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Socioeconomic status and risk for arsenic-related skin lesions in Bangladesh

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Listed:
  • Argos, M.
  • Parvez, F.
  • Chen, Y.
  • Hussain, A.Z.M.I.
  • Momotaj, H.
  • Howe, G.R.
  • Graziano, J.H.
  • Ahsan, H.

Abstract

Objectives. Arsenic contamination of groundwater is a severe public health crisis in Bangladesh, where the population is exposed to arsenic in drinking water through tube wells used for groundwater collection. In this study, we explored the association between socioeconomic status and arsenic toxicity. Methods. We used baseline data from 11 438 men and women who were recruited into the Health Effects of Arsenic Longitudinal Study (HEALS), a prospective cohort study on the health effects of arsenic exposure in Bangladesh. We conducted analyses with logistic regression and generalized estimating equations. Results. We found a strong dose-response association with all measures of arsenic exposure and skin lesions. We also found that the effect of arsenic was modified by land ownership on a multiplicative scale, with an increased risk among non-land owners associated with well water arsenic (P = .04) and urinary total arsenic concentrations (P = .03). Conclusions. Our study provides insight into potentially modifiable host characteristics and identifies factors that may effectively target susceptible population subgroups for appropriate interventions.

Suggested Citation

  • Argos, M. & Parvez, F. & Chen, Y. & Hussain, A.Z.M.I. & Momotaj, H. & Howe, G.R. & Graziano, J.H. & Ahsan, H., 2007. "Socioeconomic status and risk for arsenic-related skin lesions in Bangladesh," American Journal of Public Health, American Public Health Association, vol. 97(5), pages 825-831.
  • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2005.078816_1
    DOI: 10.2105/AJPH.2005.078816
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    Cited by:

    1. Johanna Brinkel & Mobarak H. Khan & Alexander Kraemer, 2009. "A Systematic Review of Arsenic Exposure and Its Social and Mental Health Effects with Special Reference to Bangladesh," IJERPH, MDPI, vol. 6(5), pages 1-11, May.
    2. Yajuan Xia & Timothy J. Wade & Kegong Wu & Yanhong Li & Zhixiong Ning & X Chris Le & Binfei Chen & Yong Feng & Judy L. Mumford & Xingzhou He, 2009. "Well Water Arsenic Exposure, Arsenic Induced Skin-Lesions and Self-Reported Morbidity in Inner Mongolia," IJERPH, MDPI, vol. 6(3), pages 1-16, March.
    3. Mohammad H. Rahbar & Maureen Samms-Vaughan & Yuansong Zhao & Sepideh Saroukhani & Sheikh F. Zaman & Jan Bressler & Manouchehr Hessabi & Megan L. Grove & Sydonnie Shakspeare-Pellington & Katherine A. L, 2022. "Additive and Interactive Associations of Environmental and Sociodemographic Factors with the Genotypes of Three Glutathione S-Transferase Genes in Relation to the Blood Arsenic Concentrations of Child," IJERPH, MDPI, vol. 19(1), pages 1-19, January.

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