Citation

Aguilar Madrid G, Téllez-Cárdenas L, Juárez-Pérez CA, Haro-García LC, Mercado-García A, Gopar-Nieto R, Cabello-López A. Int. J. Occup. Med. Environ. Health 2016; 29(2): 219-228.

Affiliation

Mexican Institute of Social Security, 21st Century National Medical Center, Mexico City, Mexico (Occupational Health Research Unit). alejandrocabellolopez@gmail.com.

Copyright

(Copyright © 2016, Nofer Institute of Occupational Medicine, Lodz and the Polish Association of Occupational Medicine, Publisher Walter de Gruyter)

DOI

10.13075/ijomeh.1896.00358

PMID

26670353

Abstract

OBJECTIVES: To identify blood lead predictors and the prevalence of neuropsychiatric symptoms in firearm users of public security in Mexico. MATERIAL AND METHODS: A cross-sectional study was performed on 65 males. We obtained socio-occupational data and determined venous blood lead (blood (B), lead (Pb) - BPb), as well as neuropsychiatric symptoms using the Q-16 questionnaire. A multiple linear regression model was constructed to assess determinants of BPb.

RESULTS: The mean age in the study group was 34.8 years (standard deviation (SD) = 6.9, range: 21-60); the mean number of years spent in the company amounted to 14 years (SD = 8.5, range: 1-48). Twenty percent of the respondents (N = 13) used leaded glazed clay pottery (lead (Pb), glazed (G), and clay pottery (C) - PbGC) in the kitchen. During practice they fired a mean of 72 shots (SD = 60, range: 20-250), and during their whole duration of employment 5483 shots (SD = 8322.5, range: 200-50 000). The mean BPb was 7.6 μg/dl (SD = 6.8, range: 2.7-51.7). Two caretakers from the firing range had 29.6 μg/dl and 51.7 μg/dl BPb. The subjects who had shooting practice sessions ≥ 12 times a year reported a greater percentage of miscarriages in their partners (24% vs. 0%). Twelve percent of the respondents showed an increase in neuropsychiatric symptoms. The BPb multiple linear regression model explained R2 = 44.15%, as follows: those who had ≥ 12 practice sessions per year - β = 0.5339 and those who used PbGC - β = 0.3651.

CONCLUSIONS: Using firearms and PbGC contributes to the increased BPb in the studied personnel. The determinants of BPb were: shooting practices >12 times a year and using PbGC. Blood lead concentrations reported in the study, despite being low, are a health risk, as evidenced by the prevalence of neuropsychiatric symptoms.

Language: en