Höldke B, Karmaus W, Kruse H
NORDIG-Institut für Gesundheitsforschung und Prävention, Hamburg.
Gesundheitswesen. 1998 Aug-Sep;60(8-9):505-12.
Within the framework of a human biomonitoring project the distribution of foreign substances in the blood of children living in regions which were industrially polluted to differing extents was investigated. The results from children who lived in the neighbourhood of a hazardous waste incinerator plant (SVA) were compared with children from a control region with similar industrial pollution (Rhine Valley Control Region = RKR) and from a second control area with lower industrial pollution (Odenwald Control Region = OKR). PCB118, 138, 153, 170, 180, 183 and 187 were analysed in the blood of 348 children between 7 and 10 years of age. Indicators of exposure in the regression models, adjusted for age, sex and for other confounders, are the regions or places of residence (18 neigbourhoods). Children from the SVA area have for PCB170 (p = 0.02) and PCB180 (p = 0.007) higher average values (or for PCb with a low prevalence of detection) a greater relative chance of detection (PCB183: OR 2.00; 95%CI 1.08-3.69; PCB187: OR 1.99; 95%CI 0.97-4.09) than children in the OKR. Apart from gender of the child and sequential order of birth, behavioural characteristics, such as breast feeding, passive smoking and body-mass index, will contribute to explaining the variance of PCb. The results can presently be viewed only as a regional comparison of the three investigated groups. The effects seen here are small but statistically significant and indicate a regionally plausible pattern.
在一项人体生物监测项目的框架内,对生活在工业污染程度不同地区的儿童血液中外来物质的分布情况进行了调查。将生活在危险废物焚烧厂(SVA)附近的儿童的结果与来自工业污染程度相似的对照区域(莱茵河谷对照区域 = RKR)以及工业污染程度较低的第二个对照区域(奥登瓦尔德对照区域 = OKR)的儿童的结果进行了比较。对348名7至10岁儿童的血液中的多氯联苯118、138、153、170、180、183和187进行了分析。在针对年龄、性别和其他混杂因素进行调整的回归模型中,暴露指标为地区或居住地(18个社区)。SVA地区的儿童在多氯联苯170(p = 0.02)和多氯联苯180(p = 0.007)方面的平均值较高(或对于检测患病率较低的多氯联苯),与OKR地区的儿童相比,检测的相对可能性更大(多氯联苯183:比值比2.00;95%置信区间1.08 - 3.69;多氯联苯187:比值比1.99;95%置信区间0.97 - 4.09)。除了儿童的性别和出生顺序外,行为特征,如母乳喂养、被动吸烟和体重指数,将有助于解释多氯联苯的差异。目前,这些结果只能视为对三个调查群体的区域比较。这里观察到的影响虽小但具有统计学意义,并表明了一种在区域上看似合理的模式。