing exposure science 定性和混合方法:为暴露科学提供信息并加以改进。
IF 4.7 3区 医学 Q2 ENVIRONMENTAL SCIENCES Pub Date : 2024-08-23 DOI: 10.1038/s41370-024-00707-5
Denise Moreno Ramírez, Ashby Lavelle Sachs, Christine C. Ekenga
Addressing complex environmental health challenges necessitates the integration of multiple research methodologies to fully understand the social, economic, and health impacts of exposure to environmental hazards. Qualitative and mixed methods (QMM) are vital in uncovering the sociocultural dynamics that influence people’s interactions with their environment and subsequent health-related outcomes. QMM has the potential to reveal insights that quantitative methods might overlook. However, QMM approaches have been underutilized in exposure science, with less than 1% of the studies published in the Journal of Exposure Science and Environmental Epidemiology (JESEE) from 2003 to 2023 employing these methods. JESEE studies that utilized QMM have enhanced exposure assessment, explored risk perceptions, and evaluated the impact of interventions, particularly among historically marginalized populations. QMM approaches have addressed gaps in traditional exposure assessment by allowing researchers to capture nuanced perspectives often missed by quantitative analyses, especially in understanding the lived experiences of affected communities. Exposure scientists are encouraged to adopt QMM to advance more comprehensive and inclusive approaches to studying and mitigating environmental risks. Fostering interdisciplinary collaborations that integrate the social sciences can enhance the development of robust, context-sensitive solutions to environmental health challenges.
要应对复杂的环境健康挑战,就必须整合多种研究方法,以充分了解暴露于环境危害所带来的社会、经济和健康影响。定性和混合方法(QMM)对于揭示影响人们与环境互动及随后健康相关结果的社会文化动态至关重要。定性和混合方法有可能揭示定量方法可能忽略的见解。然而,QMM 方法在暴露科学中一直未得到充分利用,从 2003 年到 2023 年,在《暴露科学与环境流行病学杂志》(JESEE)上发表的研究中,只有不到 1% 的研究采用了这些方法。利用 QMM 的 JESEE 研究加强了暴露评估、探索了风险认知,并评估了干预措施的影响,尤其是在历史上被边缘化的人群中。QMM 方法弥补了传统暴露评估的不足,使研究人员能够捕捉定量分析经常忽略的细微观点,尤其是在了解受影响社区的生活经历方面。我们鼓励暴露科学家采用 QMM 方法,以推进更全面、更包容的方法来研究和减轻环境风险。促进融合社会科学的跨学科合作,可以加强针对环境健康挑战制定稳健的、对具体情况敏感的解决方案。
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引用次数: 0
Using geographic effect measure modification to examine socioeconomic-related surface temperature disparities in New York City 利用地理效应测量修正法研究纽约市与社会经济相关的地表温度差异。
IF 4.7 3区 医学 Q2 ENVIRONMENTAL SCIENCES Pub Date : 2024-08-23 DOI: 10.1038/s41370-024-00714-6
Nadav L. Sprague, Stephen P. Uong, Nora C. Kelsall, Ahuva L. Jacobowitz, James W. Quinn, Katherine M. Keyes, Andrew G. Rundle
Lower socioeconomic (SES) communities are more likely to be situated in urban heat islands and have higher heat exposures than their higher SES counterparts, and this inequality is expected to intensify due to climate change. To examine the relationship between surface temperatures and SES in New York City (NYC) by employing a novel analytical approach. Through incorporating modifiable features, this study aims to identify potential locations where mitigation interventions can be implemented to reduce heat disparities associated with SES. Using the 2013–2017 American Community Survey, U.S Landsat-8 Analysis Ready Data surface temperatures (measured on 8/12/2016), and the NYC Land Cover Dataset at the census tract level (2098 tracts), this study examines the association between two components of tract-level SES (percentage of individuals living below the poverty line and the percentage of individuals without a high school degree) and summer day surface temperature in NYC. First, we examine this association with an unrestricted NYC linear regression, examining the city-wide association between the two SES facets and summer surface temperature, with additional models adjusting for altitude, shoreline, and nature-cover. Then, we assess geographic effect measure modification by employing the same models to three supplemental regression model strategies (borough-restricted and community district-restricted linear regressions, and geographically weighted regression (GWR)) that examined associations within smaller intra-city areas. All regression strategies identified areas where lower neighborhood SES composition is associated with higher summer day surface temperatures. The unrestricted NYC regressions revealed widespread disparities, while the borough-restricted and community district-restricted regressions identified specific political boundaries within which these disparities existed. The GWR, addressing spatial autocorrelation, identified significant socioeconomic heat disparities in locations such as northwest Bronx, central Brooklyn, and uptown Manhattan. These findings underscore the need for targeted policies and community interventions, including equitable urban planning and cooling strategies, to mitigate heat exposure in vulnerable neighborhoods.
背景:与社会经济地位较高的社区相比,社会经济地位较低的社区更有可能位于城市热岛中,热暴露程度也更高,而这种不平等现象预计将因气候变化而加剧:采用新颖的分析方法,研究纽约市地表温度与 SES 之间的关系。通过纳入可改变的特征,本研究旨在确定可实施减缓干预措施的潜在地点,以减少与社会经济地位相关的热量差异:本研究利用 2013-2017 年美国社区调查、美国陆地卫星 8 号分析就绪数据地表温度(2016 年 8 月 12 日测量)和纽约市人口普查区级土地覆盖数据集(2098 个区),研究了纽约市人口普查区级 SES 的两个组成部分(生活在贫困线以下的人口比例和没有高中学历的人口比例)与夏日地表温度之间的关联。首先,我们通过非限制性的纽约市线性回归来考察这种关联,考察全市范围内这两个 SES 方面与夏季地表温度之间的关联,并通过附加模型对海拔、海岸线和自然覆盖进行调整。然后,我们在三个补充回归模型策略(区限制线性回归和社区区限制线性回归,以及地理加权回归(GWR))中使用相同的模型来评估地理效应测量的修正,以检查城市内部较小区域内的关联:结果:所有回归策略都确定了邻里社会经济地位较低与夏日地表温度较高相关的地区。无限制的纽约市回归显示了广泛的差异,而限制区和限制社区区的回归则确定了存在这些差异的特定政治边界。针对空间自相关性的 GWR 确定了布朗克斯西北部、布鲁克林中部和曼哈顿上城等地区的显著社会经济热量差异。这些发现突出表明,有必要制定有针对性的政策和社区干预措施,包括公平的城市规划和降温策略,以减轻脆弱社区的高温暴露:本研究通过调查影响纽约市人口普查区当地气温的可调节(自然覆盖)和不可调节(海拔高度和海岸线)建筑环境因素,重新定义了以往关于城市社会经济热暴露差异的研究。通过一种新颖的分析方法,该研究旨在突出干预机会,以减轻与社会经济地位相关的高温差异。通过研究地表温度与社会经济地位之间的关联,以及调查不同的地理和政府规模,本研究为政策制定者和社区成员提供了可行的见解,以有效解决不同行政区域的热暴露不平等问题。目的是在不同的地理和政治层面上确定减少社会经济热暴露差异的潜在地点。
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引用次数: 0
Assessment of air quality in the Philadelphia, Pennsylvania subway 宾夕法尼亚州费城地铁空气质量评估。
IF 4.7 3区 医学 Q2 ENVIRONMENTAL SCIENCES Pub Date : 2024-08-14 DOI: 10.1038/s41370-024-00711-9
Anjum Shahina Karim, Maeve Malone, Alex Bruno, Aimee L. Eggler, Michael A. Posner, Kabindra M. Shakya
Subways are popular and efficient modes of transportation in cities. However, people are exposed to high levels of particulate matter (PM) in subways. Subway air quality in the United States has been investigated in a few cities, but data is lacking on simultaneous measurement of several pollutants, especially ultrafine particles (UFP) and black carbon (BC), in combination with different size fractions of PM. The goals of this study are to assess air quality in a belowground subway and compare it with outdoor ambient levels, to examine temporal variability of PM in the subway, and to analyze the correlation between PM and BC. Particulate matter of varying sizes (PM1, PM2.5, PM10), UFP, and BC were measured using DustTrak, nanoparticle detector, and micro aethalometer, respectively. Measurements were made at the belowground subway platform and the aboveground street level at 15th Street subway station in Philadelphia during summer 2022. Belowground mean PM1, PM2.5, and PM10 were 112.2 ± 61.3 µg/m3, 120 ± 65.5 µg/m3, and 182.1 ± 132 µg/m3, respectively, which were 5.4, 5.7, and 7.6 times higher than the respective aboveground street levels. The UFP lung deposited surface area (LDSA) (59.4 ± 36.2 µm2/cm3) and BC (9.5 ± 5.4 μg/m3) belowground were 1.7 times and 10.7 times higher than the aboveground. The pollutant concentration varied from day-to-day on both the locations. A higher positive correlation was found between the belowground BC and PM2.5 (r = 0.51, p < 0.05) compared to the aboveground (r = 0.16, p < 0.05). This study showed high levels of particulate matter exposure at a belowground subway station in Philadelphia. Particulate matter levels were about 5 to 8 times higher at belowground subway station than the corresponding aboveground street level. Higher levels were also observed for UFP lung deposited surface area (LDSA), while black carbon levels showed the highest concentration at the belowground level by a factor of ten compared to the aboveground level. The study shows the need for air quality management at belowground subways to reduce particulate matter exposure for the commuters.
背景:地铁是城市中广受欢迎的高效交通方式。然而,人们在地铁中暴露在高浓度的颗粒物(PM)中。美国有几个城市对地铁空气质量进行了调查,但缺乏同时测量几种污染物,特别是超细颗粒物(UFP)和黑碳(BC)以及不同粒径的可吸入颗粒物的数据:本研究的目的是评估地下地铁的空气质量,并与室外环境水平进行比较,研究地铁中可吸入颗粒物的时间变化,分析可吸入颗粒物和黑碳之间的相关性:方法:分别使用 DustTrak、纳米粒子检测器和微压计测量了不同大小的颗粒物(PM1、PM2.5、PM10)、UFP 和 BC。测量于 2022 年夏季在费城第 15 街地铁站的地下地铁站台和地上街道层进行:地下的 PM1、PM2.5 和 PM10 平均值分别为 112.2 ± 61.3 µg/m3、120 ± 65.5 µg/m3和 182.1 ± 132 µg/m3,分别是地面街道水平的 5.4、5.7 和 7.6 倍。地下的肺沉积面积(59.4 ± 36.2 µm2/cm3)和 BC(9.5 ± 5.4 μg/m3)分别是地面的 1.7 倍和 10.7 倍。两个地点的污染物浓度每天都有变化。地下 BC 与 PM2.5 之间存在较高的正相关性(r = 0.51,p):这项研究表明,费城一个地下地铁站的颗粒物暴露水平很高。地下地铁站的颗粒物水平是地面街道水平的 5 到 8 倍。此外,还观察到 UFP 肺沉积表面积(LDSA)水平较高,而黑碳水平显示地下水平的浓度最高,是地上水平的 10 倍。这项研究表明,有必要对地下地铁进行空气质量管理,以减少乘客接触颗粒物的机会。
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引用次数: 0
Comparison of the rate of healthcare encounters for influenza from source-specific PM2.5 before and after tier 3 vehicle standards in New York state 纽约州第三级车辆标准实施前后特定来源 PM2.5 导致的流感就诊率比较。
IF 4.7 3区 医学 Q2 ENVIRONMENTAL SCIENCES Pub Date : 2024-08-10 DOI: 10.1038/s41370-024-00710-w
Daniel P. Croft, Mark J. Utell, Philip K. Hopke, Han Liu, Shao Lin, Sally W. Thurston, Sathvik Thandra, Yunle Chen, Md Rayhanul Islam, Kelly Thevenet-Morrison, Carl J. Johnston, Tianming Zhao, Catherine Yount, David Q. Rich
Influenza healthcare encounters in adults associated with specific sources of PM2.5 is an area of active research. Following 2017 legislation requiring reductions in emissions from light-duty vehicles, we hypothesized a reduced rate of influenza healthcare encounters would be associated with concentrations of PM2.5 from traffic sources in the early implementation period of this regulation (2017–2019). We used the Statewide Planning and Research Cooperative System (SPARCS) to study adult patients hospitalized (N = 5328) or treated in the emergency department (N = 18,247) for influenza in New York State. Using a modified case-crossover design, we estimated the excess rate (ER) of influenza hospitalizations and emergency department visits associated with interquartile range increases in source-specific PM2.5 concentrations (e.g., spark-ignition emissions [GAS], biomass burning [BB], diesel [DIE]) in lag day(s) 0, 0–3 and 0–6. We then evaluated whether ERs differed after Tier 3 implementation (2017–2019) compared to the period prior to implementation (2014–2016). Each interquartile range increase in DIE in lag days 0–6 was associated with a 21.3% increased rate of influenza hospitalization (95% CI: 6.9, 37.6) in the 2014–2016 period, and a 6.3% decreased rate (95% CI: −12.7, 0.5) in the 2017–2019 period. The GAS/influenza excess rates were larger in the 2017–2019 period than the 2014–2016 period for emergency department visits. We also observed a larger ER associated with increased BB in the 2017–2019 period compared to the 2014–2016 period. We present an accountability study on the impact of the early implementation period of the Tier 3 vehicle emission standards on the association between specific sources of PM2.5 air pollution on influenza healthcare encounters in New York State. We found that the association between gasoline emissions and influenza healthcare encounters did not lessen in magnitude between periods, possibly because the emissions standards were not yet fully implemented. The reduction in the rates of influenza healthcare encounters associated with diesel emissions may be reflective of past policies to reduce the toxicity of diesel emissions. Accountability studies can help policy makers and environmental scientists better understand the timing of pollution changes and associated health effects.
背景:与特定来源的 PM2.5 相关的成人流感就诊率是一个正在积极研究的领域:在 2017 年立法要求减少轻型汽车尾气排放之后,我们假设在该法规实施初期(2017-2019 年),流感就诊率的降低与交通来源 PM2.5 的浓度有关:我们利用全州规划与研究合作系统(SPARCS)对纽约州因流感住院(5328 人)或在急诊科接受治疗(18247 人)的成年患者进行了研究。我们采用改良的病例交叉设计,估算了流感住院和急诊就诊的超额率(ER)与滞后日 0、0-3 和 0-6 的特定来源 PM2.5 浓度(如火花点火排放 [GAS]、生物质燃烧 [BB]、柴油 [DIE])的四分位数区间增加有关。然后,我们评估了第 3 级实施后(2017-2019 年)的 ER 与实施前(2014-2016 年)相比是否有所不同:在 2014-2016 年期间,滞后天数 0-6 的 DIE 每增加一个四分位数间距,流感住院率就会增加 21.3%(95% CI:6.9,37.6),而在 2017-2019 年期间,流感住院率则会降低 6.3%(95% CI:-12.7,0.5)。就急诊就诊而言,2017-2019 年期间的 GAS/流感超额率大于 2014-2016 年期间。与 2014-2016 年期间相比,我们还观察到 2017-2019 年期间与 BB 增加相关的急诊室更大:我们介绍了一项关于第三级汽车排放标准早期实施期对纽约州特定 PM2.5 空气污染源与流感医疗就诊之间关联的影响的问责研究。我们发现,汽油排放与流感就诊率之间的联系在不同时期并没有减弱,这可能是因为排放标准尚未完全实施。与柴油排放相关的流感就诊率的降低可能反映了过去降低柴油排放毒性的政策。责任研究可以帮助政策制定者和环境科学家更好地了解污染变化的时间和相关的健康影响。
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引用次数: 0
Skyrocketing pollution: assessing the environmental fate of July 4th fireworks in New York City 飙升的污染:评估纽约市 7 月 4 日烟花的环境命运。
IF 4.7 3区 医学 Q2 ENVIRONMENTAL SCIENCES Pub Date : 2024-08-06 DOI: 10.1038/s41370-024-00701-x
Antonio F. Saporito, Terry Gordon, Beck Kim, Tri Huynh, Rahanna Khan, Amna Raja, Kristin Terez, Nicole Camacho-Rivera, Rachel Gordon, Julie Gardella, Maria Katsigeorgis, Rodney Graham, Thomas Kluz, Max Costa, David Luglio
Pyrotechnic displays often lead to significant increases in poor air quality. The widespread environmental fate—involving air, water, and spatial-temporal analyses—of fireworks-produced pollutants has seldom been investigated. This study examined the environmental fate of pollutants from the largest fireworks event in the U.S.: Macy’s Fourth of July Fireworks show in New York City (NYC). Real-time PM2.5 and gravimetric PM2.5 and PM10 were collected at locations along the East River of NYC. Airborne particles were assayed for trace elements (X-ray fluorescence) and organic and elemental carbon (OC/EC). River water samples were evaluated by ICP-MS for heavy-metal water contamination. Spatial-temporal analyses were created using PM2.5 concentrations reported by both EPA and PurpleAir monitoring networks for NYC and 5 other major metropolitan areas. The fireworks event resulted in large increases in PM2.5 mass concentrations at the river-adjacent sampling locations. While background control PM2.5 was 10–15 µg/m3, peak real-time PM2.5 levels exceeded 3000 µg/m3 at one site and 1000 µg/m3 at two other locations. The integrated gravimetric PM2.5 and PM10 concentrations during the fireworks event ranged from 162 to 240 µg/m3 and 252 to 589 µg/m3, respectively. Zn, Pb, Sb, and Cu more than doubled in river water samples taken after the event, while S, K, Ba, Cu, Mg, Fe, Sr, Ti, and Zn increased in airborne PM2.5 from the fireworks. Data from hyperlocal monitoring networks for NYC and other metropolitan areas yielded similar, but generally smaller, increases in PM2.5 levels. Fireworks shows have been associated with environmental contamination. This comprehensive analysis considers the fate of pollutants from the largest annual U.S. pyrotechnic show through air, water, and hyperlocal temporal characterization.
背景:烟火表演通常会导致空气质量显著恶化。对烟花产生的污染物的广泛环境归宿--涉及空气、水和时空分析--还很少进行调查:本研究考察了美国最大的烟花活动所产生的污染物的环境归宿:方法:实时 PM2.5 和重力测试:方法:在纽约市东河沿岸收集实时 PM2.5、重力 PM2.5 和 PM10。对空气中的颗粒物进行了痕量元素(X 射线荧光)以及有机碳和元素碳(OC/EC)分析。通过 ICP-MS 对河水样本进行了重金属水污染评估。利用美国环保署和 PurpleAir 监测网络报告的纽约市和其他 5 个主要大都市地区的 PM2.5 浓度进行了时空分析:焰火活动导致河流附近采样点的 PM2.5 质量浓度大幅上升。虽然背景控制 PM2.5 为 10-15 微克/立方米,但一个地点的实时 PM2.5 峰值超过了 3000 微克/立方米,另外两个地点超过了 1000 微克/立方米。烟花活动期间的 PM2.5 和 PM10 综合重量浓度分别为 162 至 240 微克/立方米和 252 至 589 微克/立方米。烟花活动后采集的河水样本中,锌、铅、锑和铜的含量增加了一倍多,而烟花活动中空气传播的 PM2.5 中,S、K、Ba、Cu、Mg、Fe、Sr、Ti 和 Zn 的含量也有所增加。纽约市和其他大都市地区的超本地监测网络的数据显示,PM2.5 水平也有类似的增加,但一般较小:影响:烟花表演与环境污染有关。这项综合分析通过空气、水和超本地时间特征,考虑了美国最大的年度烟火表演所产生的污染物的归宿。
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引用次数: 0
Public drinking water contaminant estimates for birth cohorts in the Environmental Influences on Child Health Outcomes (ECHO) Cohort 环境对儿童健康结果的影响(ECHO)队列中出生队列的公共饮用水污染物估计值。
IF 4.7 3区 医学 Q2 ENVIRONMENTAL SCIENCES Pub Date : 2024-08-04 DOI: 10.1038/s41370-024-00699-2
Tessa R. Bloomquist, Maya Spaur, Ilan Cerna-Turoff, Amii M. Kress, Mohamad Burjak, Allison Kupsco, Joan A. Casey, Julie B. Herbstman, Anne E. Nigra
The United States Environmental Protection Agency (USEPA) regulates over 80 contaminants in community water systems (CWS), including those relevant to infant health outcomes. Multi-cohort analyses of the association between measured prenatal public water contaminant concentrations and infant health outcomes are sparse in the US. Our objectives were to (1) develop Zip Code Tabulation Area (ZCTA)-level CWS contaminant concentrations for participants in the Environmental Influences on Child Health Outcomes (ECHO) Cohort and (2) evaluate regional, seasonal, and sociodemographic inequities in contaminant concentrations at the ZCTA-level. The ECHO Cohort harmonizes data from over 69 extant pregnancy and pediatric cohorts across the US. We used CWS estimates derived from the USEPA’s Six-Year Review 3 (2006–2011) to develop population-weighted, average concentrations for 10 contaminants across 7640 ZCTAs relevant to the ECHO Cohort. We evaluated contaminant distributions, exceedances of regulatory thresholds, and geometric mean ratios (with corresponding percent changes) associated with ZCTA sociodemographic characteristics via spatial lag linear regression models. We observed significant regional variability in contaminant concentrations across the US. ZCTAs were most likely to exceed the maximum contaminant level for arsenic (n = 100, 1.4%) and the health-protective threshold for total trihalomethanes (n = 3584, 64.0%). A 10% higher proportion of residents who were American Indian/Alaskan Native and Hispanic/Latino was associated with higher arsenic (11%, 95% CI: 7%, 15%; and 2%, 95% CI: 0%, 3%, respectively) and uranium (15%, 95% CI: 10%, 21%; and 9%, 95% CI: 6%, 12%, respectively) concentrations. Nationwide epidemiologic analyses evaluating the association between US community water system contaminant concentration estimates and associated adverse birth outcomes in cohort studies are sparse because public water contaminant concentration estimates that can be readily linked to participant addresses are not available. We developed Zip Code Tabulation Area (ZCTA)-level CWS contaminant concentrations that can be linked to participants in the Environmental Influences on Child Health Outcomes (ECHO) Cohort and evaluated regional, seasonal, and sociodemographic inequities in contaminant concentrations for these ZCTAs. Future epidemiologic studies can leverage these CWS exposure estimates in the ECHO Cohort to evaluate associations with relevant infant outcomes.
背景:美国环境保护局(USEPA)对社区供水系统(CWS)中的 80 多种污染物进行监管,其中包括与婴儿健康结果相关的污染物。在美国,对产前公共用水污染物浓度测量值与婴儿健康结果之间关系的多队列分析还很少:我们的目标是:(1) 为 "环境对儿童健康结果的影响"(ECHO)队列中的参与者制定 Zip Code Tabulation Area (ZCTA) 级别的 CWS 污染物浓度;(2) 评估 ZCTA 级别污染物浓度的地区性、季节性和社会人口不平等性。ECHO 群体协调了全美超过 69 个现有妊娠和儿科群体的数据:我们使用美国环保局六年回顾 3(2006-2011 年)中得出的 CWS 估计值,为与 ECHO 群体相关的 7640 个 ZCTA 中的 10 种污染物制定了人口加权平均浓度。我们通过空间滞后线性回归模型评估了与 ZCTA 社会人口特征相关的污染物分布、监管阈值超标情况和几何平均比(以及相应的百分比变化):结果:我们观察到全美污染物浓度存在明显的区域差异。ZCTA最有可能超过砷的最高污染物水平(n = 100,1.4%)和总三卤甲烷的健康保护阈值(n = 3584,64.0%)。美国印第安人/阿拉斯加原住民和西班牙裔/拉美裔居民比例高 10%,与砷浓度(分别为 11%,95% CI:7%,15%;2%,95% CI:0%,3%)和铀浓度(分别为 15%,95% CI:10%,21%;9%,95% CI:6%,12%)较高有关:在队列研究中,评估美国社区供水系统污染物浓度估计值与相关不良出生结果之间联系的全国性流行病学分析很少,因为没有可随时与参与者地址联系起来的公共供水污染物浓度估计值。我们开发了可与儿童健康结果环境影响(ECHO)队列参与者相关联的邮政编码表区(ZCTA)级公共供水系统污染物浓度,并评估了这些邮政编码表区污染物浓度的区域性、季节性和社会人口不平等性。未来的流行病学研究可以利用 ECHO 队列中的这些 CWS 暴露估计值来评估与相关婴儿结果之间的关联。
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引用次数: 0
A data-driven approach to identifying PFAS water sampling priorities in Colorado, United States 在美国科罗拉多州采用数据驱动法确定全氟辛烷磺酸水质采样优先事项。
IF 4.7 3区 医学 Q2 ENVIRONMENTAL SCIENCES Pub Date : 2024-08-01 DOI: 10.1038/s41370-024-00705-7
Kelsey E. Barton, Peter J. Anthamatten, John L. Adgate, Lisa M. McKenzie, Anne P. Starling, Kevin Berg, Robert C. Murphy, Kristy Richardson
Per and polyfluoroalkyl substances (PFAS), a class of environmentally and biologically persistent chemicals, have been used across many industries since the middle of the 20th century. Some PFAS have been linked to adverse health effects. Our objective was to incorporate known and potential PFAS sources, physical characteristics of the environment, and existing PFAS water sampling results into a PFAS risk prediction map that may be used to develop a PFAS water sampling prioritization plan for the Colorado Department of Public Health and Environment (CDPHE). We used random forest classification to develop a predictive surface of potential groundwater contamination from two PFAS, perfluorooctane sulfonate (PFOS) and perfluorooctanoate (PFOA). The model predicted PFAS risk at locations without sampling data into one of three risk categories after being “trained” with existing PFAS water sampling data. We used prediction results, variable importance ranking, and population characteristics to develop recommendations for sampling prioritization. Sensitivity and precision ranged from 58% to 90% in the final models, depending on the risk category. The model and prioritization approach identified private wells in specific census blocks, as well as schools, mobile home parks, and public water systems that rely on groundwater as priority sampling locations. We also identified data gaps including areas of the state with limited sampling and potential source types that need further investigation. This work uses random forest classification to predict the risk of groundwater contamination from two per- and polyfluoroalkyl substances (PFAS) across the state of Colorado, United States. We developed the prediction model using data on known and potential PFAS sources and physical characteristics of the environment, and “trained” the model using existing PFAS water sampling results. This data-driven approach identifies opportunities for PFAS water sampling prioritization as well as information gaps that, if filled, could improve model predictions. This work provides decision-makers information to effectively use limited resources towards protection of populations most susceptible to the impacts of PFAS exposure.
背景:全氟烷基和多氟烷基物质(PFAS)是一类具有环境和生物持久性的化学品,自 20 世纪中叶以来已在许多行业中使用。某些 PFAS 与不良健康影响有关:我们的目标是将已知和潜在的 PFAS 来源、环境的物理特征以及现有的 PFAS 水采样结果纳入 PFAS 风险预测图,该图可用于为科罗拉多州公共卫生与环境部 (CDPHE) 制定 PFAS 水采样优先级计划:方法:我们使用随机森林分类法建立了一个全氟辛烷磺酸 (PFOS) 和全氟辛酸 (PFOA) 这两种 PFAS 潜在地下水污染的预测面。该模型利用现有的全氟辛烷磺酸水样数据进行 "训练 "后,将没有采样数据的地点的全氟辛烷磺酸风险预测为三个风险类别之一。我们利用预测结果、变量重要性排序和人口特征来制定采样优先级建议:根据不同的风险类别,最终模型的灵敏度和精确度从 58% 到 90% 不等。该模型和优先排序方法确定了特定人口普查区块内的私人水井以及学校、移动房屋公园和依赖地下水的公共供水系统为优先采样地点。我们还确定了数据缺口,包括该州取样有限的地区和需要进一步调查的潜在来源类型:本研究采用随机森林分类法预测美国科罗拉多州两种全氟和多氟烷基物质 (PFAS) 污染地下水的风险。我们利用已知和潜在的 PFAS 来源数据以及环境的物理特征开发了预测模型,并利用现有的 PFAS 水采样结果对模型进行了 "训练"。这种以数据为导向的方法确定了 PFAS 水取样优先次序的机会以及信息缺口,如果填补了这些缺口,就能改进模型预测。这项工作为决策者提供了有效利用有限资源保护最易受 PFAS 暴露影响的人群的信息。
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引用次数: 0
Addressing the need for individual-level exposure monitoring for firefighters using silicone samplers 利用硅胶采样器满足对消防员进行个人接触监测的需求。
IF 4.7 3区 医学 Q2 ENVIRONMENTAL SCIENCES Pub Date : 2024-07-20 DOI: 10.1038/s41370-024-00700-y
Emily M. Bonner, Carolyn M. Poutasse, Christopher K. Haddock, Walker S. C. Poston, Sara A. Jahnke, Lane G. Tidwell, Kim A. Anderson
Firefighters are occupationally exposed to hazardous chemical mixtures. Silicone passive sampling devices capture unique exposures over time with minimal impact to the participant and allow for the analysis of a broad chemical space. Silicone dog tags were worn by firefighters while on- and off-duty to measure individual exposures, identify potential occupational exposures, and assess their relation to occupational variables including fire response frequency, rank, and years as a firefighter. Fifty-six firefighters were recruited from two fire departments with relatively high and low call volumes in the Kansas City metropolitan area to wear two different silicone dog tags as passive samplers while on- and off-duty. Each dog tag was worn for a cumulative 30-day exposure period. Extracts of the dog tags were analyzed with gas chromatography, mass spectrometry methods for 43 flame retardants (FRs), 21 volatile organic compounds (VOCs), 42 polychlorinated biphenyls (PCBs), and 63 polycyclic aromatic hydrocarbons (PAHs). Ninety-two total chemicals were detected, with eight chemicals not previously reported in firefighter exposure studies. Based on the magnitude and frequency of increased exposure in on-duty dog tags, relative to paired off-duty dog tags, five PBDEs and sec-butylbenzene were identified as potential occupational exposures; sec-butylbenzene and PBDE 49 have not previously been reported in firefighter exposure studies to the authors’ knowledge. Multivariate analyses for these six compounds indicated that firefighter rank, fire response rates, and years in the fire service were poor indicators of increased occupational exposure. The greatest on-duty exposures to PBDEs were found in the low-call volume department among operational firefighters. Dog tags from firefighters at the high-call volume department accounted for 75% of PCB detections; one particular fire response may have contributed to this. Additionally, there was measurable similarity in total chemical exposure profiles between paired on- and off-duty tags for some firefighters.
背景:消防员在工作中会接触到危险的化学混合物。硅胶被动采样装置可捕捉到一段时间内的独特暴露,对参与者的影响最小,并可对广泛的化学空间进行分析:目标:消防员在执勤和不执勤时佩戴硅胶狗牌,以测量个人暴露量、确定潜在的职业暴露量,并评估其与职业变量的关系,包括火灾响应频率、级别和消防员年限:从堪萨斯城大都会地区出警量相对较高和较低的两个消防队招募了 56 名消防员,让他们在执勤和休班时佩戴两种不同的硅胶狗牌作为被动采样器。每个狗牌累计佩戴 30 天。采用气相色谱法和质谱法分析了狗牌中的 43 种阻燃剂 (FR)、21 种挥发性有机化合物 (VOC)、42 种多氯联苯 (PCB) 和 63 种多环芳烃 (PAH):结果:共检测出 92 种化学物质,其中有 8 种化学物质以前在消防员接触研究中没有报道过。根据执勤犬牌与非执勤犬牌相比接触量增加的程度和频率,5 种多溴联苯醚和仲丁基苯被确定为潜在的职业接触物;据作者所知,仲丁基苯和多溴联苯醚 49 以前从未在消防员接触研究中报道过。对这六种化合物进行的多变量分析表明,消防员级别、火灾响应率和消防服务年限并不是职业暴露增加的指标。在出警率低的部门中,执勤消防员的多溴联苯醚暴露量最大。高出警率部门消防员的狗牌占多氯联苯检出量的 75%;这可能是一次特殊的消防响应造成的。此外,对于一些消防员来说,配对的值班和非值班标签之间的化学物质总暴露量具有可测量的相似性:本研究使用佩戴在脖子上的狗牌式个人硅胶被动采样器,量化了消防员在岗样本中与配对的非在岗样本中的几类化学物质的职业接触情况:阻燃剂、挥发性有机化合物和多氯联苯。五种多溴联苯醚和仲丁基苯被确定为潜在的职业接触物,但它们在执勤标签中的普遍程度与火灾响应频率、消防员等级或消防员在消防部门的工作年限无关。此外,同一消防员在执勤和非执勤标签中接触到的化学物质具有相似性,因此需要进一步调查影响职业和准职业接触的个人行为。
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引用次数: 0
Associations of exposure to bisphenol-A or parabens with markers of liver injury/function among US adults in NHANES 2011–2016 2011-2016 年 NHANES 调查中美国成年人接触双酚 A 或对羟基苯甲酸酯与肝损伤/功能标志物的关系。
IF 4.7 3区 医学 Q2 ENVIRONMENTAL SCIENCES Pub Date : 2024-07-17 DOI: 10.1038/s41370-024-00704-8
Rongkun Luo, Mingcong Chen, Shuai Hao, Marady Hun, Shaobin Luo, Feizhou Huang, Zhao Lei, Mingyi Zhao
Bisphenol-A (BPA) and parabens are common endocrine-disrupting compounds (EDCs) that are used extensively in consumer products worldwide and are widely found in the environment. The purpose of this study was to comprehensively explore the correlations between urinary BPA/parabens levels and liver injury/function markers. In this cross-sectional study, we used National Health and Nutrition Examination Survey (NHANES) data from 2011 to 2016. The exposure variables were urinary BPA and four urinary parabens [methylparaben (MPB), ethylparaben (EPB), propylparaben (PPB), and butylparaben (BPB)], while the outcome variables were indicators of liver function/injury [alanine aminotransferase (ALT), aspartate aminotransferase (AST), AST/ ALT, albumin (ALB), total protein (TP), total bilirubin (TBIL), alkaline phosphatase (ALP), and the fibrosis-4 index (FIB-4)]. Multiple linear regression and weighted quantile sum (WQS) regression analyses were applied to explore the relationships between the individual/combined exposure variables and the liver injury/function indicators, respectively. Furthermore, stratified analysis was employed to detect the associations influenced by age and sex. A total of 2,179 adults were eligible for the present analysis. Multivariate linear regression analysis revealed positive associations of EPB with AST, ALT, TP, and FIB-4 scores and negative associations of BPA with TP and ALB. The effects of urinary parabens on adverse outcomes in the liver (AST and ALT) were significant in the female and middle-aged subgroups. In addition, the WQS analysis revealed that the mixture of four compounds was negatively associated with ALB. BPA had the greatest effect on the serum ALB concentration (weight = 0.688).
背景:双酚 A(BPA)和对羟基苯甲酸酯(parabens)是常见的干扰内分泌的化合物(EDCs),被广泛应用于全球消费品中,并广泛存在于环境中:本研究旨在全面探讨尿液中双酚A/对羟基苯甲酸酯水平与肝损伤/功能指标之间的相关性:在这项横断面研究中,我们使用了美国国家健康与营养调查(NHANES)2011 年至 2016 年的数据。暴露变量为尿液中的双酚 A 和四种尿液中的对羟基苯甲酸酯[对羟基苯甲酸甲酯 (MPB)、对羟基苯甲酸乙酯 (EPB)、对羟基苯甲酸丙酯 (PPB) 和对羟基苯甲酸丁酯 (BPB)],结果变量为肝功能/肝损伤指标[丙氨酸氨基转移酶 (ALT)、天门冬氨酸氨基转移酶 (AST)、AST/ALT、白蛋白 (ALB)、总蛋白 (TP)、总胆红素 (TBIL)、碱性磷酸酶 (ALP) 和纤维化-4 指数 (FIB-4)]。采用多元线性回归和加权量化和(WQS)回归分析分别探讨了个体/综合暴露变量与肝损伤/功能指标之间的关系。此外,还采用了分层分析来检测受年龄和性别影响的关联:共有 2,179 名成年人符合本次分析的条件。多变量线性回归分析显示,EPB 与 AST、ALT、TP 和 FIB-4 评分呈正相关,而 BPA 与 TP 和 ALB 呈负相关。在女性和中年亚组中,尿液中的对羟基苯甲酸酯对肝脏不良结果(谷草转氨酶和谷丙转氨酶)的影响显著。此外,WQS 分析表明,四种化合物的混合物与 ALB 呈负相关。双酚 A 对血清 ALB 浓度的影响最大(权重 = 0.688):本研究提供了新的证据,证明双酚 A 或某些对羟基苯甲酸酯与多种肝损伤/肝功能指标之间存在显著关联。我们发现,尿液中的双酚 A 浓度越高,肝功能越差。暴露于高EPB/PPB比率与肝损伤的生物标志物显著相关。
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Journal of Exposure Science and Environmental Epidemiology
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