Alcover Karl C, McAdam Jordan, Denic-Roberts Hristina, Byrne Celia, Sjodin Andreas, Davis Mark, Jones Richard, Zhang Yawei, Rusiecki Jennifer A
Department of Medicine, Uniformed Services University of the Health Sciences (USUHS), 4301 Jones Bridge Rd, Bethesda, MD, USA.
Henry M. Jackson Foundation for the Advancement of Military Medicine, Inc., 6720A Rockledge Dr, Bethesda, MD, USA; Department of Preventive Medicine and Biostatistics, USUHS, 4301 Jones Bridge Rd, Bethesda, MD, USA.
Int J Hyg Environ Health. 2025 Apr;265:114540. doi: 10.1016/j.ijheh.2025.114540. Epub 2025 Feb 19.
OBJECTIVES/BACKGROUND: We evaluated patterns of serum concentrations of endocrine disrupting chemicals (EDCs), namely polychlorinated biphenyls (PCBs), organochlorine pesticides (OCPs), and polybrominated diphenyl ethers (PBDEs), in a U.S. military sample by race/ethnicity (R/E) and sex.
Twenty-three EDCs were measured in stored serum samples obtained between 1995 and 2010 for 708 service members from the Department of Defense Serum Repository. For each EDC, geometric means (GM) were estimated using log-transformed concentrations in a linear regression model, for eight combined R/E/sex groups: non-Hispanic White (NHW), non-Hispanic Black (NHB), non-Hispanic Asian (NHA), and Hispanic men and women, adjusted for age and service branch and stratified by age tertile ("younger age": 17-23, "middle age": 24-30, and "older age": 31-52 years). Comparisons were made between our military sample and the National Health and Nutrition Examination Survey (NHANES) 2003-2004 data for NHW and NHB groups.
Within our military sample, the highest PCB concentrations were among older age NHB men and women and highest OCP concentrations among older age NHB women and NHA men. PBDE concentrations were generally highest in middle age Hispanic women and NHA men, though based on small sample size. Generally, NHB men and women had higher concentrations of EDCs in both the military and NHANES.
We found patterns of elevated EDC concentrations among NHB, NHA, and Hispanic groups in the military sample and for NHB men and women in NHANES. There were no consistent patterns of higher or lower EDCs comparing the military to NHANES. Future studies of EDCs and health outcomes should stratify by R/E/sex to account for potential disparities in EDC concentrations.
目的/背景:我们按种族/族裔(R/E)和性别评估了美国军人样本中内分泌干扰化学物质(EDC)的血清浓度模式,这些物质包括多氯联苯(PCB)、有机氯农药(OCP)和多溴二苯醚(PBDE)。
对1995年至2010年期间从国防部血清储存库获取的708名军人的储存血清样本中的23种EDC进行了测量。对于每种EDC,在一个线性回归模型中使用对数转换后的浓度估计几何均值(GM),该模型针对八个合并的R/E/性别组:非西班牙裔白人(NHW)、非西班牙裔黑人(NHB)、非西班牙裔亚洲人(NHA)以及西班牙裔男性和女性,并对年龄和军种进行了调整,按年龄三分位数分层(“较年轻年龄”:17 - 23岁,“中年”:24 - 30岁,“较年长年龄”:31 - 52岁)。将我们的军人样本与2003 - 2004年全国健康和营养检查调查(NHANES)中NHW和NHB组的数据进行了比较。
在我们的军人样本中,PCB浓度最高的是年龄较大的NHB男性和女性,OCP浓度最高的是年龄较大的NHB女性和NHA男性。PBDE浓度通常在中年西班牙裔女性和NHA男性中最高,不过样本量较小。总体而言,NHB男性和女性在军人样本和NHANES中的EDC浓度都较高。
我们在军人样本中的NHB、NHA和西班牙裔群体以及NHANES中的NHB男性和女性中发现了EDC浓度升高的模式。将军人样本与NHANES进行比较时,没有一致的EDC浓度较高或较低的模式。未来关于EDC与健康结果的研究应按R/E/性别进行分层,以考虑EDC浓度的潜在差异。