盆腔炎(PID)是女性的常见病。然而,暴露于重金属之间的相关性,包括镉(Cd),铅(Pb),锰(Mn),汞(Hg),和硒(Se),PID,不清楚。使用国家健康和营养检查调查的大样本,对这些关系进行了研究和验证。PID诊断是通过自我报告问卷(2013-2018)获得的。重金属暴露(Cd,Pb,Mn,Hg,和Se)是使用血液样本的质谱法测量的。通过问卷调查和物理测试获得协变量数据。具有完整协变量数据的个体被纳入研究。重金属暴露(Cd,Pb,Mn,Hg,和Se)和PID使用逻辑回归分析进行了证明,加权分位数和(WQS)回归分析,和限制三次样条(RCS)。总的来说,包括2743名参与者。其中,183例确诊为PID。通过加权单变量和多元回归分析,重金属Cd和Pb与PID的患病率呈正相关。然而,在锰的重金属中没有观察到显著的关系,Hg,还有Se。重金属的联合感化进一步证实了Cd和Pb在WQS剖析中的重要感化。可视化RCS后,Cd和Pb的曲线和线性关系显著,分别。大多数亚组分析证实了这些结果。总之,暴露于Cd与PID的风险非线性相关,而铅暴露呈线性关系。我们的发现提高了人们对暴露于PID中重金属的环境影响的认识。然而,需要进一步的研究来阐明重金属暴露与PID患病率之间的因果关系和潜在机制.
Pelvic inflammatory disease (PID) is a common medical condition in women. However, the correlation between exposure to heavy metals, including cadmium (Cd), lead (Pb), manganese (Mn), mercury (Hg), and selenium (Se), and PID, is unclear. Using a large sample size from the National Health and Nutrition Examination Survey, these relationships were studied and verified. PID diagnosis was acquired through a self-reported questionnaire (2013-2018). Heavy metal exposure (Cd, Pb, Mn, Hg, and Se) was measured using mass spectrometry of blood samples. Covariate data were obtained through questionnaires and physical tests. Individuals with complete covariate data were included in the
study. The relationship between heavy metal exposure (Cd, Pb, Mn, Hg, and Se) and PID was demonstrated using logistic regression analysis, weighted quantile sum (WQS) regression analysis, and restricted cubic splines (RCS). Overall, 2743 participants were included. Of these, 183 were diagnosed with PID. Through weighted univariate and multivariate regression analyses, the heavy metals of Cd and Pb were positively correlated with the prevalence of PID. However, no significant relationship was observed in the heavy metals of Mn, Hg, and Se. The joint effect of heavy metals further confirmed the important role of Cd and Pb in WQS analysis. After visualizing the RCS, significant curved and linear relationships were observed for Cd and Pb, respectively. Most subgroup analyses confirmed these results. In conclusion, exposure to Cd was nonlinearly correlated with the risk of PID, whereas exposure to Pb showed a linear relationship. Our findings increase the awareness of the environmental effects of exposure to heavy metals in PID. However, further studies are needed to elucidate the causality and underlying mechanisms between heavy metal exposure and the prevalence of PID.