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Cadmium Exposure and Renal Damage in Individuals with Low Socioeconomic Status in Environmentally Vulnerable Areas

환경보건 취약지역에 거주하는 저소득 집단의 카드뮴 노출과 신장질환 영향

  • Yong Min Cho (Institute for Environmental Health, Seokyeong University) ;
  • Hohyun Jin (Department of Environmental Engineering, Seoul National University of Science and Technology) ;
  • Jiyun Kang (Department of Environmental Engineering, Seoul National University of Science and Technology) ;
  • Chahun Kim (Department of Environmental Engineering, Seoul National University of Science and Technology) ;
  • Dahee Han (Institute for Environmental Health, Seokyeong University) ;
  • Su Hyeon Kim (Department of Nano Chemical and Biological Engineering, Seokyeong University) ;
  • Seohui Han (Department of Nano Chemical and Biological Engineering, Seokyeong University) ;
  • Young-Seoub Hong (Department of Preventive Medicine and Heavy Metal Exposure Environmental Health Center, Dong-A University College of Medicine) ;
  • Ki-Tae Kim (Department of Environmental Engineering, Seoul National University of Science and Technology)
  • 조용민 (서경대학교 환경보건연구소) ;
  • 진호현 (서울과학기술대학교 환경공학과) ;
  • 강지윤 (서울과학기술대학교 환경공학과) ;
  • 김차훈 (서울과학기술대학교 환경공학과) ;
  • 한다희 (서경대학교 환경보건연구소) ;
  • 김수현 (서경대학교 나노화학생명공학과) ;
  • 한서희 (서경대학교 나노화학생명공학과) ;
  • 홍영습 (동아대학교 의과대학 예방의학교실 및 중금속노출 환경보건센터) ;
  • 김기태 (서울과학기술대학교 환경공학과)
  • Received : 2022.11.16
  • Accepted : 2023.02.09
  • Published : 2023.02.28

Abstract

Background: Few studies have assessed exposure to chemicals in the context of environmental vulnerability with a focus on exposure among populations living in certain geographical areas. Objectives: This study aimed to investigate cadmium exposure levels and kidney damage indices in environmentally and socioeconomically vulnerable populations, with further subgrouping according to economic status. Methods: Four areas were selected to represent geographical vulnerability (two environmentally vulnerable populations and two socioeconomically vulnerable populations). Among them, population groups with lower socioeconomic status (SES) were separately classified. Urinary cadmium (UCd), beta2-microglobulin (β2-MG), and N-acetyl-β-D-glucosaminidase (NAG) levels were analyzed in samples from 245 residents of these four areas. Results: Geometric means of concentrations of UCd (0.97~2.02 ㎍/g creatinine) in all selected populations (N, 245; mean age, 67.8~70.9 years old) were higher than the national reference values (0.39 for adults and 0.78 ㎍/g creatinine for people in their 60s). Participants with a lower SES had higher UCd and NAG concentrations than did non-low SES participants. In the lower SES group, there was a significant association between UCd and NAG concentrations; however, there was no such correlation in the non-low SES group. Conclusions: Consistent with the findings of previous studies evaluating chemical exposure and associated health effects in specific populations, the findings of this study suggest that individuals with a low SES may be more vulnerable to exposure and related health effects.

Keywords

Acknowledgement

이 논문은 2020년도 정부(교육부)의 재원으로 한국연구재단의 지원을 받아 수행된 기초연구사업입니다(NRF2020R1A6A1A03042742). 또한 이 논문은 환경부의 재원으로 한국환경산업기술원의 환경성질환 예방관리 핵심 기술개발사업의 지원을 받아 연구되었습니다(2021003320003).

References

  1. Jiang Y, Yang Y. Environmental justice in greater Los Angeles: impacts of spatial and ethnic factors on residents' socioeconomic and health status. Int J Environ Res Public Health. 2022; 19(9): 5311.
  2. Yi IH. An analytical review of environment justice research: the issues and trend. Space Environ. 2008; 29: 32-67.
  3. Park CH, Han HJ, Lee YM, Yoo SE, Jung DY, Chu YH. A case study on the evaluation of environmental health status focused on multiple impact and environmental justice. J Environ Health Sci. 2020; 46(1): 22-34.
  4. Driver A, Mehdizadeh C, Bara-Garcia S, Bodenreider C, Lewis J, Wilson S. Utilization of the Maryland environmental justice screening tool: a Bladensburg, Maryland case study. Int J Environ Res Public Health. 2019; 16(3): 348.
  5. Braubach M, Fairburn J. Social inequities in environmental risks associated with housing and residential location--a review of evidence. Eur J Public Health. 2010; 20(1): 36-42. https://doi.org/10.1093/eurpub/ckp221
  6. Slachtova H, Jirik V, Tomasek I, Tomaskova H. Environmental and socioeconomic health inequalities: a review and an example of the industrial Ostrava region. Cent Eur J Public Health. 2016; 24(Suppl): S26-S32. https://doi.org/10.21101/cejph.a4535
  7. Brazil N. Environmental inequality in the neighborhood networks of urban mobility in US cities. Proc Natl Acad Sci USA. 2022; 119(17): e2117776119.
  8. Chakraborty J, Basu P. Air quality and environmental injustice in India: connecting particulate pollution to social disadvantages. Int J Environ Res Public Health. 2021; 18(1): 304.
  9. Miao Y, Porter WC, Schwabe K, LeComte-Hinely J. Evaluating health outcome metrics and their connections to air pollution and vulnerability in Southern California's Coachella Valley. Sci Total Environ. 2022; 821: 153255.
  10. Faroon O, Ashizawa A, Wright S, Tucker P, Jenkins K, Ingerman L, et al. Toxicological Profile for Cadmium. Atlanta: U.S. Department of Health and Human Services, Public Health Service, Agency for Toxic Substances and Disease Registry; 2012. p.273-274.
  11. Jones DH, Yu X, Guo Q, Duan X, Jia C. Racial disparities in the heavy metal contamination of urban soil in the southeastern United States. Int J Environ Res Public Health. 2022; 19(3): 1105.
  12. Joo Y, Kwon YM, Kim SY, Choi K, Lee C, Yu SD, et al. A study on heavy metals exposure and major sociodemographic influence factors among Korean adults- Korean National Environmental Health Survey (2009-2017). J Environ Health Sci. 2019; 45(5): 541-555.
  13. Jee Y, Cho SI. Associations between socioeconomic status and blood cadmium levels in Korea. Epidemiol Health. 2019; 41: e2019018.
  14. Lee J, Oh S, Kang H, Kim S, Lee G, Li L, et al. Environment-wide association study of CKD. Clin J Am Soc Nephrol. 2020; 15(6): 766-775. https://doi.org/10.2215/CJN.06780619
  15. Jalili C, Kazemi M, Cheng H, Mohammadi H, Babaei A, Taheri E, et al. Associations between exposure to heavy metals and the risk of chronic kidney disease: a systematic review and meta-analysis. Crit Rev Toxicol. 2021; 51(2): 165-182. https://doi.org/10.1080/10408444.2021.1891196
  16. Brailsford JM, Hill TD, Burdette AM, Jorgenson AK. Are socioeconomic inequalities in physical health mediated by embodied environmental toxins? Socius. 2018; 4: 1-9. https://doi.org/10.24036/scs.v4i1.19
  17. Geron M, Cowell W, Amarasiriwardena C, Andra SS, Carroll K, Kloog I, et al. Racial/ethnic and neighborhood disparities in metals exposure during pregnancy in the Northeastern United States. Sci Total Environ. 2022; 820: 153249.
  18. Ahn SC, Chang JY, Lee JS, Yu HY, Jung AR, Kim JY, et al. Exposure factors of cadmium for residents in an abandoned metal mine area in Korea. Environ Geochem Health. 2017; 39(5): 1059-1070. https://doi.org/10.1007/s10653-016-9872-7
  19. Kim E, Moon SI, Yim DH, Choi BS, Park JD, Eom SY, et al. Evaluation of the relationship between the exposure level to mixed hazardous heavy metals and health effects using factor analysis. J Environ Health Sci. 2022; 48(4): 236-243. https://doi.org/10.5668/JEHS.2022.48.4.236
  20. Hong H, You YJ. Landscape analysis on the urban decline region - a case of 104 village in Nowon-gu, Seoul. J Assoc Korean Photo Geogr. 2012; 22(1): 77-90.
  21. Ministry of Health and Welfare. National Basic Living Security Act. Available: https://www.law.go.kr/LSW/admRulInfoP.do?admRulSeq=2100000191834 [accessed 13 February 2023].
  22. Cho YM, Yang M, Im H, Cha S, Lee J, Kim KH, et al. Development and validation of the simultaneous analytical method of urinary metals and metalloids for the National Biomonitoring Programs. J Environ Health Sci. 2019; 45(6): 594-604.
  23. Ventura C, Gomes BC, Oberemm A, Louro H, Huuskonen P, Mustieles V, et al. Biomarkers of effect as determined in human biomonitoring studies on hexavalent chromium and cadmium in the period 2008-2020. Environ Res. 2021; 197: 110998.
  24. Becker K, Seiwert M, Angerer J, Heger W, Koch HM, Nagorka R, et al. DEHP metabolites in urine of children and DEHP in house dust. Int J Hyg Environ Health. 2004; 207(5): 409-417. https://doi.org/10.1078/1438-4639-00309
  25. KOSIS (Korean Statistical Information Service). Results of the Korean National Environmental Health Survey (KoNEHS) - Cadmium in Urine (Creatinine Adjusted) 2020. Available: https://kosis.kr/statHtml/statHtml.do?orgId=106&tblId=DT_106N_99_1100058&vw_cd=MT_ZTITLE&list_id=106_002_002&scrId=&seqNo=&lang_mode=ko&obj_var_id=&itm_id=&conn_path=MT_ZTITLE&path=%252FstatisticsList%252FstatisticsListIndex.do [accessed 23 September 2022].
  26. Hwang MY, Ryu JM, Kown YM, Hong SY, Park CH. Seasonal variations of exposure to environmental chemicals: implication from the Korean National Environmental Health Survey (2012-2014). J Environ Health Sci. 2018; 44(6): 572-580.
  27. MacDonald LA, Cohen A, Baron S, Burchfiel CM. Occupation as socioeconomic status or environmental exposure? A survey of practice among population-based cardiovascular studies in the United States. Am J Epidemiol. 2009; 169(12): 1411-1421. https://doi.org/10.1093/aje/kwp082
  28. Nawrot TS, Staessen JA, Roels HA, Munters E, Cuypers A, Richart T, et al. Cadmium exposure in the population: from health risks to strategies of prevention. Biometals. 2010; 23(5): 769-782. https://doi.org/10.1007/s10534-010-9343-z
  29. Glicklich D, Frishman WH. The case for cadmium and lead heavy metal screening. Am J Med Sci. 2021; 362(4): 344-354. https://doi.org/10.1016/j.amjms.2021.05.019
  30. Racz L, Rish W. Exposure monitoring toward environmental justice. Integr Environ Assess Manag. 2022; 18(4): 858-862. https://doi.org/10.1002/ieam.4534
  31. Van Horne YO, Alcala CS, Peltier RE, Quintana PJE, Seto E, Gonzales M, et al. An applied environmental justice framework for exposure science. J Expo Sci Environ Epidemiol. 2023; 33(1): 1-11.  https://doi.org/10.1038/s41370-022-00422-z