ISGlobal, Barcelona, Spain; Universitat Pompeu Fabra (UPF), Barcelona, Spain; CIBER Epidemiología y Salud Pública (CIBERESP), Spain.
Norwegian Institute of Public Health, Oslo, Norway.
Int J Hyg Environ Health. 2019 Jun;222(5):864-872. doi: 10.1016/j.ijheh.2019.04.002. Epub 2019 Apr 19.
Human exposure to environmental chemical contaminants at critical periods of development can lead to lifelong health consequences. Traditionally, socioeconomically disadvantaged groups are thought to experience higher contaminant exposures; however, this relationship may not hold for all contaminants.
Using data from six European birth cohorts (1301 mother-child pairs), we determined biomarkers of exposure to 41 contaminants in biological samples from children (6-12 years) and their mothers during pregnancy, including organochlorine compounds (OCs), polybrominated diphenyl ethers (PBDEs), per- and polyfluoroalkyl substances (PFASs), metals, phthalate metabolites, phenols, and organophosphate (OP) pesticide metabolites. We analyzed these biomarkers with several socioeconomic position (SEP) indicators (maternal education, employment status and family affluence scale).
Higher SEP was associated with higher concentrations of several chemicals during pregnancy, including certain PFASs, mercury, arsenic, several phenols, and OP pesticides. Similarly, childhood concentrations of OCs, PFASs, mercury, arsenic, and bisphenol A were higher in higher SEP groups. Conversely, cadmium exposure during pregnancy and exposure to lead and phthalate metabolites in childhood were higher in lower SEP. Principal components representing multiple pollutant exposures showed similar association with SEP.
This study demonstrates that environmental chemical contaminant exposure during fetal and childhood life is not exclusively associated to lower SEP and that for several contaminants higher SEP groups incur higher exposure levels.
人类在发育关键期暴露于环境化学污染物会导致终生健康后果。传统上,社会经济地位较低的群体被认为会接触到更高水平的污染物;然而,这种关系并非适用于所有污染物。
本研究使用来自六个欧洲出生队列(1301 对母婴)的数据,在儿童(6-12 岁)及其母亲怀孕期间的生物样本中确定了 41 种污染物的暴露生物标志物,包括有机氯化合物(OCs)、多溴联苯醚(PBDEs)、全氟和多氟烷基物质(PFASs)、金属、邻苯二甲酸酯代谢物、酚类和有机磷(OP)农药代谢物。我们使用了几种社会经济地位(SEP)指标(母亲教育、就业状况和家庭富裕程度量表)来分析这些生物标志物。
较高的 SEP 与怀孕期间包括某些 PFASs、汞、砷、几种酚类和 OP 农药在内的几种化学物质的浓度较高有关。类似地,OCs、PFASs、汞、砷和双酚 A 的儿童浓度在 SEP 较高的组中也较高。相反,怀孕期间的镉暴露和儿童时期的铅和邻苯二甲酸酯代谢物暴露在 SEP 较低的组中较高。代表多种污染物暴露的主成分也表现出与 SEP 的类似关联。
本研究表明,胎儿和儿童时期的环境化学污染物暴露并不完全与较低的 SEP 相关,而且对于几种污染物,较高的 SEP 群体的暴露水平更高。