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Personal care products exposure patterns and prostate cancer: evidence from a case-control study in Mexico City 个人护理产品暴露模式与前列腺癌:来自墨西哥城病例对照研究的证据。
IF 4.7 3区 医学 Q2 ENVIRONMENTAL SCIENCES Pub Date : 2025-04-16 DOI: 10.1038/s41370-025-00772-4
Luisa Torres-Sánchez, Jesús Gibran Hernández-Pérez, David S. Lopez, Sara Romero-Romero, Lizbeth López-Carrillo, Mauricio Rodríguez-Dorantes, Ruth Argelia Vázquez-Salas
Personal care products (PCPs) use has been associated with a high risk of hormone-sensitive cancers in women. However, this association is poorly understood in hormone-sensitive cancers in men. To investigate the association between PCPs use and prostate cancer (PC) and PC histological differentiation in men from Mexico City. We analyzed the information from 400 histologically confirmed incident PC cases and 801 population controls matched by age (±5 y). The usage frequency (daily, weekly, or less, and non-use) of deodorant, body lotion, shampoo, perfume, and shaving or after-shaving products was evaluated based on a structured questionnaire. Using the K-means approach, we selected three patterns according to the usage frequency and number of PCPs used: high, intermediate, and low. Multivariable non-conditional logistic regression models adjusted by selected confounders were conducted to estimate the association between the use of PCPs (patterns, individual products, and number of products used daily) and PC, as well as PC histological differentiation. Compared to the low exposure pattern, the high (OR: 2.6 95% CI: 1.8–3.8) and intermediate (OR: 1.3 95% CI: 1.0–1.8) PCPs patterns were associated with higher odds of PC. Similarly, the intermediate exposure pattern was significantly associated with poorly differentiated PC (OR: 1.8 95% CI: 1.1–2.9). The daily use of perfume was the most consistent PCP associated with PC (OR high vs. low: 1.9 95% CI: 1.3–2.8; p for trend = 0.001) and PC poor differentiation (OR: 2.0, 95% CI: 1.1–3.6; p for trend = 0.013). In addition, a dose–response relationship was observed with the number of personal care products used daily. This study provided evidence that high exposure to personal care products (PCPs) is associated with prostate cancer. Our findings are consistent with those observed regarding hormone-sensitive female cancer and suggest the potential contribution of PCPs to prostatic carcinogenesis.
背景:个人护理产品(pcp)的使用与女性激素敏感性癌症的高风险相关。然而,在男性激素敏感型癌症中,人们对这种关联知之甚少。目的:探讨墨西哥城男性前列腺癌(PC)及组织学分化与pcp使用的关系。方法:我们分析了400例组织学证实的PC病例和801例年龄匹配的人群对照。使用频率(每天,每周,或更少,不使用)除臭剂,身体乳液,洗发水,香水,剃须或剃须后产品基于结构化问卷进行评估。使用K-means方法,我们根据使用的pcp的使用频率和数量选择了三种模式:高、中、低。采用经选定混杂因素调整的多变量非条件逻辑回归模型来估计pcp(模式、单个产品和每天使用的产品数量)的使用与PC以及PC组织学分化之间的关联。结果:与低暴露模式相比,高暴露模式(OR: 2.6 95% CI: 1.8-3.8)和中等暴露模式(OR: 1.3 95% CI: 1.0-1.8)与较高的PC发生率相关。同样,中等暴露模式与低分化PC显著相关(OR: 1.8 95% CI: 1.1-2.9)。日常使用香水是PCP与PC最一致的相关性(OR高vs低:1.9 95% CI: 1.3-2.8;p为趋势值= 0.001)和PC差分化(OR: 2.0, 95% CI: 1.1-3.6;P代表趋势= 0.013)。此外,剂量-反应关系被观察到与个人护理产品的数量每天使用。影响声明:本研究提供了高暴露于个人护理产品(pcp)与前列腺癌相关的证据。我们的研究结果与对激素敏感的女性癌症的观察结果一致,并提示pcp对前列腺癌的潜在作用。
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引用次数: 0
Correction: Reconstructing individual-level exposures in cohort analyses of environmental risks: an example with the UK Biobank 修正:重建环境风险队列分析中的个人水平暴露:以英国生物银行为例。
IF 4.7 3区 医学 Q2 ENVIRONMENTAL SCIENCES Pub Date : 2025-04-16 DOI: 10.1038/s41370-025-00771-5
Jacopo Vanoli, Malcolm N. Mistry, Arturo De La Cruz Libardi, Pierre Masselot, Rochelle Schneider, Chris Fook Sheng Ng, Lina Madaniyazi, Antonio Gasparrini
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引用次数: 0
Associations between indoor air exposures and cognitive test scores among university students in classrooms with increased ventilation rates for COVID-19 risk management COVID-19风险管理通风率提高的教室中,室内空气暴露与大学生认知测试成绩之间的关系
IF 4.7 3区 医学 Q2 ENVIRONMENTAL SCIENCES Pub Date : 2025-04-09 DOI: 10.1038/s41370-025-00770-6
Sandra Dedesko, Joseph Pendleton, Anna S. Young, Brent A. Coull, John D. Spengler, Joseph G. Allen
Past work demonstrating an association between indoor air quality and cognitive performance brought attention to the benefits of increasing outdoor air ventilation rates beyond code minimums. These code minimums were scrutinized during the COVID-19 pandemic for insufficient ventilation and filtration specifications. As higher outdoor air ventilation was recommended in response, questions arose about potential benefits of enhanced ventilation beyond infection risk reduction. This was investigated by examining associations between indoor carbon dioxide concentrations, reflective of ventilation and building occupancy, and cognitive test scores among graduate students attending lectures in university classrooms with infection risk management strategies, namely increased ventilation. Post-class cognitive performance tests (Stroop, assessing inhibitory control and selective attention; Arithmetic, assessing cognitive speed and working memory) were administered through a smartphone application to participating students (54 included in analysis) over the 2022–2023 academic year in classrooms equipped with continuous indoor environmental quality monitors that provided real-time measurements of classroom carbon dioxide concentrations. Temporally and spatially paired exposure and outcome data was used to construct mixed effects statistical models that examined different carbon dioxide exposure metrics and cognitive test scores. Model estimates show directionally consistent evidence that higher central and peak classroom carbon dioxide concentrations, indicative of ventilation and occupancy, are associated with lower cognitive test scores over the measured range included in analysis ( ~ 440–1630 ppm). The effect estimates are strongest for 95th percentile class carbon dioxide concentrations, representing peak class carbon dioxide exposures.
背景:过去的研究表明室内空气质量和认知能力之间存在关联,这引起了人们对增加室外空气通风率的关注,使其超过规定的最小值。在2019冠状病毒病大流行期间,对这些规范的最低要求进行了审查,以防止通风和过滤规格不足。作为回应,建议增加室外空气通风,除了降低感染风险外,加强通风的潜在好处也引起了疑问。目的:通过研究在感染风险管理策略(即增加通风)下参加大学教室讲座的研究生的室内二氧化碳浓度、通风情况和建筑占用情况与认知测试分数之间的关系,对这一问题进行了调查。方法:课后认知能力测试(Stroop,评估抑制性控制和选择性注意;在2022-2023学年,通过智能手机应用程序对参与研究的学生(包括54名分析对象)进行算术(评估认知速度和工作记忆)管理,这些学生在教室里配备了连续的室内环境质量监测器,可以实时测量教室里的二氧化碳浓度。使用时间和空间配对暴露和结果数据构建混合效应统计模型,检验不同的二氧化碳暴露度量和认知测试分数。结果:模型估计显示了方向一致的证据,即较高的中心和峰值教室二氧化碳浓度(表明通风和占用)与较低的认知测试分数有关,该分数在分析中包括的测量范围内(~ 440-1630 ppm)。对二氧化碳浓度的第95百分位(代表二氧化碳暴露的峰值)的影响估计最强。影响说明:随着COVID-19大流行的缓解,除了减少感染外,增加室外空气流通的好处也出现了问题。这项工作评估了在室外空气流通增加的大学教室里,二氧化碳浓度、通风和占用率与学生认知测试成绩之间的关系。虽然不是因果关系,但模型显示了统计上显著的证据,表明在这些教室中,较低的二氧化碳浓度与较高的认知测试分数之间存在关联,而不是低范围的二氧化碳暴露。虽然潜在的机制尚不清楚,但较高的室外空气通风似乎通过减少室内空气暴露和支持学生表现提供了额外的好处。
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引用次数: 0
Micro-nanoplastic induced cardiovascular disease and dysfunction: a scoping review 微纳塑料诱发心血管疾病和功能障碍:范围综述。
IF 4.7 3区 医学 Q2 ENVIRONMENTAL SCIENCES Pub Date : 2025-04-01 DOI: 10.1038/s41370-025-00766-2
Adrian Goldsworthy, Liam A. O’Callaghan, Ciara Blum, Jarod Horobin, Lotti Tajouri, Matthew Olsen, Natalia Van Der Bruggen, Simon McKirdy, Rashed Alghafri, Oystein Tronstad, Jacky Suen, John F. Fraser
The human bioaccumulation of micro- and nano-plastics (MNPs) is increasingly being recognised in the aetiology and pathophysiology of human disease. This systematic scoping review aims to provide a comprehensive investigation of studies examining the impacts of MNPs on the human cardiovascular system. Five databases (PubMed, SCOPUS, CINAHL, Web of Science and EMBASE) were systematically searched. Forty-six articles were identified, 13 of which investigated the presence of MNPs within the human cardiovascular system, including atherosclerotic plaques, saphenous vein tissue, thrombi and venous blood. The effect of MNPs on cell lines suggest MNPs are cytotoxic, immunotoxic, and genotoxic. The findings of this review, when evaluated together with additional studies utilising animal models, suggest MNPs may contribute to global cardiovascular morbidity and mortality. In particular, the ability of MNPs to induce endothelial damage, oxy-LDL formation, foam cell development and apoptosis, as well as to alter the clotting cascade, has potential implications for vascular diseases. In addition, MNPs may play a role in the aetiology and progression of congenital heart abnormalities, infective pathologies and cardiomyopathies. Despite an increasing awareness of the ability for MNPs to result in cardiovascular disease and dysfunction, a limited amount of research has been conducted to date characterising the presence of MNPs in the human cardiovascular system. Reseach is required to understand the extent of this rapidly emerging issue and to develop strategies that will support clinicians to appropriately manage and educate their patients in the future.
背景:微和纳米塑料(MNPs)的人体生物积累在人类疾病的病因学和病理生理学中越来越被认识到。目的:本综述旨在对MNPs对人类心血管系统的影响进行全面的研究。方法:系统检索PubMed、SCOPUS、CINAHL、Web of Science和EMBASE 5个数据库。结果:共鉴定了46篇文章,其中13篇研究了MNPs在人类心血管系统中的存在,包括动脉粥样硬化斑块、隐静脉组织、血栓和静脉血。MNPs对细胞系的影响表明MNPs具有细胞毒性、免疫毒性和基因毒性。意义:本综述的发现,当与其他利用动物模型的研究一起评估时,表明MNPs可能与全球心血管发病率和死亡率有关。特别是,MNPs诱导内皮损伤、氧低密度脂蛋白形成、泡沫细胞发育和凋亡以及改变凝血级联的能力,对血管疾病具有潜在的影响。此外,MNPs可能在先天性心脏异常、感染性病理和心肌病的病因和进展中发挥作用。尽管越来越多的人意识到MNPs导致心血管疾病和功能障碍的能力,但迄今为止进行的有限的研究表征了MNPs在人类心血管系统中的存在。需要进行研究,以了解这一迅速出现的问题的程度,并制定策略,以支持临床医生在未来适当地管理和教育他们的患者。
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引用次数: 0
Inhalable microplastics and plastic additives in the indoor air of chemical laboratories 化学实验室室内空气中可吸入的微塑料和塑料添加剂。
IF 4.7 3区 医学 Q2 ENVIRONMENTAL SCIENCES Pub Date : 2025-03-29 DOI: 10.1038/s41370-025-00768-0
Joel D. Rindelaub, Gordon M. Miskelly
While recognition of airborne microplastics is increasing, there are still limited data on the microplastics within the aerosol size fractions most relevant to human inhalation (PM10 and PM2.5). Additionally, there are concerns that many of the additives used in plastic formulations have endocrine-disrupting properties, which could increase the hazards associated with microplastic exposure. To better understand the toxicological risks associated with airborne microplastics, more data are urgently needed on the mass concentrations of both microplastics and the related chemical additives in the air we breathe. Inhalation exposure to plastic-related species is currently uncertain in chemical laboratory workplaces. Using a Pyrolysis Gas Chromatography Mass Spectrometry (Pyr-GC/MS) based method, the airborne mass concentrations of both polymeric material and small molecule plastic additives were determined in inhalable air from two indoor locations. This method represents a fast, direct technique that can be used to better standardize airborne microplastic measurements. The PM2.5 and PM10 concentrations of seven different polymers were determined, with average plastic concentrations of 0.51 μg m−3 for the PM2.5 samples and 1.14 µg m−3 for the PM10 samples. Polycarbonate, polyvinylchloride, and polyethylene had the highest airborne concentrations in the inhalable fraction of air. Simultaneously, the airborne concentrations of plastic additives were determined, with phthalate-based plasticizers having an average concentration of 334 ng m−3 across all air samples.
背景:虽然人们对空气中微塑料的认识正在增加,但关于与人类吸入最相关的气溶胶大小分数(PM10和PM2.5)中的微塑料的数据仍然有限。此外,人们担心塑料配方中使用的许多添加剂具有干扰内分泌的特性,这可能会增加与微塑料接触相关的危害。目的:为了更好地了解空气中微塑料的毒性风险,迫切需要更多关于我们呼吸的空气中微塑料及其相关化学添加剂的质量浓度的数据。在化学实验室工作场所吸入接触与塑料有关的物种目前尚不确定。方法:采用基于热解气相色谱-质谱(Pyr-GC/MS)的方法,测定两个室内地点可吸入空气中聚合物材料和小分子塑料添加剂的质量浓度。这种方法代表了一种快速、直接的技术,可以用来更好地标准化空气中的微塑料测量。结果:测定了7种不同聚合物的PM2.5和PM10浓度,PM2.5样品的平均塑料浓度为0.51 μg m-3, PM10样品的平均塑料浓度为1.14 μg m-3。在可吸入的空气中,聚碳酸酯、聚氯乙烯和聚乙烯的浓度最高。同时,测定了空气中塑料添加剂的浓度,邻苯二甲酸酯类增塑剂在所有空气样本中的平均浓度为334 ng m-3。影响:微塑料及其化学添加剂在室内空气的可吸入部分(PM10)内进行定量,使用直接质谱技术,样品制备最少。这一信息进一步增进了对与室内空气接触有关的危害的认识,并为大量量化与塑料有关的空气中污染物提供了一种有用的方法。
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引用次数: 0
Assessing the relationship between space-time behaviours and personal noise exposure using isotemporal substitution models in the Grand Paris area 利用等时间替代模型评估大巴黎地区时空行为与个人噪声暴露之间的关系。
IF 4.7 3区 医学 Q2 ENVIRONMENTAL SCIENCES Pub Date : 2025-03-21 DOI: 10.1038/s41370-025-00765-3
Giovanna Fancello, Arnaud Can, Pierre Aumond, Sanjeev Bista, Basile Chaix
The individual exposure to environmental noise in cities is usually assessed at the residential neighbourhood level with static, year-averaged strategic maps. This representation may underestimate noise exposure, given the mobility of individuals within the city and proximate sources of exposure. Our study employs high-resolution sensor analysis to observe how personal noise exposure differs from modelled noise map metrics, identify socioeconomical and behavioural determinants of exposure, and explore the impact of reallocating certain behaviours to others on daily personal noise exposure (LAeq,24h). Data on daily activities of 259 participants of the MobiliSense cohort living in the metropolitan area of Paris were collected between 2018 and 2020. Participants were equipped of a personal monitor for sound pressure, and of a GPS receiver and an accelerometer. Modes of transport were collected during a mobility survey. Results showed that noise exposure based on personal monitoring during space-time behaviours differed from modelled noise levels at residence. Participants were exposed to values below the recommended critical value for health of 55 dB(A) in urban areas in only 36% of the days. Individual socioeconomic characteristics and residential factors explained very little variance in personal noise exposure. Noise exposure varied among performed activities and transport modes, with public transport associated with the highest sound levels. While time spent in the underground public transport was on average 1.4% of the total daily time-budget, it contributes on average to 9.5% of the daily noise dose.
背景:城市中个人暴露于环境噪声的情况通常是通过静态的年平均战略地图在居民区一级进行评估的。考虑到个人在城市中的流动性和邻近的暴露源,这种表述方式可能会低估噪声暴露:我们的研究采用了高分辨率传感器分析,以观察个人噪声暴露与噪声地图建模指标之间的差异,确定暴露的社会经济和行为决定因素,并探讨将某些行为重新分配给其他行为对每日个人噪声暴露(LAeq,24 小时)的影响:在 2018 年至 2020 年期间,收集了居住在巴黎大都会区的 259 名 MobiliSense 队列参与者的日常活动数据。参与者配备了个人声压监测器、GPS 接收器和加速度计。在流动性调查中收集了交通方式:结果显示,基于个人监测的时空行为噪声暴露与居住地的模拟噪声水平存在差异。在城市地区,只有 36% 的日子里,参与者暴露在低于建议健康临界值 55 分贝(A)的噪声下。个人社会经济特征和居住地因素对个人噪声暴露的解释差异很小。在不同的活动和交通方式中,噪声暴露也各不相同,其中公共交通的声级最高。虽然乘坐地下公共交通工具的时间平均占每天总时间预算的 1.4%,但却平均占每天噪声剂量的 9.5%:这项研究揭示出,个人的移动行为对城市环境中的日常噪声暴露有重大影响。通过分析人们一天中的移动方式,我们发现传统的静态评估仅限于住宅噪声,低估了实际暴露量。值得注意的是,尽管人们在地下交通中花费的时间有限(1.4%),但地下交通对日常噪音的影响却很大(9.5%)。此外,只有 36% 的日子里,参与者的噪音水平低于建议的健康阈值。这些发现突出表明,有必要改变政策,优先考虑步行城市,尽量减少通勤时间,同时在城市空间中设计 "安静区域",以便从城市噪音压力中恢复过来。
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引用次数: 0
Impacts of night market on indoor air quality and lung function of children in nearby households 夜市对附近住户室内空气质量及儿童肺功能的影响
IF 4.7 3区 医学 Q2 ENVIRONMENTAL SCIENCES Pub Date : 2025-03-20 DOI: 10.1038/s41370-025-00755-5
Jia Lin Zhang, Tsu-Nai Wang, Pei-Chen Lin, Kuan-Ting Lin, Yu-Han Chen, Jyun-Min Jhang, Ting-Ching Yao, Yuan-Chung Lin, Pei-Shih Chen
Night markets—a unique element of Asian culture—involve various cooking methods and combustion, generating air pollutants with adverse health effects. However, there is no scientific literature on whether air pollutants from night markets affect indoor air quality and the lung function of children in nearby households. We evaluated the impacts of night market, specifically market opening days and household distance from the market, on indoor air quality and the lung function of children in nearby households. Using real-time monitoring equipment, we measured concentrations of particulate matter (PM)1, PM2.5, PM10, carbon dioxide (CO2), carbon monoxide (CO), nitrogen dioxide, sulfur dioxide (SO2), ozone, total volatile organic compound (TVOC), airborne bacteria, and fungi in 58 households located near a night market. Additionally, we assessed the lung function values of children living in these households. PM1 and PM2.5 concentrations were significantly higher during opening days than during closing days. The lung function values for children were significantly lower in households located ≤595 m from the market (near group) than in those located >595 m from the market (far group). Higher CO2, CO, SO2, TVOCs, and PM10 concentrations and poor lung function were observed in children in the near group.
背景:夜市是亚洲文化的一个独特元素,它涉及各种烹饪方法和燃烧,产生对健康有害的空气污染物。然而,关于夜市的空气污染物是否会影响室内空气质量和附近家庭儿童的肺功能,目前还没有科学文献。目的:评价夜市(特别是夜市开放天数和家庭与夜市的距离)对附近家庭儿童室内空气质量和肺功能的影响。方法:利用实时监测设备,对某夜市附近58户家庭的颗粒物(PM)1、PM2.5、PM10、二氧化碳(CO2)、一氧化碳(CO)、二氧化氮、二氧化硫(SO2)、臭氧、总挥发性有机化合物(TVOC)、空气中细菌和真菌的浓度进行测量。此外,我们评估了生活在这些家庭的儿童的肺功能值。结果:开放日PM1和PM2.5浓度明显高于闭馆日。距离市场≤595 m的家庭(近组)儿童肺功能值明显低于距离市场≤595 m的家庭(远组)。近组儿童的CO2、CO、SO2、TVOCs和PM10浓度较高,肺功能较差。影响说明:在夜市开市当天,PM1和PM2.5浓度明显高于闭市当天。居住在夜市附近(≤595 m)的儿童肺功能值明显低于居住在距离夜市50 ~ 595 m的儿童。
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引用次数: 0
Associations between residential fossil fuel combustion and indoor concentrations of nitrogen dioxide, carbon monoxide, and aldehydes in Canadian homes 加拿大住宅化石燃料燃烧与室内二氧化氮、一氧化碳和醛类浓度之间的关系。
IF 4.7 3区 医学 Q2 ENVIRONMENTAL SCIENCES Pub Date : 2025-03-14 DOI: 10.1038/s41370-025-00762-6
Liu Sun, Marie-Ève Héroux, Xiaohong Xu, Amanda J. Wheeler
There is increasing attention on the effects of residential fossil fuel combustion, particularly the use of natural gas or oil, on indoor air quality. Given the prevalent use of natural gas in Canadian homes, understanding its influence on indoor air quality is important. This study investigated associations between indoor levels of nitrogen dioxide (NO2), carbon monoxide (CO), formaldehyde, and acetaldehyde with potential emission sources and other influencing factors in 344 homes in four Canadian cities. Using mixed models and general linear models, we evaluated the associations between potential sources and pollutant concentrations, conducting both city-specific and pooled analyses for winter and summer seasons. Our findings indicated that gas stoves, present in 24% of the homes, were significantly associated with increased indoor NO2 concentrations, resulting in a 191% increase in winter and a 114% increase in summer. Additionally, the presence of gas stoves was strongly associated with a 43% increase in peak hourly CO levels in winter. The presence of gas clothes dryers was significantly associated with increased indoor NO2 levels (47% in summer and 54% in winter). Oil heating was significantly associated with a 58% increase in winter indoor NO2 levels. Gas heating was associated with a 62% increase in winter NO2 levels in older homes (built before 1949), with marginal significance. Aldehyde levels were primarily associated with off-gassing from building materials and household activities. Other factors associated with indoor pollutant levels included housing characteristics, occupant behaviors, indoor environmental conditions, and outdoor sources.
背景:人们越来越关注住宅化石燃料燃烧,特别是天然气或石油的使用对室内空气质量的影响。鉴于加拿大家庭普遍使用天然气,因此了解天然气对室内空气质量的影响非常重要:本研究调查了加拿大四个城市 344 个家庭的室内二氧化氮 (NO2)、一氧化碳 (CO)、甲醛和乙醛水平与潜在排放源和其他影响因素之间的关系:我们使用混合模型和一般线性模型评估了潜在排放源与污染物浓度之间的关系,并针对冬季和夏季进行了城市分析和汇总分析:结果:我们的研究结果表明,24% 的家庭使用煤气灶与室内二氧化氮浓度的增加有显著关系,冬季增加了 191%,夏季增加了 114%。此外,燃气灶的存在与冬季每小时二氧化碳浓度峰值增加 43% 密切相关。燃气干衣机的存在与室内二氧化氮水平的增加有很大关系(夏季增加 47%,冬季增加 54%)。燃油取暖与冬季室内二氧化氮水平增加 58% 有很大关系。燃气取暖与老式住宅(建于 1949 年之前)冬季室内二氧化氮含量增加 62% 有关,但影响不大。醛含量主要与建筑材料和家居活动产生的废气有关。与室内污染物水平相关的其他因素包括住房特征、居住者行为、室内环境条件和室外污染源:这项研究加深了人们对化石燃料燃烧与以独立式住宅为主的室内空气质量之间关系的了解。它强调了使用燃气和电烹饪的家庭在污染物水平上的差异,可为烹饪方法提供参考,从而减少家庭中的污染物排放。
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引用次数: 0
Differences in serum concentrations of per-and polyfluoroalkyl substances by occupation among firefighters, other first responders, healthcare workers, and other essential workers in Arizona, 2020–2023 2020-2023年亚利桑那州消防员、其他急救人员、医护人员和其他基本工作人员按职业划分的全氟烷基和多氟烷基物质血清浓度差异
IF 4.7 3区 医学 Q2 ENVIRONMENTAL SCIENCES Pub Date : 2025-03-06 DOI: 10.1038/s41370-025-00753-7
Cedar L. Mitchell, James Hollister, Julia M. Fisher, Shawn C. Beitel, Ferris Ramadan, Shawn O’Leary, Zhihua Tina Fan, Karen Lutrick, Jefferey L. Burgess, Katherine D. Ellingson
Certain occupations have greater risk for per- and polyfluoroalkyl substances (PFAS) exposure because of PFAS use in occupation-associated materials. We sought to assess whether PFAS concentrations differed by occupation among certain Arizona workers and whether concentrations differed over time by occupation. Serum concentrations for 14 PFAS were measured among 1960 Arizona Healthcare, Emergency Responder, and Other Essential Worker Study participants. Samples were collected at enrollment and periodically during July 2020–April 2023. Occupational categories included firefighters, other first responders, healthcare workers, and other essential workers. We fit multilevel regression models for each PFAS to estimate differences in geometric mean concentrations or odds of PFAS detection at enrollment by occupational category. For participants with ≥1 serum sample, we evaluated for yearly longitudinal differences in PFAS concentrations by occupational category. We used other essential workers for comparison, and adjusted for age, sex, race and ethnicity, year, and residential county. Adjusting for covariates, firefighters had higher perfluorohexanesulfonic acid (PFHxS), branched and linear perfluorooctanesulfonic acid (PFOS), and perfluoroheptanesulfonic acid (PFHpS) concentrations than other essential workers (geometric mean ratios 95% CIs: 1.26 [1.11–1.43]; 1.18 [1.06–1.32]; 1.19 [1.08–1.31]; and 1.19 [1.01–1.39], respectively). Healthcare workers had higher odds of detection of branched perfluorooctanoic acid (Sb-PFOA) and perfluorododecanoic acid (PFDoA) than other essential workers, adjusting for covariates (odds ratios 95% CIs: 1.35 [1.01–1.80]; 2.50 [1.17–5.34], respectively). During the 3-year study, we detected declines in PFAS concentrations among other essential workers; few longitudinal differences in concentrations by occupation were detected. Using data from a large prospective cohort of frontline workers in Arizona, we compared serum concentrations of 14 per-and polyfluoroalkyl substances (PFAS) among firefighters, other first responders, healthcare workers, and other frontline essential workers. We found that firefighters have higher concentrations of certain PFAS chemicals and the odds of detecting other PFAS chemicals are higher among healthcare workers compared with people in other occupations. Our findings highlight the importance of further action to reduce PFAS exposure within highly exposed occupational groups, such as firefighters, and the need to expand evaluation of exposure among other occupations, including healthcare workers.
背景:由于在与职业相关的材料中使用全氟烷基物质,某些职业接触全氟烷基物质和多氟烷基物质的风险更大。目的:我们试图评估某些亚利桑那州工人的PFAS浓度是否因职业而异,以及浓度是否随职业的时间而异。方法:在1960名亚利桑那州医疗保健、紧急救援人员和其他基本工作人员研究参与者中测量14种PFAS的血清浓度。在入组时和2020年7月至2023年4月期间定期采集样本。职业类别包括消防员、其他急救人员、医疗工作者和其他基本工作者。我们拟合了每个PFAS的多水平回归模型,以估计入组时不同职业类别PFAS检测的几何平均浓度或几率的差异。对于血清样本≥1份的参与者,我们按职业类别评估PFAS浓度的年度纵向差异。我们使用其他必要的工作人员进行比较,并根据年龄、性别、种族和民族、年份和居住县进行调整。结果:调整协变量后,消防员的全氟己磺酸(PFHxS)、支链型和线性型全氟辛烷磺酸(PFOS)和全氟庚烷磺酸(PFHpS)浓度高于其他必要工人(几何平均比值95% ci: 1.26 [1.11-1.43];1.18 (1.06 - -1.32);1.19 (1.08 - -1.31);和1.19[1.01-1.39])。经协变量调整后,卫生保健工作者检测支链全氟辛酸(Sb-PFOA)和全氟十二烷酸(PFDoA)的几率高于其他必要工作者(比值比95% ci: 1.35 [1.01-1.80];2.50[1.17-5.34])。在为期3年的研究中,我们发现其他基本工作人员的PFAS浓度有所下降;不同职业的浓度几乎没有纵向差异。影响声明:使用来自亚利桑那州一线工作人员的大型前瞻性队列数据,我们比较了消防员、其他急救人员、卫生保健工作者和其他一线基本工作人员的血清14氟烷基物质和多氟烷基物质(PFAS)浓度。我们发现,消防员体内某些PFAS化学物质的浓度较高,与其他职业的人相比,医护人员检测到其他PFAS化学物质的几率更高。我们的研究结果强调了进一步采取行动减少PFAS暴露在高度暴露的职业群体(如消防员)中的重要性,以及扩大其他职业(包括医护人员)暴露评估的必要性。
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引用次数: 0
Transplacental transfer efficiency of perfluoroalkyl substances (PFAS) after long-term exposure to highly contaminated drinking water: a study in the Ronneby Mother-Child Cohort 长期接触高度污染的饮用水后全氟烷基物质(PFAS)的经胎盘转移效率:一项在罗尼比母婴队列中的研究。
IF 4.7 3区 医学 Q2 ENVIRONMENTAL SCIENCES Pub Date : 2025-03-06 DOI: 10.1038/s41370-025-00758-2
Erika Norén, Annelise J. Blomberg, Christian Lindh, Daniela Pineda, Kristina Jakobsson, Christel Nielsen
Perfluoroalkyl substances (PFAS) are stable chemicals used in various applications. PFAS exposure has been associated with lower birth weight and immunological effects in children, and limited evidence further suggests adverse neurodevelopmental effects. Previous studies show that PFAS cross the placental barrier during pregnancy leading to prenatal exposure of the fetus. Research on the transplacental transfer efficiency (TTE) of PFAS in highly exposed populations is lacking. This study aimed to estimate the TTE of eight PFAS and three perfluorooctane sulfonic acid (PFOS) isomers in a birth cohort with a wide range of PFAS exposures and to investigate if maternal exposure level impacted the estimated TTE. The participants, most of whom had been exposed to PFAS-contaminated municipal drinking water, were recruited between 2015 and 2020 after the end of exposure. We collected maternal serum samples during pregnancy and at delivery, as well as umbilical cord serum. Serum samples were analyzed using liquid chromatography-tandem mass spectrometry (LC-MS/MS). TTE was estimated as the ratio of the PFAS concentration in cord serum to maternal serum. We used generalized additive mixed models accounting for maternal characteristics to assess if maternal exposure level (i.e., high, intermediate, or background) modified the estimated TTE. The study included 200 dyads with matched cord and maternal serum samples. The exposure profile was dominated by perfluorohexane sulfonic acid (PFHxS) and PFOS. We observed the highest overall transfer efficiency for PFHxS (median TTE: 0.68) and the lowest for the n-PFOS isomer (median TTE: 0.33). Higher TTEs were observed for PFHxS and PFOS (total and isomers) in background-exposed dyads. In a birth cohort with a wide range of exposures to primarily PFOS and PFHxS from contaminated drinking water, we found that the transplacental transfer efficiencies (TTE) of eight PFAS and three PFOS isomers were of considerable magnitude. The highest TTE were observed for PFOA and PFHxS, and for branched PFOS isomers compared with linear. Although we observed slightly lower TTE in mother-child dyads with high and intermediate exposures compared with dyads with background levels of exposure, the considerable TTE in highly exposed mothers implies high absolute prenatal exposure in children in contaminated areas.
背景:全氟烷基物质(PFAS)是一种稳定的化学品,用于各种用途。PFAS暴露与儿童低出生体重和免疫影响有关,有限的证据进一步表明不良的神经发育影响。先前的研究表明,PFAS在怀孕期间穿过胎盘屏障,导致胎儿产前暴露。对PFAS在高暴露人群中的移植转移效率(TTE)研究不足。目的:本研究旨在估计8种PFAS和3种全氟辛烷磺酸(PFOS)异构体在广泛PFAS暴露的出生队列中的TTE,并调查母体暴露水平是否影响估计的TTE。方法:在暴露结束后的2015年至2020年期间招募参与者,其中大多数人曾暴露于pfas污染的城市饮用水。我们收集了孕妇妊娠和分娩时的血清样本,以及脐带血清。血清样品采用液相色谱-串联质谱(LC-MS/MS)分析。TTE以脐带血清PFAS浓度与母体血清PFAS浓度之比估算。我们使用了考虑母体特征的广义加性混合模型来评估母体暴露水平(即高、中等或背景)是否改变了估计的TTE。结果:本研究共纳入200对脐带及母体血清样本。暴露剖面以全氟己烷磺酸(PFHxS)和全氟辛烷磺酸为主。我们观察到PFHxS的总转移效率最高(平均TTE: 0.68),而n-PFOS异构体的总转移效率最低(平均TTE: 0.33)。背景暴露双体中PFHxS和PFOS(总和同分异构体)的te值较高。影响声明:在一个主要暴露于受污染饮用水的全氟辛烷磺酸和全氟辛烷磺酸的出生队列中,我们发现8种全氟辛烷磺酸和3种全氟辛烷磺酸异构体的胎盘转移效率(TTE)相当大。PFOA和PFHxS以及支链PFOS同分异构体的TTE均高于线性。虽然我们观察到,与背景水平暴露的母子二代相比,高暴露和中等暴露的母子二代的TTE略低,但高暴露母亲的相当大的TTE意味着受污染地区儿童的绝对产前暴露量高。
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引用次数: 0
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Journal of Exposure Science and Environmental Epidemiology
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