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    題名: 台灣南部女性新住民之血色病(HFE)及轉鐵蛋白(TF)基因多型性與血鉛濃度之效應
    Effect of Hemochromatosis (HFE) and Transferrin(TF) Genetic Polymorphisms on Blood Lead Concentration among Female Immigrants in Southern Taiwan
    作者: 林佩璇;Lin, Pei-Hsuan
    貢獻者: 公共衛生學系碩士班
    關鍵詞: 血中鉛濃度;HFE基因;TF基因;新移民女性;blood lead;HFE gene;TF gene;immigrant women
    日期: 2012-07-31
    上傳時間: 2012-08-31 16:28:34 (UTC+8)
    出版者: 中國醫藥大學
    摘要: 背景:美國國家健康營養調查指出移民族群為鉛暴露的高危險族群,根據2012年3月中華民國內政部的調查顯示新移民女性在台人數逐年增加。鉛會造成貧血、神經毒性及消化、生殖系統等危害,除食入、吸入或皮膚接觸等直接暴露之外,基因變異也可能會影響重金屬代謝途徑的改變,而造成人體健康危害。

    目的:本研究以橫斷式研究(cross-sectional study)來探討台灣南部新住民女性血色病HFE基因C282Y、轉鐵蛋白TF基因P570S的變異與重金屬鉛之關係。

    材料與方法:本研究針對670名新移民女性進行問卷訪視及血液樣本收集,再使用感應耦合電漿質譜儀分析血液中重金屬鉛濃度,並進行HFE與TF之基因型鑑定。利用SAS 9.2分析重金屬、基因型及環境因子間的交互作用。
    結果:統計結果顯示重金屬鉛與新移民女性的飲食習慣並無顯著相關,但與職業環境暴露(P=0.05)及來台前家庭環境暴露(P<.0001)有顯著的負相關。雖TF P570S基因型和血鉛濃度並無顯著相關(P=0.78),但基因變異者的血鉛濃度還是較無變異者高,且隨著來台時間的增長,血鉛濃度也隨之下降。

    結論:重金屬鉛與HFE及TF基因型並無顯著相關,但隨著新移民來台時間增加,血鉛濃度也逐漸下降,顯示出台灣目前相較於其他東南亞國家有較優質的生活環境且重金屬的汙染較少。

    本研究結果可供政府機關參考,並建議衛生單位對於此族群應進行重金屬的篩檢與預防。
    Background: The report of United States National Health and Nutrition Survey (NHANES) showed that international immigrants with a high risk for lead exposure. Lead cause anemia, neurotoxicity, digestive, and reproductive system health effect. Genetic variation will also change the metabolic pathways of heavy metals.
    Objective: A cross-sectional study design was performed to investigate the interactions among Hemochromatosis (HFE)and Transferrin (TF) genetic polymorphisms and blood lead level in female immigrants of southern Taiwan .
    Methods: We administrated a structured questionnaire to obtain socio- demographic status from 670 immigrant women. Each participant was collected blood sample for metals lead measurements and genotyped for HFE and TF variants. All statistical analyses were performed with SAS software 9.2 versions.
    Results: The study results showed that the blood lead level and diet habits of immigrant women were no association, but associated with occupational and environmental exposure with negative correlation. Although the genotypes of TF P570S and blood lead level was no significant difference (P = 0.78), but blood lead level slightly higher in mutant genotypes than wild type.
    Conclusions: Blood lead level and genotypes was no association. Increasing over time, the blood lead level was decreased in Taiwan. This study may as a reference for the policy decision, and suggested that the immigrant women should perform a periodic health examination including heavy metal determination and preventive care.
    顯示於類別:[公共衛生學系暨碩博班] 博碩士論文

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