Whitehead Todd P, Nuckols John R, Ward Mary H, Rappaport Stephen M
Division of Environmental Health Sciences, University of California, Berkeley, CA, USA.
Emerg Themes Epidemiol. 2012 Mar 23;9(1):2. doi: 10.1186/1742-7622-9-2.
There is increasing interest in using chemicals measured in carpet dust as indicators of chemical exposures. However, investigators have rarely sampled dust repeatedly from the same households and therefore little is known about the variability of chemical levels that exist within and between households in dust samples.
We analyzed 9 polycyclic aromatic hydrocarbons, 6 polychlorinated biphenyls, and nicotine in 68 carpet-dust samples from 21 households in agricultural communities of Fresno County, California collected from 2003-2005. Chemical concentrations (ng per g dust) ranged from < 2-3,609 for 9 polycyclic aromatic hydrocarbons, from < 1-150 for 6 polychlorinated biphenyls, and from < 20-7,776 for nicotine. We used random-effects models to estimate variance components for concentrations of each of these carpet-dust chemicals and calculated the variance ratio, λ, defined as the ratio of the within-household variance component to the between-household variance component. Subsequently, we used the variance ratios calculated from our data, to illustrate the potential effect of measurement error on the attenuation of odds ratios in hypothetical case-control studies. We found that the median value of the estimated variance ratios was 0.33 (range: 0.13-0.72). Correspondingly, in case-control studies of associations between these carpet-dust chemicals and disease, given the collection of only one measurement per household and a hypothetical odds ratio of 1.5, we expect that the observed odds ratios would range from 1.27 to 1.43. Moreover, for each of the chemicals analyzed, the collection of three repeated dust samples would limit the expected magnitude of odds ratio attenuation to less than 20%.
Our findings suggest that attenuation bias should be relatively modest when using these semi-volatile carpet-dust chemicals as exposure surrogates in epidemiologic studies.
人们越来越关注将地毯灰尘中检测到的化学物质用作化学暴露的指标。然而,研究人员很少从同一家庭重复采集灰尘样本,因此对于灰尘样本中家庭内部和家庭之间化学物质水平的变异性了解甚少。
我们分析了2003年至2005年从加利福尼亚州弗雷斯诺县农业社区的21个家庭采集的68个地毯灰尘样本中的9种多环芳烃、6种多氯联苯和尼古丁。9种多环芳烃的化学浓度(每克灰尘中的纳克数)范围为<2至3609,6种多氯联苯的范围为<1至150,尼古丁的范围为<20至7776。我们使用随机效应模型来估计每种地毯灰尘化学物质浓度的方差成分,并计算方差比λ,其定义为家庭内部方差成分与家庭之间方差成分的比值。随后,我们使用从数据中计算出的方差比来说明在假设的病例对照研究中测量误差对优势比衰减的潜在影响。我们发现估计方差比的中位数为0.33(范围:0.13至0.72)。相应地,在这些地毯灰尘化学物质与疾病关联的病例对照研究中,假设每户仅采集一次测量数据且假设优势比为1.5,我们预计观察到的优势比将在1.27至1.43之间。此外,对于所分析的每种化学物质,采集三个重复的灰尘样本将使优势比衰减的预期幅度限制在20%以下。
我们的研究结果表明,在流行病学研究中使用这些半挥发性地毯灰尘化学物质作为暴露替代指标时,衰减偏差应该相对较小。