{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,21]],"date-time":"2026-08-21T12:54:25Z","timestamp":1787316865449,"version":"build-2736575974"},"reference-count":81,"publisher":"MDPI AG","issue":"9","license":[{"start":{"date-parts":[[2025,9,8]],"date-time":"2025-09-08T00:00:00Z","timestamp":1757289600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100000066","name":"National Institute of Environmental Health Sciences of the National Institutes of Health","doi-asserted-by":"publisher","award":["NIEHS K01 ES032015"],"award-info":[{"award-number":["NIEHS K01 ES032015"]}],"id":[{"id":"10.13039\/100000066","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000066","name":"National Institute of Environmental Health Sciences of the National Institutes of Health","doi-asserted-by":"publisher","award":["R01 ES031585"],"award-info":[{"award-number":["R01 ES031585"]}],"id":[{"id":"10.13039\/100000066","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000066","name":"National Institute of Environmental Health Sciences of the National Institutes of Health","doi-asserted-by":"publisher","award":["R01 ES034042"],"award-info":[{"award-number":["R01 ES034042"]}],"id":[{"id":"10.13039\/100000066","id-type":"DOI","asserted-by":"publisher"}]},{"name":"Pantaleon under a memorandum of understanding with the University of Colorado","award":["NIEHS K01 ES032015"],"award-info":[{"award-number":["NIEHS K01 ES032015"]}]},{"name":"Pantaleon under a memorandum of understanding with the University of Colorado","award":["R01 ES031585"],"award-info":[{"award-number":["R01 ES031585"]}]},{"name":"Pantaleon under a memorandum of understanding with the University of Colorado","award":["R01 ES034042"],"award-info":[{"award-number":["R01 ES034042"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Toxics"],"abstract":"<jats:p>Chronic kidney disease of unknown origin (CKDu) is a public health concern, particularly in agricultural communities, with multiple environmental exposures hypothesized as potential contributors. This study employed a targeted exposure assessment using personal silicone wristbands to characterize chemical exposures among women living and working in CKDu-affected regions of Guatemala. Participants wore wristbands for seven days, passively sampling air and dermal exposures. Overall, 45 wristbands were collected from 37 female participants (19 sugarcane workers and 18 community members). Of the 1530 chemicals measured using a single semi-quantitative method, 103 were detected, with an average of 27 chemicals per wristband (range: 16\u201340). Polycyclic aromatic hydrocarbon (PAH) levels were higher in community members\u2019 wristbands, whereas workers exhibited higher exposure to pesticides (i.e., pendimethalin and fipronil). Workers had worse kidney function compared to community members, with almost half of the workers having an estimated glomerular filtration rate, eGFR, &lt;90 mL\/min\/1.73 m2. Correlations were observed between kidney function markers and specific chemicals, with the strongest correlation between albumin-to-creatinine ratio and pyrene levels (\u03c1 = 0.57, p &lt; 0.01) among workers. Women in agricultural regions of Guatemala experience widespread exposure to diverse environmental chemicals, some of which may contribute to kidney function decline.<\/jats:p>","DOI":"10.3390\/toxics13090761","type":"journal-article","created":{"date-parts":[[2025,9,10]],"date-time":"2025-09-10T09:32:01Z","timestamp":1757496721000},"page":"761","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Measuring Environmental Chemical Burden with Wristbands: Implications for Kidney Health Among Women in Rural Guatemala"],"prefix":"10.3390","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1325-6246","authenticated-orcid":false,"given":"Jaime","family":"Butler-Dawson","sequence":"first","affiliation":[{"name":"Department of Environmental and Occupational Health, Colorado School of Public Health, University of Colorado, Anschutz Campus, Aurora, CO 80045, USA"},{"name":"Centers for Health Work and Environment, Colorado School of Public Health, University of Colorado, Anschutz Campus, Aurora, CO 80045, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0232-5151","authenticated-orcid":false,"given":"Grant","family":"Erlandson","sequence":"additional","affiliation":[{"name":"Department of Environmental and Radiological Health Sciences, Colorado State University, Fort Collins, CO 80523, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Diana","family":"Jaramillo","sequence":"additional","affiliation":[{"name":"Department of Environmental and Occupational Health, Colorado School of Public Health, University of Colorado, Anschutz Campus, Aurora, CO 80045, USA"},{"name":"Centers for Health Work and Environment, Colorado School of Public Health, University of Colorado, Anschutz Campus, Aurora, CO 80045, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9917-8903","authenticated-orcid":false,"given":"Karely","family":"Villarreal Hernandez","sequence":"additional","affiliation":[{"name":"Department of Environmental and Occupational Health, Colorado School of Public Health, University of Colorado, Anschutz Campus, Aurora, CO 80045, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-9026-9553","authenticated-orcid":false,"given":"Laura","family":"Calvimontes","sequence":"additional","affiliation":[{"name":"Department of Environmental and Radiological Health Sciences, Colorado State University, Fort Collins, CO 80523, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7142-380X","authenticated-orcid":false,"given":"Lyndsay","family":"Krisher","sequence":"additional","affiliation":[{"name":"Department of Environmental and Occupational Health, Colorado School of Public Health, University of Colorado, Anschutz Campus, Aurora, CO 80045, USA"},{"name":"Centers for Health Work and Environment, Colorado School of Public Health, University of Colorado, Anschutz Campus, Aurora, CO 80045, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1537-3355","authenticated-orcid":false,"given":"Miranda","family":"Dally","sequence":"additional","affiliation":[{"name":"Department of Environmental and Occupational Health, Colorado School of Public Health, University of Colorado, Anschutz Campus, Aurora, CO 80045, USA"},{"name":"Centers for Health Work and Environment, Colorado School of Public Health, University of Colorado, Anschutz Campus, Aurora, CO 80045, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stephen","family":"Brindley","sequence":"additional","affiliation":[{"name":"Department of Environmental and Occupational Health, Colorado School of Public Health, University of Colorado, Anschutz Campus, Aurora, CO 80045, USA"},{"name":"Centers for Health Work and Environment, Colorado School of Public Health, University of Colorado, Anschutz Campus, Aurora, CO 80045, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel","family":"Pilloni","sequence":"additional","affiliation":[{"name":"Grupo Pantaleon, Guatemala City 01010, Guatemala"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alex","family":"Cruz","sequence":"additional","affiliation":[{"name":"Grupo Pantaleon, Guatemala City 01010, Guatemala"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4477-9899","authenticated-orcid":false,"given":"Alison K.","family":"Bauer","sequence":"additional","affiliation":[{"name":"Department of Environmental and Occupational Health, Colorado School of Public Health, University of Colorado, Anschutz Campus, Aurora, CO 80045, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Richard J.","family":"Johnson","sequence":"additional","affiliation":[{"name":"Division of Renal Diseases and Hypertension, University of Colorado School of Medicine, Anschutz Medical Campus, Aurora, CO 80045, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8067-1159","authenticated-orcid":false,"given":"Lee S.","family":"Newman","sequence":"additional","affiliation":[{"name":"Department of Environmental and Occupational Health, Colorado School of Public Health, University of Colorado, Anschutz Campus, Aurora, CO 80045, USA"},{"name":"Centers for Health Work and Environment, Colorado School of Public Health, University of Colorado, Anschutz Campus, Aurora, CO 80045, USA"},{"name":"Department of Epidemiology, Colorado School of Public Health, University of Colorado, Anschutz Campus, Aurora, CO 80045, USA"},{"name":"Division of Pulmonary Sciences and Critical Care Medicine, Department of Medicine, School of Medicine, University of Colorado, Anschutz Campus, Aurora, CO 80045, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joshua","family":"Schaeffer","sequence":"additional","affiliation":[{"name":"Department of Environmental and Radiological Health Sciences, Colorado State University, Fort Collins, CO 80523, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1271-3465","authenticated-orcid":false,"given":"John L.","family":"Adgate","sequence":"additional","affiliation":[{"name":"Department of Environmental and Occupational Health, Colorado School of Public Health, University of Colorado, Anschutz Campus, Aurora, CO 80045, USA"},{"name":"Centers for Health Work and Environment, Colorado School of Public Health, University of Colorado, Anschutz Campus, Aurora, CO 80045, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kim A.","family":"Anderson","sequence":"additional","affiliation":[{"name":"Department of Environmental and Molecular Toxicology, Oregon Status University, Corvallis, OR 97331, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katherine A.","family":"James","sequence":"additional","affiliation":[{"name":"Department of Environmental and Occupational Health, Colorado School of Public Health, University of Colorado, Anschutz Campus, Aurora, CO 80045, USA"},{"name":"Centers for Health Work and Environment, Colorado School of Public Health, University of Colorado, Anschutz Campus, Aurora, CO 80045, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2025,9,8]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"1614","DOI":"10.1016\/j.ekir.2024.03.013","article-title":"Systematic Review of Kidney Injury Biomarkers for the Evaluation of CKD of Uncertain 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