James Rebecca A, Hertz-Picciotto Irva, Willman Eric, Keller Jean A, Charles M Judith
Department of Epidemiology, School of Public Health, University of North Carolina-Chapel Hill, Chapel Hill, North Carolina, USA.
Environ Health Perspect. 2002 Jul;110(7):617-24. doi: 10.1289/ehp.02110617.
We examined predictors of organochlorine concentrations in serum specimens from women who were pregnant in the 1960s and participated in the Child Health and Development Study in the San Francisco Bay Area of California. That study enrolled pregnant women at the Kaiser-Permanente Medical Facilities, conducted interviews, and drew blood specimens; these specimens were centrifuged and the resulting serum specimens were frozen and placed in long-term storage. For the current investigation, organochlorines were measured by dual-column GC-electron capture detection in specimens collected in 1963-1967 from 399 pregnant women during the second and third trimesters. Using multiple linear regression models adjusted for serum lipids, we evaluated factors predicting concentrations of 11 polychlorinated biphenyl (PCB) congeners, their sum, and several pesticides and metabolites. Variables evaluated were age, race, place of birth, date of blood draw, body mass index, occupation, past residence on a farm, parity, and duration of pregnancy at blood draw. Concentrations of highly chlorinated PCBs and the sum of the PCBs increased with age. Concentrations of certain PCB congeners, as well as the sum, were significantly higher among nonwhites and increased with calendar date of blood draw. (italic)p,p(/italic) -DDT and (italic)p,p(/italic) -DDE concentrations were about 50% higher for nonwhites compared with whites and for those born in California or the southeastern United States versus elsewhere in the United States. Higher body mass index was associated with lower concentrations of several PCBs and (italic)p,p(/italic) -DDE but with higher heptachlor epoxide and DDT levels. The increase in use of PCBs during the 1960s is apparently detectable as increasing concentrations in maternal sera between 1963 and 1967. Marked racial and regional differences in serum pesticide levels were likely caused by geographic variation in previous agricultural and vector-control uses. The relationship to body mass index appears to be complex.
我们研究了20世纪60年代怀孕并参与加利福尼亚州旧金山湾区儿童健康与发展研究的女性血清样本中有机氯浓度的预测因素。该研究在凯撒 - 永久医疗设施招募孕妇,进行访谈并采集血样;这些样本经离心处理,所得血清样本冷冻后长期保存。在本次调查中,采用双柱气相色谱 - 电子捕获检测法对1963 - 1967年期间从399名孕妇孕中期和孕晚期采集的样本中的有机氯进行测量。我们使用针对血清脂质进行调整的多元线性回归模型,评估了预测11种多氯联苯(PCB)同系物浓度、其总和以及几种农药和代谢物浓度的因素。评估的变量包括年龄、种族、出生地、采血日期、体重指数、职业、过去是否居住在农场、产次以及采血时的孕周。高氯代PCB的浓度以及PCB的总和随年龄增加。某些PCB同系物的浓度以及总和在非白人中显著更高,并且随采血日期的增加而升高。与白人相比,非白人的p,p - DDT和p,p - DDE浓度约高50%,在美国出生于加利福尼亚州或美国东南部的人相比于其他地区的人也是如此。较高的体重指数与几种PCB和p,p - DDE的较低浓度相关,但与七氯环氧化物和DDT的较高水平相关。20世纪60年代PCB使用量的增加显然可通过1963年至1967年期间母体血清中浓度的增加检测到。血清农药水平存在明显的种族和地区差异,这可能是由先前农业和病媒控制用途的地理差异导致的。与体重指数的关系似乎很复杂。