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加拿大努纳武特地区因纽特孕妇血液汞 (Hg) 和血清多氯联苯 (PCB) 浓度的社会经济不平等。

Socio-economic inequalities in blood mercury (Hg) and serum polychlorinated biphenyl (PCB) concentrations among pregnant Inuit women from Nunavik, Canada.

机构信息

Population Health and Practice-changing Research Group, CHU de Québec Research Centre, Hôpital Saint-Sacrement, 1050 Chemin Sainte-Foy, Québec, Qc, G1S 4L8, Canada.

Faculty of Nursing, Université Laval, Pavillon Ferdinand Vandry, 1050 avenue de la médecine, Québec, QC, G1V 0A6, Canada.

出版信息

Can J Public Health. 2018 Dec;109(5-6):671-683. doi: 10.17269/s41997-018-0077-y. Epub 2018 Jul 20.

Abstract

OBJECTIVE

We examined the relationships between socio-economic characteristics and mercury (Hg) and polychlorinated biphenyl (PCB) concentrations among pregnant Inuit women from Nunavik.

METHOD

We used biomonitoring data from 208 pregnant Inuit women recruited in the 14 villages of Nunavik between September 2011 and December 2013. Blood samples were collected to monitor levels of blood Hg and serum congener PCB-153 (surrogate of total PCB concentration). Ratio of omega 3/omega 6 polyunsaturated fatty acids, a validated biomarker of marine country food consumption, was also measured in red blood cell membranes to determine maternal dietary profile. Data on socio-economic characteristics (income and education), health-related lifestyles, and reproductive history were collected through questionnaires. Association between socio-economic characteristics and contaminant concentrations was assessed using linear regressions.

RESULTS

We observed a significant inverse relationship between education and Hg levels. Lower concentrations of Hg were observed among women who had completed high school compared to women who had not completed high school. However, no association was observed between level of education and concentration of PCBs.

CONCLUSION

Socio-economic disparities in maternal exposure to Hg exist in Nunavik. Further research is needed to determine whether environmental health inequalities also exist in other subgroups of the Nunavik population and in other Indigenous communities in Canada.

摘要

目的

我们研究了努纳武特因纽特孕妇的社会经济特征与汞(Hg)和多氯联苯(PCB)浓度之间的关系。

方法

我们使用了 208 名于 2011 年 9 月至 2013 年 12 月期间在努纳武特 14 个村庄招募的孕妇因纽特人的生物监测数据。采集血样以监测血液 Hg 和血清 PCB-153(总 PCB 浓度的替代物)浓度。还测量了红细胞膜中 ω3/ω6 多不饱和脂肪酸的比值,这是衡量海洋国食物消费的一种经过验证的生物标志物,以确定母体饮食状况。通过问卷收集了有关社会经济特征(收入和教育)、与健康相关的生活方式和生育史的数据。使用线性回归评估社会经济特征与污染物浓度之间的关联。

结果

我们观察到教育与 Hg 水平之间存在显著的负相关关系。与未完成高中学业的女性相比,完成高中学业的女性血液中的 Hg 浓度较低。然而,教育水平与 PCB 浓度之间没有关联。

结论

在努纳武特,母体接触 Hg 方面存在社会经济差异。需要进一步研究以确定在努纳武特人口的其他亚组以及加拿大其他土著社区是否也存在环境健康不平等。

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