Skip to main content

Advertisement

Log in

Population-Based Comparison of Biomarker Concentrations for Chemicals of Concern Among Latino-American and Non-Hispanic White Children

  • Original Paper
  • Published:
Journal of Immigrant and Minority Health Aims and scope Submit manuscript

An Erratum to this article was published on 03 July 2014

Abstract

Differences in cultural and economic status may place ethnic subgroups of children at higher risk for exposure, leading to heightened health risks, and health inequities. Although Latino-Americans represent 22 % of all children in the United States, few studies have explored within-group differences in their exposure to toxicants. Using socio-demographic and biomarker data from the National Health and Nutrition Examination Survey from 1999 to 2008, we characterized determinants of health and estimated geometric means of environmental contaminant biomarkers (blood concentrations of lead and mercury, serum concentrations of dichlorodiphenyldichloroethylene [p,p′-DDE] and cotinine, and urinary metabolites of organophosphate [OP] pesticides and polycyclic aromatic hydrocarbons [PAHs]) among 4,257 Mexican American (MA), 677 Other Latino-American (OL), and 3,370 Non-Hispanic White (NHW) children. MAs had the lowest levels of health insurance coverage and regular access to health care, and largest household size compared to NHWs and OLs. MAs had higher levels of p,p′-DDE, lead, and cadmium while OLs had higher estimates of mercury relative to other groups. MAs had higher urinary metabolite concentrations of 2-hydroxynaphthalene; otherwise MAs and OLs had lower concentrations of PAHs. NHWs had higher levels of cotinine and dimethylthiophosphate. For other OP metabolites, differences among groups were less clear. Lead and p,p′-DDE exposure differences likely reflect later and less regulatory control of these chemicals in Latin America. Additionally, poor quality housing with lead paint is more common in economically disadvantaged subpopulations. Dietary habits are possible sources of differential cadmium, mercury, and organophosphate exposure. Cotinine exposure differences by income and U.S.- vs. foreign-born may represent increased acculturation. These results, coupled with additional research on exposure sources may contribute to refinement of environmental health promotion programs for the fast-growing Latino-American population.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2
Fig. 3
Fig. 4
Fig. 5

Similar content being viewed by others

References

  1. U.S. Institute of Medicine. Committee on environmental justice. Health Sciences Policy Program. Toward environmental justice: research, education, and health policy needs. 1999.

  2. Carter-Pokras O, Zambrana RE, Poppell CF, Logie LA, Guerrero-Preston R. The environmental health of Latino children. J Pediatr Health Care. 2007;21(5):307–14.

    Article  PubMed Central  PubMed  Google Scholar 

  3. Anderton DL, Anderson AB, Oakes JM, Fraser MR. Environmental equity: the demographics of dumping. Demography. 1994;31(2):229–48.

    Article  CAS  PubMed  Google Scholar 

  4. Krivo LJ. Immigrant characteristics and Hispanic-Anglo housing inequality. Demography. 1995;32(4):499–615.

    Article  Google Scholar 

  5. Pirkle JL, Kaufmann RB, Brody DJ, Hickman T, Gunter EW, Paschal DC. Exposure of the U.S. population to lead, 1991–1994. Environ Health Perspect. 1998;106(11):745–50.

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  6. U.S. Census Bureau. Current Housing Reports, series H150/05, American Housing Survey for the United States; 2005.

  7. Chakraborty J, Zandbergen PA. Children at risk: measuring racial/ethnic disparities in potential exposure to air pollution at school and home. J Epidemiol Community Health. 2007;61(12):1074–9.

    Article  PubMed Central  PubMed  Google Scholar 

  8. Hipp JR, Lakon CM. Social disparities in health: disproportionate toxicity proximity in minority communities over a decade. Health Place. 2010;16(4):674–83.

    Article  PubMed  Google Scholar 

  9. U.S. Environmental Protection Agency (EPA). Measure E2: daily air quality: Data. America’s children and the environment (ACE). 2010. Available from: http://www.epa.gov/ace/contaminants/e2-table.html.

  10. Raymond J, Wheeler W, Brown MJ, Centers for Disease Control and Prevention (CDC). Inadequate and unhealthy housing, 2007 and 2009. MMWR Surveill Summ. 2011;60(Suppl):21–7.

    PubMed  Google Scholar 

  11. Yip FY, Pearcy JN, Garbe PL, Truman BI, Centers for Disease Control and Prevention (CDC). Unhealthy air quality—United States, 2006–2009. MMWR Surveill Summ. 2011;60(Suppl):28–32.

    PubMed  Google Scholar 

  12. Centers for Disease Control and Prevention (CDC). Poisonings associated with illegal use of aldicarb as a rodenticide—New York City, 1994–1997. MMWR Morb Mortal Wkly Rep. 1997;46(41):961–3.

    Google Scholar 

  13. Bass JK, Ortega L, Rosales C, Petersen NJ, Philen RM. What’s being used at home: a household pesticide survey. Rev Panam Salud Publica. 2001;9(3):138–44.

    Article  CAS  PubMed  Google Scholar 

  14. Riley DM, Newby CA, Leal-Almeraz TO, Thomas VM. Assessing elemental mercury vapor exposure from cultural and religious practices. Environ Health Perspect. 2001;109(8):779–84.

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  15. Rogers HS, McCullough J, Kieszak S, Caldwell KL, Jones RL, Rubin C. Exposure assessment of young children living in Chicago communities with historic reports of ritualistic use of mercury. Clin Toxicol (Phila). 2007;45(3):240–7.

    Article  CAS  Google Scholar 

  16. California Department of Public Health: Health alert: Mercury. 2010. Available from: http://www.acphd.org/documents/Health_Alert_CDPH_Mercury_Poisoning.pdf.

  17. Centers for Disease Control and Prevention (CDC). Childhood lead poisoning associated with tamarind candy and folk remedies–California, 1999–2000. MMWR Morb Mortal Wkly Rep. 2002;51(31):684–6.

    Google Scholar 

  18. U.S. Department of Health and Human Services. National Institute for Occupational Safety and Health (NIOSH). Report to Congress on workers’ home contamination study conducted under the workers’ family protection act (29 U.S.C. 671A). Report Pub No. 95-123. 1995.

  19. Fenske RA, Bradman A, Whyatt RM, Wolff MS, Barr DB. Lessons learned for the assessment of children’s pesticide exposure: critical sampling and analytical issues for future studies. Environ Health Perspect. 2005;113(10):1455–62.

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  20. Quandt SA, Hernandez-Valero MA, Grzywacz JG, Hovey JD, Gonzales M, Arcury TA. Workplace, household, and personal predictors of pesticide exposure for farmworkers. Environ Health Perspect. 2006;114(6):943–52.

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  21. Dilworth-Bart JE, Moore CF. Mercy me: social injustice and the prevention of environmental pollutant exposures among ethnic minority and poor children. Child Dev. 2006;77(2):247–65.

    Article  PubMed  Google Scholar 

  22. U.S. Census Bureau. “Monthly Resident Population Estimates by Age, Sex, Race and Hispanic Origin for the United States: April 1, 2000 to July 1, 2009,” June 2010. Internet release date: 12/15/2010.

  23. Aguirre-Molina M, Molina CW, Zambrana RE. Health issues in the Latino community. San Francisco: Jossey Bass Publishers; 2001.

    Google Scholar 

  24. Flores G, Fuentes-Afflick E, Carter-Pokras O, Claudio L, Lamberty G, Lara M, et al. Why ethnicity and race are so important in child health services research today. Arch Pediatr Adolesc Med. 2001;155(10):1178–9.

    CAS  PubMed  Google Scholar 

  25. U.S. Census Bureau. The Hispanic Population: 2010: U.S. Census Brief. 2011; C2010BR-04. Cited: 6/3/2011. http://2010.census.gov/2010census/data/.

  26. Amaro H, Zambrana RE. Criollo, mestizo, mulato, LatiNegro, indígena, white, or black? The US Hispanic/Latino population and multiple responses in the 2000 census. Am J Public Health. 2000;90(11):1724–7.

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  27. Rodriguez CE. Changing race: Latinos, the census, and the history of ethnicity in the United States. New York: New York University Press; 2000.

    Google Scholar 

  28. Mays VM, Ponce NA, Washington DL, Cochran SD. Classification of race and ethnicity: implications for public health. Annu Rev Public Health. 2003;24:83–110.

    PubMed Central  PubMed  Google Scholar 

  29. Moscou S, Anderson MR, Kaplan JB, Valencia L. Validity of racial/ethnic classifications in medical records data: an exploratory study. Am J Public Health. 2003;93(7):1084–6.

    Article  PubMed Central  PubMed  Google Scholar 

  30. Comstock RD, Castillo EM, Lindsay SP. Four-year review of the use of race and ethnicity in epidemiologic and public health research. Am J Epidemiol. 2004;159(6):611–9.

    Article  PubMed  Google Scholar 

  31. Ma IW, Khan NA, Kang A, Zalunardo N, Palepu A. Systematic review identified suboptimal reporting and use of race/ethnicity in general medical journals. J Clin Epidemiol. 2007;60(6):572–8.

    Article  PubMed  Google Scholar 

  32. U.S. Department of Health and Human Services. Centers for Disease Control and Prevention (CDC). National Center for Health Statistics. National Health and Nutrition Examination Survey (NHANES), 2005–2006. 2007.

  33. U.S. Department of Health and Human Services. Centers for Disease Control and Prevention (CDC). National Center for Health Statistics: National Health and Nutrition Examination Survey; Note on 2007–2010 Sampling Methodology. http://www.cdc.gov/nchs/nhanes/nhanes2007-2008/sampling_0708.html. Updated September 30, 2011. Accessed: January 2013.

  34. Benowitz NL. Cotinine as a biomarker of environmental tobacco smoke exposure. Epidemiol Rev. 1996;18(2):188–204.

    Article  CAS  PubMed  Google Scholar 

  35. U.S. Department of Health and Human Services. Centers for Disease Control and Prevention (CDC). Division of Nutrition, Physical Activity and Obesity (DNPAO), National Center for Chronic Disease Prevention and Health Promotion. Healthy weight: Assessing your weight: BMI: about BMI for children and teens. 2009 Jan 27.

  36. U.S. Census Bureau, Population Division, Fertility & Family Statistics Branch. (2004). Current Population Survey: definitions and explanations, how the Census Bureau measures poverty. Retrieved from http://www.census.gov/hhes/www/poverty/about/overview/measure.html. Accessed: July 2013.

  37. Hornung RW, Reed LD. Estimation of average concentration in the presence of nondetectable values. Appl Occup Environ Hyg. 1990;5:46–51.

    Article  CAS  Google Scholar 

  38. U.S. Department of Health and Human Services. Centers for Disease Control and Prevention (CDC). National Center for Environmental Health (NCEH). Third national report on human exposure to environmental chemicals. NCEH Pub. No. 05-0570. 2005.

  39. Boeniger MF, Lowry LK, Rosenberg J. Interpretation of urine results used to assess chemical exposure with emphasis on creatinine adjustments: a review. Am Ind Hyg Assoc J. 1993;54(10):615–27.

    Article  CAS  PubMed  Google Scholar 

  40. Barr DB, Wilder LC, Caudill SP. Urinary creatinine concentrations in the U.S. population: implications for urinary biologic monitoring measurements. Environ Health Perspect. 2005;113(2):192–200.

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  41. StataCorp. Stata Statistical Software: Release 10. 2007;2009.

  42. Preuss R, Angerer J, Drexler H. Naphthalene—an environmental and occupational toxicant. Int Arch Occup Environ Health. 2003;76(8):556–76.

    Article  CAS  PubMed  Google Scholar 

  43. Ziegler EE, Edwards BB, Jensen RL, Mahaffey KR, Fomon SJ. Absorption and retention of lead by infants. Pediatr Res. 1978;12(1):29–34.

    Article  CAS  PubMed  Google Scholar 

  44. Goldman LR. Children—unique and vulnerable. Environmental risks facing children and recommendations for response. Environ Health Perspect. 1995;103(Suppl 6):13–8.

    Article  PubMed Central  PubMed  Google Scholar 

  45. Cohen Hubal EA, Sheldon LS, Burke JM, McCurdy TR, Berry MR, Rigas ML, Zartarian VG, Freeman NC. Children’s exposure assessment: a review of factors influencing children’s exposure, and the data available to characterize and assess that exposure. Environ Health Perspect. 2000;108(6):475–86.

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  46. Iqbal S, Muntner P, Batuman V, Rabito FA. Estimated burden of blood lead levels 5 μg/dl in 1999–2002 and declines from 1988 to 1994. Environ Res. 2008;107(3):305–11.

    Google Scholar 

  47. McKelvey W, Gwynn RC, Jeffery N, Kass D, Thorpe LE, Garg RK, et al. A biomonitoring study of lead, cadmium, and mercury in the blood of New York City adults. Environ Health Perspect. 2007;115(10):1435–41.

    PubMed Central  CAS  PubMed  Google Scholar 

  48. Garetano G, Stern AH, Robson M, Gochfeld M. Mercury vapor in residential building common areas in communities where mercury is used for cultural purposes versus a reference community. Sci Total Environ. 2008;397(1–3):131–9.

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  49. McKelvey W, Jeffery N, Clark N, Kass D, Parsons PJ. Population-based inorganic mercury biomonitoring and the identification of skin care products as a source of exposure in New York City. Environ Health Perspect. 2011;119(2):203–9.

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  50. ATSDR. Toxicological profile for cadmium. Atlanta: Agency for Toxic Substances and Disease Registry; 1999.

    Google Scholar 

  51. World Health Organization. Preventing disease through healthy environments. Exposure to cadmium: a major public health concern. Geneva, Switzerland: World Health Organization; 2010. http://www.who.int/ipcs/features/10chemicals_en.pdf.

  52. Bernard SM, McGeehin MA. Prevalence of blood lead levels > or = 5 micro g/dL among U.S. children 1 to 5 years of age and socioeconomic and demographic factors associated with blood of lead levels 5 to 10 micro g/dL, Third National Health and Nutrition Examination Survey, 1988–1994. Pediatrics. 2003;112(6 Pt 1):1308–13.

    Article  PubMed  Google Scholar 

  53. Jones RL, Homa DM, Meyer PA, Brody DJ, Caldwell KL, Pirkle JL, et al. Trends in blood lead levels and blood lead testing among U.S. children aged 1 to 5 years, 1988–2004. Pediatrics. 2009;123(3):e376–85.

    Article  PubMed  Google Scholar 

  54. U.S. Environmental Protection Agency (EPA). America’s Children and the Environment. 3rd ed. Washington, DC: U.S. Environmental Protection Agency; 2013 (Report No. EPA 240-R-13-001).

  55. Centers for Disease Control and Prevention (CDC). Blood lead levels in children aged 1–5 years—United States, 1999–2010. MMWR Morb Mortal Wkly Rep. 2013;62(13):245–8.

    Google Scholar 

  56. Moralez LS, Gutierrez P, Escarce JJ. Demographic and socioeconomic factors associated with blood lead levels among Mexican American children and adolescents in the United States. Public Health Rep. 2005;120(4):448–54.

    PubMed Central  PubMed  Google Scholar 

  57. Centers for Disease Control and Prevention (CDC). Elevated blood lead levels among internationally adopted children—United States, 1998. MMWR Morb Mortal Wkly Rep. 2000;49(5):97–100.

    Google Scholar 

  58. Wengrovitz AM, Brown MJ, Advisory Committee on Childhood Lead Poisoning, Division of Environmental and Emergency Health Services, National Center for Environmental Health, Centers for Disease Control and Prevention. Recommendations for blood lead screening of Medicaid-eligible children aged 1–5 years: an updated approach to targeting a group at high risk. MMWR Recomm Rep. 2009;58(RR-9)):1–11.

    PubMed  Google Scholar 

  59. Bellinger DC. Very low lead exposures and children’s neurodevelopment. Curr Opin Pediatr. 2008;20(2):172–7 Review.

    Article  PubMed  Google Scholar 

  60. Counter SA, Buchanan LH. Mercury exposure in children: a review. Toxicol Appl Pharmacol. 2004;198(2):209–30.

    Article  CAS  PubMed  Google Scholar 

  61. Ciesielski T, Weuve J, Bellinger DC, Schwartz J, Lanphear B, Wright RO. Cadmium exposure and neurodevelopmental outcomes in U.S. children. Environ Health Perspect. 2012;120(5):758–63.

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  62. Rodríguez-Barranco M, Lacasaña M, Aguilar-Garduño C, Alguacil J, Gil F, González-Alzaga B, Rojas-García A. Association of arsenic, cadmium and manganese exposure with neurodevelopment and behavioural disorders in children: a systematic review and meta-analysis. Sci Total Environ. 2013;1(454–455):562–77.

    Article  Google Scholar 

  63. Wild CP, Kleinjans J. Children and increased susceptibility to environmental carcinogens: evidence or empathy? Cancer Epidemiol Biomarkers Prev. 2003;12(12):1389–94.

    CAS  PubMed  Google Scholar 

  64. U.S. Commission for Environmental Cooperation. North American Regional Action Plan on DDT. North American Working Group for the Sound Management of Chemicals. Task Force on DDT and Chlordane. 1997 Jun. Available from: http://www.cec.org/Page.asp?PageID=924&ContentID=1262.

  65. Maldonado INP, Alegría-Torres JA, Gaspar-Ramírez O, Vázquez FJP, Orta-Garcia ST, Pruneda Álvarez LG (2012). DDT and its metabolites in Mexico, Insecticides—Pest Engineering, Dr. Farzana Perveen (Ed.), ISBN: 978-953-307-95-3, InTech, Available from: http://www.intechopen.com/books/insecticides-pest-engineering/ddt-and-its-metabolites-in-mexico.

  66. Saxena MC, Siddiqui MK, Seth TD, Krishna Murti CR, Bhargava AK, Kutty D. Organochlorine pesticides in specimens from women undergoing spontaneous abortion, premature of full-term delivery. J Anal Toxicol. 1981;5(1):6–9.

    Google Scholar 

  67. Eckenhausen FW, Bennett D, Beynon KI, Elgar KE. Organochlorine pesticide concentrations in perinatal samples from mothers and babies. Arch Environ Health. 1981;36(2):81–92.

    Article  CAS  PubMed  Google Scholar 

  68. Herrero-Mercado M, Waliszewski SM, Caba M, Martínez-Valenzuela C, Hernández-Chalate F. Organochlorine pesticide levels in umbilical cord blood of newborn in Veracruz, Mexico. Bull Environ Contam Toxicol. 2010;85(4):367–71.

    Article  CAS  PubMed  Google Scholar 

  69. Griffith W, Curl CL, Fenske RA, Lu CA, Vigoren EM, Faustman EM. Organophosphate pesticide metabolite levels in pre-school children in an agricultural community: within- and between-child variability in a longitudinal study. Environ Res. 2011;111(6):751–6.

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  70. Bradman A, Castorina R, Barr DB, Chevrier J, Harnly ME, Eisen EA, McKone TE, Harley K, Holland N, Eskenazi B. Determinants of organophosphorus pesticide urinary metabolite levels in young children living in an agricultural community. Int J Environ Res Public Health. 2011;8(4):1061–83.

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  71. Lambert WE, Lasarev M, Muniz J, Scherer J, Rothlein J, Santana J, McCauley L. Variation in organophosphate pesticide metabolites in urine of children living in agricultural communities. Environ Health Perspect. 2005;113(4):504–8.

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  72. U.S. Department of Labor. Changing Characteristics of U.S. Farm Workers: 21 Years of Findings from the National Agricultural Workers Survey. Immigration Reform and Agriculture Conference: Implications for Farmers, Farm Workers, and Communities University of California, D.C. Campus 12 May 2011.

  73. Bethel JW, Schenker MB. Acculturation and smoking patterns among Hispanics: a review. Am J Prev Med. 2005;29(2):143–8.

    Article  PubMed  Google Scholar 

  74. Wilkinson JD, Gonzalez A, Wohler-Torres B, Fleming LE, MacKinnon J, Trapido E, et al. Cancer incidence among Hispanic children in the United States. Rev Panam Salud Publica. 2005;18(1):5–13.

    Article  PubMed  Google Scholar 

  75. Klebanoff MA, Levine RJ, Clemens JD, DerSimonian R, Wilkins DG. Serum cotinine concentration and self-reported smoking during pregnancy. Am J Epidemiol. 1998;148(3):259–62.

    Article  CAS  PubMed  Google Scholar 

  76. Benowitz NL, Bernert JT, Caraballo RS, Holiday DB, Wang J. Optimal serum cotinine levels for distinguishing cigarette smokers and nonsmokers within different racial/ethnic groups in the United States between 1999 and 2004. Am J Epidemiol. 2009;169(2):236–48.

    Article  PubMed  Google Scholar 

  77. Burns EK, Levinson AH, Lezotte D, Prochazka AV. Differences in smoking duration between Latinos and Anglos. Nicotine Tob Res. 2007;9(7):731–7.

    Article  PubMed  Google Scholar 

  78. Suwan-ampai P, Navas-Acien A, Strickland PT, Agnew J. Involuntary tobacco smoke exposure and urinary levels of polycyclic aromatic hydrocarbons in the United States, 1999 to 2002. Cancer Epidemiol Biomark Prev. 2009;18(3):884–93.

    Article  CAS  Google Scholar 

  79. Kang JW, Cho SH, Kim H, Lee CH. Correlation of urinary 1-hydroxypyrene and 2-naphthol with total suspended particulates in ambient air in municipal middle-school students in Korea. Arch Environ Health. 2002;57(4):377–82.

    Article  CAS  PubMed  Google Scholar 

  80. Kim H, Cho SH, Kang JW, Kim YD, Nan HM, Lee CH, et al. Urinary 1-hydroxypyrene and 2-naphthol concentrations in male Koreans. Int Arch Occup Environ Health. 2001;74(1):59–62.

    Article  CAS  PubMed  Google Scholar 

  81. Pew Hispanic Center. Fact sheet: Mexican immigrants in the United States, 2008. 15 April 2009.

  82. U.S. Census Bureau, Table 10. Resident Population, by Race, Hispanic Origin, and Single Years of Age. Internet release date: 12/15/2010 Source: U.S. Census Bureau, 2005–2009 American Community Survey.

  83. Passel JS, Cohn D. A Portrait of Unauthorized Immigrants in the United States. April 14, 2009. Pew Hispanic Center. http://www.pewhispanic.org/files/reports/107.

  84. U.S. Department of Office of Homeland Security. Annual Flow Report: U.S. Legal Permanent Residents: 2011. Office of Immigration Statistics April 2012.

  85. U.S. Department of Office of Homeland Security. Yearbook of Immigration Statistics: 2012 legal permanent residents: Table 3 persons obtaining legal permanent resident status by region and country of birth: fiscal years 2003–2012. http://www.dhs.gov/yearbook-immigration-statistics-2012-legal-permanent-residents.

  86. Olden K, White SL. Health-related disparities: influence of environmental factors. Med Clin North Am. 2005;89(4):721–38.

    Article  PubMed  Google Scholar 

  87. Bouchard MF, Bellinger DC, Wright RO, Weisskopf MG. Attention-deficit/hyperactivity disorder and urinary metabolites of organophosphate pesticides. Pediatrics. 2010;125(6):e1270–7.

    Article  PubMed Central  PubMed  Google Scholar 

  88. Callahan MA, Sexton K. If cumulative risk assessment is the answer, what is the question? Environ Health Perspect. 2007;115(5):799–806.

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  89. Sexton K, Linder SH. Cumulative risk assessment for combined health effects from chemical and nonchemical stressors. Am J Public Health. 2011;101(Suppl 1):S81–8.

    Article  PubMed Central  PubMed  Google Scholar 

  90. Soobader M, Cubbin C, Gee GC, Rosenbaum A, Laurenson J. Levels of analysis for the study of environmental health disparities. Environ Res. 2006;102(2):172–80.

    Article  CAS  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to M. E. Perla.

Appendix

Appendix

See Tables 6 and 7.

Table 6 Unadjusted and adjusted geometric means and 95 % confidence intervals of urine metabolite concentrations of polycyclic aromatic hydrocarbons (1-Hydroxynaphthalene, 2-Hydroxyfluorene, 3-Hydroxyfluorene, 9-Hydroxyfluorene) for the U.S. population of Mexican American (MA), Other Latino-American (OL), and Non-Hispanic White (NHW) children, and p-values comparing race/ethnicity with Non-Hispanic White as the referent category; NHANES 2001–2008
Table 7 Unadjusted and adjusted geometric means and 95 % confidence intervals of urine metabolite concentrations of polycyclic aromatic hydrocarbons (1-Hydroxyphenanthrene, 2-Hydroxyphenanthrene, 3-Hydroxyphenanthrene, 9-Hydroxyphenanthrene) for the U.S. population of Mexican American (MA), Other Latino-American (OL), and Non-Hispanic White (NHW) children, and p-values comparing race/ethnicity with Non-Hispanic White as the referent category; NHANES 2001–2006

Rights and permissions

Reprints and permissions

About this article

Cite this article

Perla, M.E., Rue, T., Cheadle, A. et al. Population-Based Comparison of Biomarker Concentrations for Chemicals of Concern Among Latino-American and Non-Hispanic White Children. J Immigrant Minority Health 17, 802–819 (2015). https://doi.org/10.1007/s10903-014-0002-2

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10903-014-0002-2

Keywords

Navigation