{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T21:56:40Z","timestamp":1791237400932,"version":"4.1.0"},"reference-count":0,"publisher":"Instituto Nacional de Salud (Peru)","license":[{"start":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T00:00:00Z","timestamp":1790640000000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rev Peru Med Exp Salud Publica"],"abstract":"<jats:p>Objectives. To determine the prevalence and factors associated with high arsenic exposure in the adult\u00a0 population of the province of Chumbivilcas in Cusco,\u00a0 Peru 2024. Materials and methods. Analytical cross- sectional study in 370 adults selected through stratified\u00a0 cluster probability sampling by district. The urinary\u00a0 arsenic concentration was determined by inductively\u00a0 coupled plasma mass spectrometry (ICP-MS) and\u00a0 adjusted for creatinine; high exposure was defined as a\u00a0 concentration \u226520 \u03bcg As\/g of creatinine. Sociodemographic and occupational characteristics,\u00a0 epidemiological history of exposure, and environmental\u00a0 factors were evaluated as potential associated factors.\u00a0 Adjusted prevalence ratios (aPR) with 95% confidence\u00a0 intervals (95% CI) were estimated using Poisson\u00a0 regression models with a log link. Results. The\u00a0 prevalence of high arsenic exposure was 68.2% (95% CI: 61.9\u201373.9). Exposure at work was associated with a\u00a0 higher prevalence of high arsenic (aPR 1.29; 95% CI:\u00a0 1.07\u20131.56), as was the consumption of spring water (aPR\u00a0 1.19; 95% CI: 1.01\u20131.40). Exposure at home (aPR 0.83;\u00a0 95% CI: 0.69\u20130.99) and the respiratory route (aPR=0.82; 95% CI: 0.72\u20130.92) showed a lower prevalence of high arsenic. Conclusions. The adult population of Chumbivilcas presented a high prevalence of arsenic\u00a0 exposure. Exposure at work and the use of spring water were associated with a higher prevalence. Studies\u00a0 incorporating environmental measurements are\u00a0 required to guide surveillance and prevention actions.<\/jats:p>","DOI":"10.17843\/rpmesp.2026.433.16608","type":"journal-article","created":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T21:12:11Z","timestamp":1791234731000},"page":"321-9","source":"Crossref","is-referenced-by-count":0,"title":["Chronic arsenic exposure in Chumbivilcas, Cusco, Peru: magnitude and risk factors in the general population, 2024","Prevalencia y factores asociados a la exposici\u00f3n elevada a ars\u00e9nico en poblaci\u00f3n adulta de Chumbivilcas en Cusco, Per\u00fa 2024"],"prefix":"10.17843","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9580-2505","authenticated-orcid":false,"given":"Alex","family":"Jaramillo-Corrales","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-2773-058X","authenticated-orcid":false,"given":"Ruth Nelly","family":"Oscco-Abarca","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-7723-7419","authenticated-orcid":false,"given":"Eduarda","family":"Benito-Calder\u00f3n","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7965-3204","authenticated-orcid":false,"given":"Milton Cesar","family":"Pechuga-Melgar","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-5705-7523","authenticated-orcid":false,"given":"Guinetta Margarita","family":"Yabar-Herrera","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-6159-4709","authenticated-orcid":false,"given":"Maribel","family":"Caller-Soto","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-3026-2864","authenticated-orcid":false,"given":"Deisy Clarivel","family":"Paredes-Herrera","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-2662-5661","authenticated-orcid":false,"given":"Beatriz","family":"Huayhua-Sivincha","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-6458-4610","authenticated-orcid":false,"given":"Joan Miguel \u00c1ngel","family":"Castro-Benito","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-8671-1335","authenticated-orcid":false,"given":"Jos\u00e9","family":"Santa Cruz-Quispe","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"7920","published-online":{"date-parts":[[2026,9,29]]},"container-title":["Revista Peruana de Medicina Experimental y Salud P\u00fablica"],"original-title":[],"link":[{"URL":"https:\/\/rpmesp.ins.gob.pe\/index.php\/rpmesp\/article\/download\/16608\/6320","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/rpmesp.ins.gob.pe\/index.php\/rpmesp\/article\/download\/16608\/6320","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T21:12:13Z","timestamp":1791234733000},"score":1,"resource":{"primary":{"URL":"https:\/\/rpmesp.ins.gob.pe\/index.php\/rpmesp\/article\/view\/16608"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9,29]]},"references-count":0,"URL":"https:\/\/doi.org\/10.17843\/rpmesp.2026.433.16608","relation":{},"ISSN":["1726-4642","1726-4634"],"issn-type":[{"value":"1726-4642","type":"electronic"},{"value":"1726-4634","type":"print"}],"subject":[],"published":{"date-parts":[[2026,9,29]]}}}