上海市社区人群五氯酚内暴露特征与甲状腺激素的关联

Association between internal pentachlorophenol exposure characteristics and thyroid hormone indices in a community population in Shanghai, China

  • 摘要:
    目的 评估上海市社区人群中五氯酚(PCP)内暴露水平,探讨PCP水平的影响因素,并分析内暴露与甲状腺激素水平之间的关联性。
    方法 选取上海市某社区居民464人作为研究对象,通过问卷调查获取人口学信息、膳食情况、生活行为习惯以及疾病史等信息,并采集血样。应用气相色谱电子捕获器测定血清中PCP水平,采用有序多分类logistic回归方法分析PCP暴露的影响因素。将甲状腺激素水平作为因变量,血清PCP作为自变量,控制年龄、性别、文化程度、个人年收入、慢性疾病等混杂因素后,采用多元线性回归方法评估社区人群PCP与甲状腺激素的关联。
    结果 464人中血清PCP检出率为90.3%,血清PCP中位数含量为0.43 μg·L-1。不同年龄分组中PCP含量差异有统计学意义。不同性别、体重指数(BMI)分组中PCP含量差异无统计学意义。年龄、塑料制品使用频率、食用淡水鱼、职业类型、个人年收入、饮茶或咖啡为PCP内暴露潜在的影响因素。年龄、塑料制品使用频率、饮茶或咖啡、食用淡水鱼与PCP含量正相关,与个人年收入呈负相关。多元线性回归分析结果显示,男性中PCP含量与促甲状腺激素(TSH)正相关(b=0.105,95%CI:0.017~0.313),与游离甲状腺素(FT4)负相关(b=-0.026,95%CI:-0.057~0.004);女性中PCP含量与TSH(b=0.092,95%CI:-0.211~0.904)、游离三碘甲状腺原氨酸(FT3)(b=0.017,95%CI:-0.058~0.230)正相关,与FT4负相关(b=-0.013,95%CI:-0.011~0.037)。
    结论 上海市社区居民血清PCP的检出较为普遍,不同人口学特征或行为习惯可能增加或减少PCP暴露,PCP暴露进而影响人体甲状腺激素水平。

     

    Abstract:
    Objective To assess the level of internal exposure to PCP in a community population in Shanghai, to investigate the factors affecting the level of PCP, and to analyze the correlation between the exposure and thyroid hormone levels.
    Methods A total of 464 residents of a community in Shanghai were selected as the study subjects. A questionnaire survey was conducted to obtain the demographic information, dietary situation, lifestyle and behavioral habits, and disease history of the individuals, and blood samples were collected. Gas chromatography-electron trap was applied to determine the PCP levels in serum. Multicategorical logistic regression analysis was used to analyze the possible influencing factors of PCP exposure in humans. Thyroid hormone levels were used as the dependent variable and serum PCP as the independent variable. Multiple linear regression analysis was used to assess the association between PCP and thyroid hormones in the community population after controlling the confounding factors such as age, gender, literacy, annual personal income, and chronic diseases.
    Results The detection rate of serum PCP in 464 subjects was 90.3%, and the median serum PCP level was 0.43 μg·L-1. The differences in PCP levels among different age groups were statistically significant. There were no significant differences in PCP levels among different gender and BMI groups. The study of PCP exposure factors showed that age, frequency of using plastic products, consumption of freshwater fish, type of occupation, annual income, and consumption of tea or coffee were the potential influencing factors for PCP exposure. Among them, age, frequency of using plastic products, consumption of tea or coffee, and consumption of freshwater fish were positively associated with PCP levels, and annual personal income was negatively associated with it. The results of multiple linear regression analysis showed that among men, PCP levels were positively correlated with TSH (b=0.105, 95%CI:0.017‒0.313) and negatively correlated with FT4 (b=-0.026, 95%CI:-0.057‒0.004), and among women, PCP levels were positively correlated with TSH (b=0.092, 95%CI:-0.211‒0.904) and FT3 (b=0.017, 95%CI:-0.058‒0.230) and negatively correlated with FT4 (b=-0.013, 95%CI:-0.011‒0.037).
    Conclusion Serum PCP detection is common among community residents in Shanghai. Different demographic characteristics or behavioral habits may increase or decrease PCP exposure. PCP exposure then affects human thyroid hormone levels.

     

/

返回文章
返回