Fletcher · Journal of community health 2013 · cross-sectional registry-based study · n=?

An analysis of mercury exposures among the adult population in New York State.

Cited 12 times in the scientific literature.

Level 4 - case-series / case-control

Cross-sectional registry surveillance and case-series analysis with follow-up interviews.

PubMed 23264151 · doi:10.1007/s10900-012-9646-9 · record verified 2026-08-26

What was done

Data from the New York State Heavy Metals Registry (HMR) laboratory results were linked with structured telephone interviews among adults tested for blood mercury. The study assessed demographic characteristics, reasons for testing, occupational and home environments, and dietary fish consumption patterns in relation to blood mercury levels.

What was found

Among adults reported to the registry with identifiable exposures, approximately 99% had non-occupational exposures attributable to seafood consumption. Ninety percent (90%) of these adults reported eating seafood a few times or more per week, with salmon, tuna, and swordfish identified as commonly consumed species. Specific numerical blood mercury concentrations and exact participant sample sizes were not reported in the abstract.

Why it matters

This surveillance data demonstrates that frequent dietary fish consumption—particularly predatory marine species—is the primary driver of reported blood mercury elevations among tested adults in New York State, highlighting the need for targeted public health advisories.

Limits

The abstract does not report the sample size, specific blood mercury concentration values, or registry inclusion thresholds. Findings represent an actively or clinically selected subpopulation receiving testing rather than a random population sample, introducing substantial selection bias. Dietary exposures relied on self-reported telephone interviews prone to recall bias.

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