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Neighborhood Factors and Urinary Metabolites of Nicotine, Phthalates, and Dichlorobenzene

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We report that neighborhood factors are associated with environmental exposures and that secondhand smoke exposure measured by urinary cotinine concentrations is higher for children living in public versus private housing.… Click to show full abstract

We report that neighborhood factors are associated with environmental exposures and that secondhand smoke exposure measured by urinary cotinine concentrations is higher for children living in public versus private housing. BACKGROUND AND OBJECTIVES: Exposures to environmental chemicals are ubiquitous in the US. Little is known about how neighborhood factors contribute to exposures. METHODS: Growing Up Healthy is a prospective cohort study of environmental exposures and growth and development among Hispanic and African American children (n = 506) in New York City. We sought to determine associations between neighborhood-level factors (eg, housing type, school, time spent indoors versus outdoors) and urinary biomarkers of chemical exposures suspected to be associated with these characteristics (cotinine, 2,5-dichlorophenol, and phthalate metabolites) adjusted by age, sex, race, and caregiver education and language. RESULTS: Urinary cotinine concentrations revealed a prevalent exposure to secondhand smoke; children living in public housing had higher concentrations than those in private housing. In homes with 1 smoker versus none, we found significant differences in urinary cotinine concentrations by housing, although not in homes with 2 or more smokers. Children in charter or public schools had higher urinary cotinine concentrations than those in private schools. School type was associated with exposures to both low- and high-molecular-weight phthalates, and concentrations of both exposure biomarkers were higher for children attending public versus private school. 2,5-Dichlorophenol concentrations declined from 2004 to 2007 (P = .038) and were higher among charter school children. CONCLUSIONS: Housing and school type are associated with chemical exposures in this minority, inner city population. Understanding the role of neighborhood on environmental exposures can lead to targeted community-level interventions, with the goal of reducing environmental chemical exposures disproportionately seen in urban minority communities.

Keywords: urinary cotinine; neighborhood factors; cotinine concentrations; environmental exposures; school; housing

Journal Title: Pediatrics
Year Published: 2018

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