Evidence map›Paper›PMID 34087333›Full record

ArticleNeurotoxicology2021

Depression and anxiety in a manganese-exposed community.

Brad A Racette, Gill Nelson, Wendy W Dlamini, Tamara Hershey, Pradeep Prathibha, Jay R Turner, Harvey Checkoway, Lianne Sheppard, Susan Searles Nielsen

Abstract read
In one paragraph

Article in Neurotoxicology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
–field-weighted citation impact
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

18 citing papers in PubMed.

  1. PMiScience · 2026
    Review
  2. Review
  3. Review
  4. Article
  5. Article
  6. Utilizing T1-weighted MRI intensity indices to evaluate in-vivo neurotoxicity in a South African cohort with environmental manganese exposure.Journal of trace elements in medicine and biology : organ of the Society for Minerals and Trace Elements (GMS) · 2025
    Article
  7. Article
  8. Article
  9. Article
  10. iScience · 2024
    Article
  11. Review
  12. Article
  13. Article
  14. Article
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  17. Review
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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

9 authors.

Brad A RacetteDepartment of Neurology, Washington University School of Medicine, 660 South Euclid Avenue, Campus Box 8111, St. Louis, MO, 63110, USA; School of Public Health, Faculty of Health Sciences, University of the Witwatersrand, 7 York Road, Parktown, 2193, South Africa. Electronic address: racetteb@wustl.edu.
Gill NelsonSchool of Public Health, Faculty of Health Sciences, University of the Witwatersrand, 7 York Road, Parktown, 2193, South Africa. Electronic address: gill.nelson@wits.ac.za.
Wendy W DlaminiDepartment of Neurology, Washington University School of Medicine, 660 South Euclid Avenue, Campus Box 8111, St. Louis, MO, 63110, USA. Electronic address: wendy.dlamini@wustl.edu.
Tamara HersheyDepartments of Psychiatry and Radiology, Washington University School of Medicine, 660 South Euclid Avenue, Campus Box 8225, St. Louis, MO, 63110, USA. Electronic address: tammy@wustl.edu.
Pradeep PrathibhaDepartment of Energy, Environmental, and Chemical Engineering, Washington University, Campus Box 1180, One Brookings Drive, St. Louis, MO, 63130, USA. Electronic address: pradeep.prathibha@wustl.edu.
Jay R TurnerDepartment of Energy, Environmental, and Chemical Engineering, Washington University, Campus Box 1180, One Brookings Drive, St. Louis, MO, 63130, USA. Electronic address: jrturner@wustl.edu.
Harvey CheckowayHerbert Wertheim School of Public Health, University of California, San Diego, 9500 Gilman Drive, #0725, La Jolla, CA, 92093, USA. Electronic address: hcheckoway@ucsd.edu.
Lianne SheppardDepartments of Biostatistics and Environmental and Occupational Health Sciences, Box 357232, University of Washington, Seattle, WA, 98195, USA. Electronic address: sheppard@uw.edu.
Susan Searles NielsenDepartment of Neurology, Washington University School of Medicine, 660 South Euclid Avenue, Campus Box 8111, St. Louis, MO, 63110, USA. Electronic address: snielsen@wustl.edu.

Funding

Superfund Training CoreP42ES023716 · NIEHS · UNIVERSITY OF LOUISVILLE · PI SRIVASTAVA, SANJAY · 2017 to 2025
$18.1M
Urban Air Pollution and Pathological Brain Aging: A Nationwide Twin Study in MenP01AG055367 · NIA · UNIVERSITY OF SOUTHERN CALIFORNIA · PI MACK, WILLIAM J · 2018 to 2022
$11.5M
Urban Greenness and Cardiovascular HealthR01ES029846 · NIEHS · UNIVERSITY OF LOUISVILLE · PI Aruni Bhatnagar · 2018 to 2026
$6.2M
Neurocognitive Impact of Hypoglycemia in type 1 DiabetesR01DK064832 · NIDDK · WASHINGTON UNIVERSITY · PI HERSHEY, TAMARA G · 2003 to 2020
$6.0M
TRACKING NEURODEGENERATION IN EARLY WOLFRAM SYNDROMER01HD070855 · NICHD · WASHINGTON UNIVERSITY · PI HERSHEY, TAMARA G · 2012 to 2022
$5.6M
Air Pollution, the Aging Brain and Alzheimer's DiseaseR01ES026187 · NIEHS · UNIVERSITY OF WASHINGTON · PI LI, GAIL, SHEPPARD, ELIZABETH A LIANNE · 2016 to 2020
$3.8M
Motor and Cognitive Health Outcomes in a Mn-Exposed African CommunityR01ES025991 · NIEHS · WASHINGTON UNIVERSITY · PI RACETTE, BRAD A · 2015 to 2019
$3.7M
Manganese-Induced Neurotoxic Effects Research in South Africa (MINERS)R01ES026891 · NIEHS · WASHINGTON UNIVERSITY · PI RACETTE, BRAD A · 2017 to 2021
$3.3M
NOVEL PET MARKERS OF COGNITIVE IMPAIRMENT IN MANGANESENEUROTOXICITYR01ES029524 · NIEHS · WASHINGTON UNIVERSITY · PI CRISWELL, SUSAN · 2019 to 2023
$3.3M
Supporting child growth and development through integrated, responsive parenting, nutrition and hygieneR01HD098255 · NICHD · WASHINGTON UNIVERSITY · PI IANNOTTI, LORA LYNN, KOHL, PATRICIA LYNN · 2020 to 2024
$3.1M
Statistical Methods to Account for Exposure Uncertainty in Environmental EpidemiologyR01ES026246 · NIEHS · YALE UNIVERSITY · PI SPIEGELMAN, DONNA L · 2018 to 2022
$3.1M
Air pollution, Alzheimer's Disease and Related OutcomesR01ES029509 · NIEHS · GEORGE WASHINGTON UNIVERSITY · PI POWER, MELINDA C · 2018 to 2021
$3.0M
NIA NIH HHS P01 AG055367NICHD NIH HHS R01 HD070855NICHD NIH HHS R01 HD098255NIDDK NIH HHS R01 DK064832NIEHS NIH HHS K01 ES028295NIEHS NIH HHS K24 ES017765NIEHS NIH HHS P42 ES023716NIEHS NIH HHS R01 ES025991NIEHS NIH HHS R01 ES026187NIEHS NIH HHS R01 ES026246NIEHS NIH HHS R01 ES026891NIEHS NIH HHS R01 ES027696NIEHS NIH HHS R01 ES029509NIEHS NIH HHS R01 ES029524NIEHS NIH HHS R01 ES029846NIEHS NIH HHS R01 ES030937NIEHS NIH HHS R25 ES025503NINDS NIH HHS P30 NS098577NINDS NIH HHS R01 NS109487NIOSH CDC HHS R01 OH011661
6 · The paper itself

Abstract

objectiveTo characterize the association between residential environmental manganese (Mn) exposure and depression and anxiety, given prior associations among occupationally-exposed workers.

methodsWe administered the Beck Depression Inventory (BDI) and the State-Trait Anxiety Inventory (STAI) to 697 study participants in their preferred languages. These participants represented a population-based sample of residents aged ≥40 from two predominantly Black African communities in Gauteng province, South Africa: 605 in Meyerton, adjacent to a large Mn smelter, and 92 in Ethembalethu, a comparable non-exposed community. We investigated the associations between community (Meyerton vs. Ethembalethu) and severity of depression and anxiety, using linear regression, adjusting for age and sex. To document community-level differences in Mn exposure, we measured airborne PM

resultsMeyerton residents had BDI scores 5.63 points (95 % CI 3.07, 8.20) higher than Ethembalethu residents, with all questions contributing to this significant difference. STAI-state scores were marginally higher in Meyerton than Ethembalethu residents [2.12 (95 % CI -0.17, 4.41)], whereas STAI-trait scores were more similar between the communities [1.26 (95 % CI -0.82, 3.35)]. Mean PM

conclusionResidence near Mn emission sources may be associated with greater depression symptomatology, and possibly current, but not lifetime, anxiety.

Indexed as

Independent LivingPsychiatric Status Rating ScalesAdultAgedAged, 80 and overAnxietyDepressionEnvironmental ExposureFemaleHumansMaleManganeseMiddle AgedSouth AfricaManganeseBeck depression inventoryManganesePM2.5-MnSouth AfricaState-trait anxiety inventory

Identifiers

PMID34087333
PMCPMC8635218

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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.