Nội dung được dịch bởi AI, chỉ mang tính chất tham khảo
Sự tiếp xúc với các kim loại trong nước tiểu, arsenic và hydrocarbon thơm vòng (PAHs) và nguy cơ viêm phế quản mạn tính ở người trưởng thành tại Hoa Kỳ
Tóm tắt
Kim loại, arsenic và hydrocarbon thơm vòng (PAHs) đều đã được liên kết với các bệnh hô hấp. Viêm phế quản mạn tính, một dạng của bệnh phổi tắc nghẽn mạn tính (COPD), là một vấn đề sức khỏe cộng đồng nghiêm trọng và là nguyên nhân gây bệnh tật và tử vong ở Hoa Kỳ. Mục tiêu của nghiên cứu này là phân tích mối tương quan giữa 14 kim loại trong nước tiểu (antimon, bari, cadmium, cesium, cobalt, chì, mangan, thủy ngân, molybdenum, strontium, thallium, thiếc, tungsten, uranium), bảy dạng arsenic và bảy dạng nồng độ hydrocarbon thơm vòng (PAH) với viêm phế quản mạn tính trong quần thể dân số Hoa Kỳ. Phân tích cắt ngang sử dụng ba bộ dữ liệu từ Khảo sát sức khỏe và dinh dưỡng quốc gia (NHANES) trong khoảng thời gian từ 2011 đến 2016 trên người trưởng thành từ 20 tuổi trở lên. Viêm phế quản mạn tính được xác định thông qua bảng hỏi tự đánh giá từ bộ dữ liệu NHANES. Một gói phần mềm phân tích thiết kế khảo sát phức tạp có trọng số chuyên dụng đã được sử dụng để phân tích dữ liệu NHANES. Các mô hình hồi quy logistic đa biến được sử dụng để xác định mối tương quan giữa các kim loại trong nước tiểu, arsenic, PAHs và viêm phế quản mạn tính. Các mô hình đã được điều chỉnh theo các yếu tố lối sống và dân số. Tổng cộng có 4186 người tham gia đã được phân tích; 49,8% là nữ và 40,5% là người da trắng không phải gốc Tây Ban Nha. Tất cả bảy loại PAHs đều cho thấy mối liên hệ tích cực với viêm phế quản mạn tính (tỷ lệ cược 1-hydroxy naphthalene (OR): 1.559, khoảng tin cậy (CI): 1.271–1.912; 2-hydroxy naphthalene OR: 2.498, 95% CI: 1.524–4.095; 3-hydroxy fluorene OR: 2.752, 95% CI: 2.100–3.608; 2-hydroxy fluorene OR: 3.461, 95% CI: 2.438–4.914; 1-hydroxy phenanthrene OR: 2.442, 95% CI: 1.515–3.937; 1-hydroxy pyrene OR: 2.828, 95% CI: 1.728–4.629; 2 & 3-hydroxy phenanthrene OR: 3.690, 95% CI: 2.309–5.896). Trong số các kim loại, chỉ có cadmium trong nước tiểu cho thấy mối liên hệ tích cực có ý nghĩa thống kê (OR: 2.435, 95% CI: 1.401–4.235) với viêm phế quản mạn tính. Không có kim loại hoặc arsenic nào khác có liên quan đến viêm phế quản mạn tính. Bảy dạng PAHs trong nước tiểu, cadmium và một số yếu tố dân số đã được liên kết với viêm phế quản mạn tính.
Từ khóa
#viêm phế quản mạn tính #kim loại #arsenic #hydrocarbon thơm vòng #sức khỏe cộng đồng #khảo sát NHANESTài liệu tham khảo
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