Well-water consumption and Parkinson's disease in rural California
Investigators have hypothesized that consuming pesticide-contaminated well water plays a role in Parkinson's disease (PD), and several previous epidemiologic studies support this hypothesis. We investigated whether consuming water from private wells located in areas with documented historical p...
Gespeichert in:
Veröffentlicht in: | Environmental health perspectives 2009-12, Vol.117 (12), p.1912-1918 |
---|---|
Hauptverfasser: | , , , , |
Format: | Artikel |
Sprache: | eng |
Schlagworte: | |
Online-Zugang: | Volltext |
Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
container_end_page | 1918 |
---|---|
container_issue | 12 |
container_start_page | 1912 |
container_title | Environmental health perspectives |
container_volume | 117 |
creator | Gatto, Nicole M Cockburn, Myles Bronstein, Jeff Manthripragada, Angelika D Ritz, Beate |
description | Investigators have hypothesized that consuming pesticide-contaminated well water plays a role in Parkinson's disease (PD), and several previous epidemiologic studies support this hypothesis.
We investigated whether consuming water from private wells located in areas with documented historical pesticide use was associated with an increased risk of PD.
We employed a geographic information system (GIS)-based model to estimate potential well-water contamination from agricultural pesticides among 368 cases and 341 population controls enrolled in the Parkinson's Environment and Genes Study (PEG). We separately examined 6 pesticides (diazinon, chlorpyrifos, propargite, paraquat, dimethoate, and methomyl) from among 26 chemicals selected for their potential to pollute groundwater or for their interest in PD, and because at least 10% of our population was exposed to them.
Cases were more likely to have consumed private well water and to have consumed it on average 4.3 years longer than controls (p = 0.02). High levels of possible well-water contamination with methomyl [odds ratio (OR) = 1.67; 95% confidence interval (CI), 1.00-2.78]), chlorpyrifos (OR = 1.87; 95% CI, 1.05-3.31), and propargite (OR = 1.92; 95% CI, 1.15-3.20) resulted in approximately 70-90% increases in relative risk of PD. Adjusting for ambient pesticide exposures only slightly attenuated these increases. Exposure to a higher number of water-soluble pesticides and organophosphate pesticides also increased the relative risk of PD.
Our study, the first to use agricultural pesticide application records, adds evidence that consuming well water presumably contaminated with pesticides may play a role in the etiology of PD. |
doi_str_mv | 10.1289/ehp.0900852 |
format | Article |
fullrecord | <record><control><sourceid>gale_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_2799466</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><galeid>A220845120</galeid><sourcerecordid>A220845120</sourcerecordid><originalsourceid>FETCH-LOGICAL-c680t-f15184d6c35af961786faf80dbaa378c71d3f5efc732a6c43f9d8a012c8daf653</originalsourceid><addsrcrecordid>eNqN0ttrFDEUB-Agil2rT77L4INVZNYkM7m9CHXxUihUvD6G00yymzqTrMmMl__eLLuWrhQpeQgkXw45yQ-hhwTPCZXqhV2t51hhLBm9hWaEMVorRdvbaIaxIjUXnB2gezlfYIyJ5PwuOqAYt4oSMkOvvtq-r3_CaFNlYsjTsB59DBWErnoP6ZsPOYajXHU-W8i28qFKU4K-WkDvXUzBw310x0Gf7YPdfIg-v3n9afGuPj17e7I4Pq0Nl3isHWFEth03DQOnOBGSO3ASd-cAjZBGkK5xzDojGgrctI1TnQRMqJEdOM6aQ_RyW3c9nQ-2MzaM5SJ6nfwA6beO4PX-TvArvYw_NBVKtZyXAke7Ail-n2we9eCzKf1DsHHKWrQcCyXUTWQjiqSbSz39ryS8QMZKs4U-_odexCmF8mSaUspbSZQoqN6iJfRW--BiacUsbbCloxis82X5mFIsW0YoLn5-jS-js4M31x54tnegmNH-Gpcw5axPPn64uT37sm-fXLErC_24yrGfNmnK-_D5FpoUc07WXf4gwXoTaF0CrXeBLvrR1U-_tH8T3PwBZ0jtFg</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>222648197</pqid></control><display><type>article</type><title>Well-water consumption and Parkinson's disease in rural California</title><source>Jstor Complete Legacy</source><source>MEDLINE</source><source>DOAJ Directory of Open Access Journals</source><source>EZB-FREE-00999 freely available EZB journals</source><source>PubMed Central</source><source>PubMed Central Open Access</source><creator>Gatto, Nicole M ; Cockburn, Myles ; Bronstein, Jeff ; Manthripragada, Angelika D ; Ritz, Beate</creator><creatorcontrib>Gatto, Nicole M ; Cockburn, Myles ; Bronstein, Jeff ; Manthripragada, Angelika D ; Ritz, Beate</creatorcontrib><description>Investigators have hypothesized that consuming pesticide-contaminated well water plays a role in Parkinson's disease (PD), and several previous epidemiologic studies support this hypothesis.
We investigated whether consuming water from private wells located in areas with documented historical pesticide use was associated with an increased risk of PD.
We employed a geographic information system (GIS)-based model to estimate potential well-water contamination from agricultural pesticides among 368 cases and 341 population controls enrolled in the Parkinson's Environment and Genes Study (PEG). We separately examined 6 pesticides (diazinon, chlorpyrifos, propargite, paraquat, dimethoate, and methomyl) from among 26 chemicals selected for their potential to pollute groundwater or for their interest in PD, and because at least 10% of our population was exposed to them.
Cases were more likely to have consumed private well water and to have consumed it on average 4.3 years longer than controls (p = 0.02). High levels of possible well-water contamination with methomyl [odds ratio (OR) = 1.67; 95% confidence interval (CI), 1.00-2.78]), chlorpyrifos (OR = 1.87; 95% CI, 1.05-3.31), and propargite (OR = 1.92; 95% CI, 1.15-3.20) resulted in approximately 70-90% increases in relative risk of PD. Adjusting for ambient pesticide exposures only slightly attenuated these increases. Exposure to a higher number of water-soluble pesticides and organophosphate pesticides also increased the relative risk of PD.
Our study, the first to use agricultural pesticide application records, adds evidence that consuming well water presumably contaminated with pesticides may play a role in the etiology of PD.</description><identifier>ISSN: 0091-6765</identifier><identifier>EISSN: 1552-9924</identifier><identifier>DOI: 10.1289/ehp.0900852</identifier><identifier>PMID: 20049211</identifier><language>eng</language><publisher>United States: National Institute of Environmental Health Sciences</publisher><subject>Adult ; Aged ; Agricultural chemicals ; Chlorpyrifos ; Consumption ; Contamination ; Exposure ; Female ; Geographic information systems ; Health aspects ; Herbicides ; Humans ; Male ; Middle Aged ; Parkinson Disease - etiology ; Parkinson's disease ; Pesticides ; Pesticides - toxicity ; Risk ; Risk factors ; Rural Health ; Water Pollutants, Chemical - toxicity ; Water Supply - analysis ; Well waters</subject><ispartof>Environmental health perspectives, 2009-12, Vol.117 (12), p.1912-1918</ispartof><rights>COPYRIGHT 2009 National Institute of Environmental Health Sciences</rights><rights>Copyright National Institute of Environmental Health Sciences Dec 2009</rights><rights>2009</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c680t-f15184d6c35af961786faf80dbaa378c71d3f5efc732a6c43f9d8a012c8daf653</citedby><cites>FETCH-LOGICAL-c680t-f15184d6c35af961786faf80dbaa378c71d3f5efc732a6c43f9d8a012c8daf653</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC2799466/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC2799466/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,860,881,27901,27902,53766,53768</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/20049211$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Gatto, Nicole M</creatorcontrib><creatorcontrib>Cockburn, Myles</creatorcontrib><creatorcontrib>Bronstein, Jeff</creatorcontrib><creatorcontrib>Manthripragada, Angelika D</creatorcontrib><creatorcontrib>Ritz, Beate</creatorcontrib><title>Well-water consumption and Parkinson's disease in rural California</title><title>Environmental health perspectives</title><addtitle>Environ Health Perspect</addtitle><description>Investigators have hypothesized that consuming pesticide-contaminated well water plays a role in Parkinson's disease (PD), and several previous epidemiologic studies support this hypothesis.
We investigated whether consuming water from private wells located in areas with documented historical pesticide use was associated with an increased risk of PD.
We employed a geographic information system (GIS)-based model to estimate potential well-water contamination from agricultural pesticides among 368 cases and 341 population controls enrolled in the Parkinson's Environment and Genes Study (PEG). We separately examined 6 pesticides (diazinon, chlorpyrifos, propargite, paraquat, dimethoate, and methomyl) from among 26 chemicals selected for their potential to pollute groundwater or for their interest in PD, and because at least 10% of our population was exposed to them.
Cases were more likely to have consumed private well water and to have consumed it on average 4.3 years longer than controls (p = 0.02). High levels of possible well-water contamination with methomyl [odds ratio (OR) = 1.67; 95% confidence interval (CI), 1.00-2.78]), chlorpyrifos (OR = 1.87; 95% CI, 1.05-3.31), and propargite (OR = 1.92; 95% CI, 1.15-3.20) resulted in approximately 70-90% increases in relative risk of PD. Adjusting for ambient pesticide exposures only slightly attenuated these increases. Exposure to a higher number of water-soluble pesticides and organophosphate pesticides also increased the relative risk of PD.
Our study, the first to use agricultural pesticide application records, adds evidence that consuming well water presumably contaminated with pesticides may play a role in the etiology of PD.</description><subject>Adult</subject><subject>Aged</subject><subject>Agricultural chemicals</subject><subject>Chlorpyrifos</subject><subject>Consumption</subject><subject>Contamination</subject><subject>Exposure</subject><subject>Female</subject><subject>Geographic information systems</subject><subject>Health aspects</subject><subject>Herbicides</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Parkinson Disease - etiology</subject><subject>Parkinson's disease</subject><subject>Pesticides</subject><subject>Pesticides - toxicity</subject><subject>Risk</subject><subject>Risk factors</subject><subject>Rural Health</subject><subject>Water Pollutants, Chemical - toxicity</subject><subject>Water Supply - analysis</subject><subject>Well waters</subject><issn>0091-6765</issn><issn>1552-9924</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2009</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>BENPR</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNqN0ttrFDEUB-Agil2rT77L4INVZNYkM7m9CHXxUihUvD6G00yymzqTrMmMl__eLLuWrhQpeQgkXw45yQ-hhwTPCZXqhV2t51hhLBm9hWaEMVorRdvbaIaxIjUXnB2gezlfYIyJ5PwuOqAYt4oSMkOvvtq-r3_CaFNlYsjTsB59DBWErnoP6ZsPOYajXHU-W8i28qFKU4K-WkDvXUzBw310x0Gf7YPdfIg-v3n9afGuPj17e7I4Pq0Nl3isHWFEth03DQOnOBGSO3ASd-cAjZBGkK5xzDojGgrctI1TnQRMqJEdOM6aQ_RyW3c9nQ-2MzaM5SJ6nfwA6beO4PX-TvArvYw_NBVKtZyXAke7Ail-n2we9eCzKf1DsHHKWrQcCyXUTWQjiqSbSz39ryS8QMZKs4U-_odexCmF8mSaUspbSZQoqN6iJfRW--BiacUsbbCloxis82X5mFIsW0YoLn5-jS-js4M31x54tnegmNH-Gpcw5axPPn64uT37sm-fXLErC_24yrGfNmnK-_D5FpoUc07WXf4gwXoTaF0CrXeBLvrR1U-_tH8T3PwBZ0jtFg</recordid><startdate>20091201</startdate><enddate>20091201</enddate><creator>Gatto, Nicole M</creator><creator>Cockburn, Myles</creator><creator>Bronstein, Jeff</creator><creator>Manthripragada, Angelika D</creator><creator>Ritz, Beate</creator><general>National Institute of Environmental Health Sciences</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>IOV</scope><scope>ISR</scope><scope>3V.</scope><scope>4T-</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8FE</scope><scope>8FG</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABJCF</scope><scope>ABUWG</scope><scope>AEUYN</scope><scope>AFKRA</scope><scope>ATCPS</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>BGLVJ</scope><scope>BHPHI</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>HCIFZ</scope><scope>K9-</scope><scope>K9.</scope><scope>KB0</scope><scope>L6V</scope><scope>M0R</scope><scope>M0S</scope><scope>M1P</scope><scope>M2O</scope><scope>M7S</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PATMY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PTHSS</scope><scope>PYCSY</scope><scope>Q9U</scope><scope>S0X</scope><scope>7SU</scope><scope>8FD</scope><scope>C1K</scope><scope>FR3</scope><scope>KR7</scope><scope>7QH</scope><scope>7ST</scope><scope>7T2</scope><scope>7TK</scope><scope>7TV</scope><scope>7U1</scope><scope>7U2</scope><scope>7UA</scope><scope>SOI</scope><scope>5PM</scope></search><sort><creationdate>20091201</creationdate><title>Well-water consumption and Parkinson's disease in rural California</title><author>Gatto, Nicole M ; Cockburn, Myles ; Bronstein, Jeff ; Manthripragada, Angelika D ; Ritz, Beate</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c680t-f15184d6c35af961786faf80dbaa378c71d3f5efc732a6c43f9d8a012c8daf653</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2009</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Agricultural chemicals</topic><topic>Chlorpyrifos</topic><topic>Consumption</topic><topic>Contamination</topic><topic>Exposure</topic><topic>Female</topic><topic>Geographic information systems</topic><topic>Health aspects</topic><topic>Herbicides</topic><topic>Humans</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Parkinson Disease - etiology</topic><topic>Parkinson's disease</topic><topic>Pesticides</topic><topic>Pesticides - toxicity</topic><topic>Risk</topic><topic>Risk factors</topic><topic>Rural Health</topic><topic>Water Pollutants, Chemical - toxicity</topic><topic>Water Supply - analysis</topic><topic>Well waters</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Gatto, Nicole M</creatorcontrib><creatorcontrib>Cockburn, Myles</creatorcontrib><creatorcontrib>Bronstein, Jeff</creatorcontrib><creatorcontrib>Manthripragada, Angelika D</creatorcontrib><creatorcontrib>Ritz, Beate</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Gale In Context: Opposing Viewpoints</collection><collection>Gale In Context: Science</collection><collection>ProQuest Central (Corporate)</collection><collection>Docstoc</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Public Health Database</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Technology Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>Materials Science & Engineering Collection</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest One Sustainability</collection><collection>ProQuest Central UK/Ireland</collection><collection>Agricultural & Environmental Science Collection</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>Technology Collection</collection><collection>Natural Science Collection</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>SciTech Premium Collection</collection><collection>Consumer Health Database (Alumni Edition)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>ProQuest Engineering Collection</collection><collection>Consumer Health Database</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Research Library</collection><collection>Engineering Database</collection><collection>Research Library (Corporate)</collection><collection>Nursing & Allied Health Premium</collection><collection>Environmental Science Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>Engineering Collection</collection><collection>Environmental Science Collection</collection><collection>ProQuest Central Basic</collection><collection>SIRS Editorial</collection><collection>Environmental Engineering Abstracts</collection><collection>Technology Research Database</collection><collection>Environmental Sciences and Pollution Management</collection><collection>Engineering Research Database</collection><collection>Civil Engineering Abstracts</collection><collection>Aqualine</collection><collection>Environment Abstracts</collection><collection>Health and Safety Science Abstracts (Full archive)</collection><collection>Neurosciences Abstracts</collection><collection>Pollution Abstracts</collection><collection>Risk Abstracts</collection><collection>Safety Science and Risk</collection><collection>Water Resources Abstracts</collection><collection>Environment Abstracts</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Environmental health perspectives</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Gatto, Nicole M</au><au>Cockburn, Myles</au><au>Bronstein, Jeff</au><au>Manthripragada, Angelika D</au><au>Ritz, Beate</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Well-water consumption and Parkinson's disease in rural California</atitle><jtitle>Environmental health perspectives</jtitle><addtitle>Environ Health Perspect</addtitle><date>2009-12-01</date><risdate>2009</risdate><volume>117</volume><issue>12</issue><spage>1912</spage><epage>1918</epage><pages>1912-1918</pages><issn>0091-6765</issn><eissn>1552-9924</eissn><abstract>Investigators have hypothesized that consuming pesticide-contaminated well water plays a role in Parkinson's disease (PD), and several previous epidemiologic studies support this hypothesis.
We investigated whether consuming water from private wells located in areas with documented historical pesticide use was associated with an increased risk of PD.
We employed a geographic information system (GIS)-based model to estimate potential well-water contamination from agricultural pesticides among 368 cases and 341 population controls enrolled in the Parkinson's Environment and Genes Study (PEG). We separately examined 6 pesticides (diazinon, chlorpyrifos, propargite, paraquat, dimethoate, and methomyl) from among 26 chemicals selected for their potential to pollute groundwater or for their interest in PD, and because at least 10% of our population was exposed to them.
Cases were more likely to have consumed private well water and to have consumed it on average 4.3 years longer than controls (p = 0.02). High levels of possible well-water contamination with methomyl [odds ratio (OR) = 1.67; 95% confidence interval (CI), 1.00-2.78]), chlorpyrifos (OR = 1.87; 95% CI, 1.05-3.31), and propargite (OR = 1.92; 95% CI, 1.15-3.20) resulted in approximately 70-90% increases in relative risk of PD. Adjusting for ambient pesticide exposures only slightly attenuated these increases. Exposure to a higher number of water-soluble pesticides and organophosphate pesticides also increased the relative risk of PD.
Our study, the first to use agricultural pesticide application records, adds evidence that consuming well water presumably contaminated with pesticides may play a role in the etiology of PD.</abstract><cop>United States</cop><pub>National Institute of Environmental Health Sciences</pub><pmid>20049211</pmid><doi>10.1289/ehp.0900852</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record> |
fulltext | fulltext |
identifier | ISSN: 0091-6765 |
ispartof | Environmental health perspectives, 2009-12, Vol.117 (12), p.1912-1918 |
issn | 0091-6765 1552-9924 |
language | eng |
recordid | cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_2799466 |
source | Jstor Complete Legacy; MEDLINE; DOAJ Directory of Open Access Journals; EZB-FREE-00999 freely available EZB journals; PubMed Central; PubMed Central Open Access |
subjects | Adult Aged Agricultural chemicals Chlorpyrifos Consumption Contamination Exposure Female Geographic information systems Health aspects Herbicides Humans Male Middle Aged Parkinson Disease - etiology Parkinson's disease Pesticides Pesticides - toxicity Risk Risk factors Rural Health Water Pollutants, Chemical - toxicity Water Supply - analysis Well waters |
title | Well-water consumption and Parkinson's disease in rural California |
url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-02-10T05%3A42%3A54IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-gale_pubme&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Well-water%20consumption%20and%20Parkinson's%20disease%20in%20rural%20California&rft.jtitle=Environmental%20health%20perspectives&rft.au=Gatto,%20Nicole%20M&rft.date=2009-12-01&rft.volume=117&rft.issue=12&rft.spage=1912&rft.epage=1918&rft.pages=1912-1918&rft.issn=0091-6765&rft.eissn=1552-9924&rft_id=info:doi/10.1289/ehp.0900852&rft_dat=%3Cgale_pubme%3EA220845120%3C/gale_pubme%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=222648197&rft_id=info:pmid/20049211&rft_galeid=A220845120&rfr_iscdi=true |