首页|2014-2020年广西重金属污染地区人群尿铅水平调查

2014-2020年广西重金属污染地区人群尿铅水平调查

扫码查看
目的 了解广西重金属污染重点地区人群的尿铅水平,为重金属污染地区防治工作提供科学数据.方法 2014-2020年在广西某地区典型重金属污染区域选择具有代表性的3个行政村作为污染区;在距离污染区30~50 km的邻近地区,选择与污染区自然条件、经济发展水平、生活习惯相近,且无矿山开采和冶炼企业的1个行政村作为对照区.采用随机抽样的方法抽取居住3年以上、以食用本地自产粮食和蔬菜为主、无重金属相关职业性暴露、年龄在18~70岁的当地居民为调查对象,收集80~100 ml尿液,采用电感耦合等离子体质谱仪测定尿铅水平,计算尿铅水平、检出率和超标率.结果 调查对象包括污染区3 529人和对照区1415人,污染区人群尿铅M(IQR)为3.85(4.11)µg/L,对照区人群尿铅M(IQR)为2.34(2.22)μg/L,两区域尿铅水平差异有统计学意义(Z=18.708,P<0.001).污染区人群尿铅的检出范围为ND~276.02 µg/L,有4人尿铅水平超出标准,尿铅超标率为0.11%;对照区人群尿铅的检出范围为ND~34.22μg/L,无尿铅超标者,尿铅检出率(85.51%)低于污染区(91.16%),差异有统计学意义(x2=34.392,P<0.001).在相同研究区域内,尿铅检出率表现为男性高于女性,吸烟者高于不吸烟者.与对照区相比,污染区人群尿铅水平均高于对照区相应分组的尿铅水平(均P<0.05);污染区人群尿铅检出率随居住时间的增加而增高(x2趋势=11.892,P<0.001);污染区不吸烟者、不饮酒者的人群尿铅检出率均高于对照区(吸烟:x2=30.670,P<0.001;饮酒:x2=45.912,P<0.001);在校正人口学特征后,协方差分析结果显示两区域间人群尿铅水平差异有统计学意义(F=120.444,P<0.001).结论 广西重金属污染区人群铅负荷水平处于相对较低的状态,且存在性别、居住时间和个人习惯的差异;环境铅污染对人群健康依然存在潜在影响.
Levels of urinary lead among populations in heavy metal polluted area of Guangxi Zhuang Autonomous Region,2014-2020
Objective To investigate the urinary lead levels among populations in heavy metal polluted areas of Guangxi Zhuang Autonomous Region,and to provide scientific data for supporting heavy metal pollution prevention and control in these areas.Methods Three administrative villages were selected as the representative polluted areas in a typical heavy metal pollution area in Guangxi Zhuang Autonomous Region from 2014 and 2020.In the adjacent area 30-50 km away from the polluted areas,an administrative village with similar natural conditions,economic development level and living habits of the polluted areas,and having no mining and smelting enterprises,was selected as the control area.A random sampling method was used to select local residents aged 18-70 years who had lived locally for more than 3 years,mainly consumed locally produced food and vegetables,and had no occupational exposure to heavy metals to serve as the research subjects,and their urine samples(80-100 ml)were collected.The urinary lead levels were measured using inductively coupled plasma mass spectrometry(ICP-MS),and the level,detection rate and excess criterion rate of urinary lead were calculated.Results The study included 3,529 subjects from the polluted areas and 1,415 ones from the control area.The median urinary lead level based on mean(M)and inter quartile range(IQR)was significantly higher in the polluted areas than in the control area(3.85(4.11)μg/L vs.2.34(2.22)pg/L),showing statistically significant differences in the urinary lead levels between the polluted areas and the control area(Z=18.708,P<0.001).The detection range of urinary lead in the polluted areas was ND-276.02 μg/L,and four subjects with excessive urinary lead were found,with the excess criterion rate of urinary lead being 0.11%.The detection range of urinary lead in the control area was ND-34.22 μg/L,and no subjects with excessive urinary lead were found.The detection rate of urinary lead in the control area was lower than that in the polluted areas(85.51%vs.91.16%),showing a statistically significant difference(x2=34.392,P<0.001).Within the same study area,the detection rate of urinary lead was higher in males than in females as well as higher in smokers than in non-smokers.The urinary lead levels of the subgroups in the polluted areas were all higher than those of the subgroups in the control area(all P<0.05).The detection rates of urinary lead in the polluted areas increased with the increase of residence duration(x2trend=11.892,P<0.001).Non-smokers and non-drinkers in the polluted areas demonstrated higher detection rates of urinary lead compared with their counterparts in the control area(smoking:x2=30.670,P<0.001;drinking:x2=45.912,P<0.001).After adjusting for demographic characteristics,the results of covariance analysis revealed a statistically significant difference in the urinary lead levels between the polluted areas and the control area(F=120.444,P<0.001).Conclusion The populations residing in the heavy metal polluted areas of Guangxi Zhuang Autonomous Region experience a relatively low risk of adverse health effects attributable to lead exposure,and there are differences in genders,residence duration,and personal habits.However,environmental lead pollution still potentially impacts the people's health.

lead exposureurinary leadheavy metalpopulations in Guangxi Zhuang Autonomous Region

杨丹、钟格梅、黄林、许露曦、蒋慧、黄江平、黎林、韦日荣、黎勇

展开 >

广西壮族自治区疾病预防控制中心,广西 南宁 530028

铅暴露 尿铅 重金属 广西人群

2024

实用预防医学
中华预防医学会 湖南省预防医学会

实用预防医学

CSTPCD
影响因子:1.391
ISSN:1006-3110
年,卷(期):2024.31(12)