The Relationship between Persistent Organic Pollutants Exposure and Type 2 Diabetes among First Nations in Ontario and Manitoba, Canada: A Difference in Difference Analysis
We previously studied the association between fish consumption and prevalence of type 2 diabetes (T2D) in Manitoba and Ontario First Nations (FNs), Canada and found different results. In this study, we used a difference in difference model to analyze the data. Dietary and health data from the First...
Published in: | International Journal of Environmental Research and Public Health |
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ftdoajarticles:oai:doaj.org/article:432ae6261ab648c2b09ccf2e4982242c 2023-05-15T16:15:05+02:00 The Relationship between Persistent Organic Pollutants Exposure and Type 2 Diabetes among First Nations in Ontario and Manitoba, Canada: A Difference in Difference Analysis Lesya Marushka Xuefeng Hu Malek Batal Tonio Sadik Harold Schwartz Amy Ing Karen Fediuk Constantine Tikhonov Hing Man Chan 2018-03-01T00:00:00Z https://doi.org/10.3390/ijerph15030539 https://doaj.org/article/432ae6261ab648c2b09ccf2e4982242c EN eng MDPI AG http://www.mdpi.com/1660-4601/15/3/539 https://doaj.org/toc/1660-4601 1660-4601 doi:10.3390/ijerph15030539 https://doaj.org/article/432ae6261ab648c2b09ccf2e4982242c International Journal of Environmental Research and Public Health, Vol 15, Iss 3, p 539 (2018) persistent organic pollutants type 2 diabetes fish consumption difference in difference model long chain n-3 fatty acids First Nations Medicine R article 2018 ftdoajarticles https://doi.org/10.3390/ijerph15030539 2022-12-31T13:22:05Z We previously studied the association between fish consumption and prevalence of type 2 diabetes (T2D) in Manitoba and Ontario First Nations (FNs), Canada and found different results. In this study, we used a difference in difference model to analyze the data. Dietary and health data from the First Nations Food Nutrition and Environment Study, a cross-sectional study of 706 Manitoba and 1429 Ontario FNs were analyzed. The consumption of fish was estimated using a food frequency questionnaire. Fish samples were analyzed for dichloro diphenyldichloro ethylene (DDE) and polychlorinated biphenyls (PCBs) content. Difference in difference model results showed that persistent organic pollutant (POP) exposure was positively associated with T2D in a dose-response manner. Stronger positive associations were found among females (OR = 14.96 (3.72–60.11)) than in males (OR = 2.85 (1.14–8.04)). The breakpoints for DDE and PCB intake were 2.11 ng/kg/day and 1.47 ng/kg/day, respectively. Each further 1 ng/kg/day increase in DDE and PCB intake increased the risk of T2D with ORs 2.29 (1.26–4.17) and 1.44 (1.09–1.89), respectively. Our findings suggest that the balance of risk and benefits associated with fish consumption is highly dependent on the regional POP concentrations in fish. Article in Journal/Newspaper First Nations Directory of Open Access Journals: DOAJ Articles Canada International Journal of Environmental Research and Public Health 15 3 539 |
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Open Polar |
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Directory of Open Access Journals: DOAJ Articles |
op_collection_id |
ftdoajarticles |
language |
English |
topic |
persistent organic pollutants type 2 diabetes fish consumption difference in difference model long chain n-3 fatty acids First Nations Medicine R |
spellingShingle |
persistent organic pollutants type 2 diabetes fish consumption difference in difference model long chain n-3 fatty acids First Nations Medicine R Lesya Marushka Xuefeng Hu Malek Batal Tonio Sadik Harold Schwartz Amy Ing Karen Fediuk Constantine Tikhonov Hing Man Chan The Relationship between Persistent Organic Pollutants Exposure and Type 2 Diabetes among First Nations in Ontario and Manitoba, Canada: A Difference in Difference Analysis |
topic_facet |
persistent organic pollutants type 2 diabetes fish consumption difference in difference model long chain n-3 fatty acids First Nations Medicine R |
description |
We previously studied the association between fish consumption and prevalence of type 2 diabetes (T2D) in Manitoba and Ontario First Nations (FNs), Canada and found different results. In this study, we used a difference in difference model to analyze the data. Dietary and health data from the First Nations Food Nutrition and Environment Study, a cross-sectional study of 706 Manitoba and 1429 Ontario FNs were analyzed. The consumption of fish was estimated using a food frequency questionnaire. Fish samples were analyzed for dichloro diphenyldichloro ethylene (DDE) and polychlorinated biphenyls (PCBs) content. Difference in difference model results showed that persistent organic pollutant (POP) exposure was positively associated with T2D in a dose-response manner. Stronger positive associations were found among females (OR = 14.96 (3.72–60.11)) than in males (OR = 2.85 (1.14–8.04)). The breakpoints for DDE and PCB intake were 2.11 ng/kg/day and 1.47 ng/kg/day, respectively. Each further 1 ng/kg/day increase in DDE and PCB intake increased the risk of T2D with ORs 2.29 (1.26–4.17) and 1.44 (1.09–1.89), respectively. Our findings suggest that the balance of risk and benefits associated with fish consumption is highly dependent on the regional POP concentrations in fish. |
format |
Article in Journal/Newspaper |
author |
Lesya Marushka Xuefeng Hu Malek Batal Tonio Sadik Harold Schwartz Amy Ing Karen Fediuk Constantine Tikhonov Hing Man Chan |
author_facet |
Lesya Marushka Xuefeng Hu Malek Batal Tonio Sadik Harold Schwartz Amy Ing Karen Fediuk Constantine Tikhonov Hing Man Chan |
author_sort |
Lesya Marushka |
title |
The Relationship between Persistent Organic Pollutants Exposure and Type 2 Diabetes among First Nations in Ontario and Manitoba, Canada: A Difference in Difference Analysis |
title_short |
The Relationship between Persistent Organic Pollutants Exposure and Type 2 Diabetes among First Nations in Ontario and Manitoba, Canada: A Difference in Difference Analysis |
title_full |
The Relationship between Persistent Organic Pollutants Exposure and Type 2 Diabetes among First Nations in Ontario and Manitoba, Canada: A Difference in Difference Analysis |
title_fullStr |
The Relationship between Persistent Organic Pollutants Exposure and Type 2 Diabetes among First Nations in Ontario and Manitoba, Canada: A Difference in Difference Analysis |
title_full_unstemmed |
The Relationship between Persistent Organic Pollutants Exposure and Type 2 Diabetes among First Nations in Ontario and Manitoba, Canada: A Difference in Difference Analysis |
title_sort |
relationship between persistent organic pollutants exposure and type 2 diabetes among first nations in ontario and manitoba, canada: a difference in difference analysis |
publisher |
MDPI AG |
publishDate |
2018 |
url |
https://doi.org/10.3390/ijerph15030539 https://doaj.org/article/432ae6261ab648c2b09ccf2e4982242c |
geographic |
Canada |
geographic_facet |
Canada |
genre |
First Nations |
genre_facet |
First Nations |
op_source |
International Journal of Environmental Research and Public Health, Vol 15, Iss 3, p 539 (2018) |
op_relation |
http://www.mdpi.com/1660-4601/15/3/539 https://doaj.org/toc/1660-4601 1660-4601 doi:10.3390/ijerph15030539 https://doaj.org/article/432ae6261ab648c2b09ccf2e4982242c |
op_doi |
https://doi.org/10.3390/ijerph15030539 |
container_title |
International Journal of Environmental Research and Public Health |
container_volume |
15 |
container_issue |
3 |
container_start_page |
539 |
_version_ |
1766000808440102912 |