Urinary Arsenic Concentration and Its Relationship with Bronchial Asthma in Children from Arica, Chile

In the city of Arica, northern Chile, the population has been involuntarily exposed to arsenic of natural and anthropogenic origin. This study aims to evaluate the association between urinary arsenic concentration and bronchial asthma diagnosis in the children of Arica. A cross-sectional analysis of...

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Main Authors: María Pía Muñoz, Verónica Iglesias, Marta Saavedra, Gina Saavedra, Karla Yohannessen, Paulina Pino
Format: Article
Language:English
Published: MDPI AG 2022-10-01
Series:Toxics
Subjects:
Online Access:https://www.mdpi.com/2305-6304/10/10/625
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author María Pía Muñoz
Verónica Iglesias
Marta Saavedra
Gina Saavedra
Karla Yohannessen
Paulina Pino
author_facet María Pía Muñoz
Verónica Iglesias
Marta Saavedra
Gina Saavedra
Karla Yohannessen
Paulina Pino
author_sort María Pía Muñoz
collection DOAJ
description In the city of Arica, northern Chile, the population has been involuntarily exposed to arsenic of natural and anthropogenic origin. This study aims to evaluate the association between urinary arsenic concentration and bronchial asthma diagnosis in the children of Arica. A cross-sectional analysis of a database of 1892 subjects under 18 years of age enrolled in the Environmental Health Centre between 2009 and 2021 was carried out. Arsenic exposure was obtained from a urine sample and bronchial asthma diagnosis from the database of the system for the management of explicit health guarantees. Logistic regression models were used to assess the association between inorganic arsenic and asthma. The median inorganic arsenic was 15 μg/L, and the prevalence of asthma was 7.4%. After adjusting for sex, age, ethnicity, and urinary creatinine, children with the highest tertile of urinary arsenic concentration (≥21.4 μg/L) had a greater chance of developing asthma (odds ratio (OR) 1.90; 95% confidence interval (CI) [1.13–3.18]). When exploring the modifying effect of ethnicity, the association increased among children belonging to any ethnic group (OR 3.51, 95%CI [1.43–8.65]). These findings suggest a relationship between arsenic exposure and bronchial asthma in children. While further studies are needed to assess the impact of arsenic on respiratory health, mitigation efforts to reduce arsenic exposure should be maintained.
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spelling doaj.art-d082452575cf4fca86401d7d42cd5c6c2023-11-24T02:58:15ZengMDPI AGToxics2305-63042022-10-01101062510.3390/toxics10100625Urinary Arsenic Concentration and Its Relationship with Bronchial Asthma in Children from Arica, ChileMaría Pía Muñoz0Verónica Iglesias1Marta Saavedra2Gina Saavedra3Karla Yohannessen4Paulina Pino5Programa Doctorado en Salud Pública, Escuela de Salud Pública, Facultad de Medicina, Universidad de Chile, Independencia 939, Santiago 8380453, ChilePrograma de Epidemiología, Escuela de Salud Pública, Facultad de Medicina, Universidad de Chile, Independencia 939, Santiago 8380453, ChileDepartamento de Salud Pública, Secretaría Regional Ministerial de Salud Arica y Parinacota, Maipú 410, Arica 1000426, ChileDepartamento de Salud Pública, Secretaría Regional Ministerial de Salud Arica y Parinacota, Maipú 410, Arica 1000426, ChilePrograma de Epidemiología, Escuela de Salud Pública, Facultad de Medicina, Universidad de Chile, Independencia 939, Santiago 8380453, ChilePrograma de Epidemiología, Escuela de Salud Pública, Facultad de Medicina, Universidad de Chile, Independencia 939, Santiago 8380453, ChileIn the city of Arica, northern Chile, the population has been involuntarily exposed to arsenic of natural and anthropogenic origin. This study aims to evaluate the association between urinary arsenic concentration and bronchial asthma diagnosis in the children of Arica. A cross-sectional analysis of a database of 1892 subjects under 18 years of age enrolled in the Environmental Health Centre between 2009 and 2021 was carried out. Arsenic exposure was obtained from a urine sample and bronchial asthma diagnosis from the database of the system for the management of explicit health guarantees. Logistic regression models were used to assess the association between inorganic arsenic and asthma. The median inorganic arsenic was 15 μg/L, and the prevalence of asthma was 7.4%. After adjusting for sex, age, ethnicity, and urinary creatinine, children with the highest tertile of urinary arsenic concentration (≥21.4 μg/L) had a greater chance of developing asthma (odds ratio (OR) 1.90; 95% confidence interval (CI) [1.13–3.18]). When exploring the modifying effect of ethnicity, the association increased among children belonging to any ethnic group (OR 3.51, 95%CI [1.43–8.65]). These findings suggest a relationship between arsenic exposure and bronchial asthma in children. While further studies are needed to assess the impact of arsenic on respiratory health, mitigation efforts to reduce arsenic exposure should be maintained.https://www.mdpi.com/2305-6304/10/10/625bronchial asthmachildenvironmental exposureethnicitypopulation surveillanceurinary arsenic
spellingShingle María Pía Muñoz
Verónica Iglesias
Marta Saavedra
Gina Saavedra
Karla Yohannessen
Paulina Pino
Urinary Arsenic Concentration and Its Relationship with Bronchial Asthma in Children from Arica, Chile
Toxics
bronchial asthma
child
environmental exposure
ethnicity
population surveillance
urinary arsenic
title Urinary Arsenic Concentration and Its Relationship with Bronchial Asthma in Children from Arica, Chile
title_full Urinary Arsenic Concentration and Its Relationship with Bronchial Asthma in Children from Arica, Chile
title_fullStr Urinary Arsenic Concentration and Its Relationship with Bronchial Asthma in Children from Arica, Chile
title_full_unstemmed Urinary Arsenic Concentration and Its Relationship with Bronchial Asthma in Children from Arica, Chile
title_short Urinary Arsenic Concentration and Its Relationship with Bronchial Asthma in Children from Arica, Chile
title_sort urinary arsenic concentration and its relationship with bronchial asthma in children from arica chile
topic bronchial asthma
child
environmental exposure
ethnicity
population surveillance
urinary arsenic
url https://www.mdpi.com/2305-6304/10/10/625
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