Evidence map›Paper›PMID 31170009›Full record

ArticleEnvironmental health perspectives2019

Tap Water Contributions to Plasma Concentrations of Poly- and Perfluoroalkyl Substances (PFAS) in a Nationwide Prospective Cohort of U.S. Women.

Xindi C Hu, Andrea K Tokranov, Jahred Liddie, Xianming Zhang, Philippe Grandjean, Jaime E Hart, Francine Laden, Qi Sun, Leo W Y Yeung, Elsie M Sunderland

Open access · diamondAbstract read
In one paragraph

Article in Environmental health perspectives, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 61 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
61citing papers in PubMed, 2 pooled it
7.3field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

61 citing papers in PubMed, 2 syntheses or guidelines pooled it, 132 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Review
  5. Article
  6. Serum PFAS levels in UK firefighters.Scientific reports · 2026
    Article
  7. Is drinking water with low PFAS a significant source of human exposure? Evidence summary.Journal of exposure science & environmental epidemiology · 2026
    Review
  8. Is drinking water with low PFAS a significant source of human exposure? Evidence summary.Journal of exposure science & environmental epidemiology · 2026
    Review
  9. Article
  10. The PFAS roadmap-Navigating a path together to improved management.Sustainability science and technology · 2026
    Article
  11. Article
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1 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 3 institutions in 3 countries.

Xindi C Hu1 Department of Environmental Health, Harvard T.H. Chan School of Public Health, Harvard University , Boston, Massachusetts, USA.
Andrea K Tokranov2 Harvard John A. Paulson School of Engineering and Applied Sciences, Harvard University , Cambridge, Massachusetts, USA.
Jahred Liddie2 Harvard John A. Paulson School of Engineering and Applied Sciences, Harvard University , Cambridge, Massachusetts, USA.
Xianming Zhang2 Harvard John A. Paulson School of Engineering and Applied Sciences, Harvard University , Cambridge, Massachusetts, USA.
Philippe Grandjean1 Department of Environmental Health, Harvard T.H. Chan School of Public Health, Harvard University , Boston, Massachusetts, USA.
Jaime E Hart1 Department of Environmental Health, Harvard T.H. Chan School of Public Health, Harvard University , Boston, Massachusetts, USA.
Francine Laden1 Department of Environmental Health, Harvard T.H. Chan School of Public Health, Harvard University , Boston, Massachusetts, USA.
Qi Sun4 Channing Division of Network Medicine, Department of Medicine, Brigham and Women's Hospital and Harvard Medical School , Boston, Massachusetts, USA.
Leo W Y Yeung7 MTM Research Centre, School of Science and Technology, Örebro University , Örebro, Sweden.
Elsie M Sunderland1 Department of Environmental Health, Harvard T.H. Chan School of Public Health, Harvard University , Boston, Massachusetts, USA.
Harvard University · USBrigham and Women's Hospital · USÖrebro University · SE

Funding

Translational Research Support CoreP30ES000002 · NIEHS · HARVARD UNIVERSITY (SCH OF PUBLIC HLTH) · PI SUSAN A KORRICK · 1985 to 2026
$44.6M
Long Term Multidisciplinary Study of Cancer in Women: The Nurses Health StudyUM1CA186107 · NCI · BRIGHAM AND WOMEN'S HOSPITAL · PI ELIASSEN, A. HEATHER, STAMPFER, MEIR · 2014 to 2023
$22.3M
Sources, Transport, Exposure & Effects of PFAS (STEEP) Center - RENEWALP42ES027706 · NIEHS · UNIVERSITY OF RHODE ISLAND · PI Harrison Dekker · 2017 to 2026
$18.9M
BIOCHEMICAL MARKERS IN THE NURSES'HEALTH STUDY COHORTR01CA049449 · NCI · BRIGHAM AND WOMEN'S HOSPITAL · PI HANKINSON, SUSAN E · 1989 to 2008
$11.3M
BIOCHEMICAL MARKERS IN THE NURSES HEALTH STUDY COHORTU01CA049449 · NCI · UNIVERSITY OF MASSACHUSETTS AMHERST · PI HANKINSON, SUSAN E · 1995 to 2013
$5.4M
Pollutant-related diabetes in the Nurses' Health Study IIR01ES021372 · NIEHS · HARVARD SCHOOL OF PUBLIC HEALTH · PI GRANDJEAN, PHILIPPE ADAM, SUN, QI · 2013 to 2017
$2.9M
Inflammation and metabolic abnormalities in pollutant-exposed childrenR01ES026596 · NIEHS · HARVARD SCHOOL OF PUBLIC HEALTH · PI GRANDJEAN, PHILIPPE ADAM · 2017 to 2018
$321k
NCI NIH HHS R01 CA049449NCI NIH HHS U01 CA049449NCI NIH HHS UM1 CA186107NIEHS NIH HHS P30 ES000002NIEHS NIH HHS P42 ES027706NIEHS NIH HHS R01 ES021372NIEHS NIH HHS R01 ES026596
6 · The paper itself

Abstract

backgroundBetween 2013 and 2015, concentrations of poly- and perfluoroalkyl substances (PFAS) in public drinking water supplies serving at least six million individuals exceeded the level set forth in the health advisory established by the U.S. Environmental Protection Agency. Other than data reported for contaminated sites, no systematic or prospective data exist on the relative source contribution (RSC) of drinking water to human PFAS exposures.

objectivesThis study estimates the RSC of tap water to overall PFAS exposure among members of the general U.S. POPULATION:

methodsWe measured concentrations of 15 PFAS in home tap water samples collected in 1989-1990 from 225 participants in a nationwide prospective cohort of U.S. women: the Nurses' Health Study (NHS). We used a one-compartment toxicokinetic model to estimate plasma concentrations corresponding to tap water intake of PFAS. We compared modeled results with measured plasma PFAS concentrations among a subset of 110 NHS participants.

resultsTap water perfluorooctanoic acid (PFOA) and perfluorononanoic acid (PFNA) were statistically significant predictors of plasma concentrations among individuals who consumed [Formula: see text] cups of tap water per day. Modeled median contributions of tap water to measured plasma concentrations were: PFOA 12% (95% probability interval 11%-14%), PFNA 13% (8.7%-21%), linear perfluorooctanesulfonic acid (nPFOS) 2.2% (2.0%-2.5%), branched perfluorooctanesulfonic acid (brPFOS) 3.0% (2.5%-3.2%), and perfluorohexanesulfonic acid (PFHxS) 34% (29%-39%). In five locations, comparisons of PFASs in community tap water collected in the period 2013-2016 with samples from 1989-1990 indicated increases in quantifiable PFAS and extractable organic fluorine (a proxy for unquantified PFAS).

conclusionsOur results for 1989-1990 compare well with the default RSC of 20% used in risk assessments for legacy PFAS by many agencies. Future evaluation of drinking water exposures should incorporate emerging PFAS. https://doi.org/10.1289/EHP4093.

Indexed as

AdultAgedAlkanesulfonic AcidsCaprylatesCohort StudiesDrinking WaterFemaleFluorocarbonsHumansMiddle AgedProspective StudiesUnited StatesWater Pollutants, ChemicalAlkanesulfonic AcidsCaprylatesDrinking WaterFluorocarbonsperfluorooctane sulfonic acidperfluorooctanoic acidWater Pollutants, Chemical

Identifiers

PMID31170009
PMCPMC6792361
OpenAlexW2949046358

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.