AIM:to estimate the level of metallic chemical elements in the population living in the Steel company vicinity in
Santa Cruz, Rio de Janeiro, Brazil; and estimate the association between exposure to the Steel company and the
blood metals concentrations patterns.METHOD:A cross-sectional study was carried out on 463 individuals aged
18+ years old residing 1+ years in the Steel company vicinity. Mg, Be, Co, Ba, Ni, Cd, Al, and Pb were assessed in
blood by DRC-ICP-MS. Metallic chemical element concentration patterns were obtained by exploratory factor
analysis in the studied population. Exposure was set as the distance (Km) from each participant’s residence to the
Steel company in Santa Cruz, georeferenced by GPS. The outcome was set as the positive factor loadings in the
factor analysis, including Mg and Be (Factor-1), Co, Ba, and Ni (Factor-2), Cd, Al, and Pb (Factor-4). Crude and
adjusted OR, and their respective 95 %CI, were estimated to explore associations between independent variables
and the exposures to metallic elements positively associated with the factors using polychotomous logistic
regression.RESULTS:A reduction of 19 % was found between each km distance from the residence and the Steel
company and P50 concentration of Cd, Al, and Pb (ORP50=0.81; 95 %CI:0.67–0.97), after adjusting by age, sex,
and smoking. No statistically significant associations were observed for the distance from residences and the
Steel company, after adjusting for age, gender, having a domestic vegetable garden and chewing gum for Mg and
Be concentrations (Factor-1) (ORP50=0.84; 95 %CI:0.70–1.01; ORP75=1.10; 95 %CI:0.91–1.34); nor for Co, Ba
and Ni (Factor-2) blood concentrations(ORP50=1.10; 95 %CI:0.91–1.33; ORP75=1.03; 95 %CI:0.84–1.26), in the
adjusted analysis.CONCLUSIONS: For each Km distance from residences to the Steel company, a 19 % reduction
in the risk of Cd, Al, and Pb blood concentration was observed in the population living in Santa Cruz, Rio de
Janeiro, Brazil.