Skip to main content
Occupational and Environmental Medicine logoLink to Occupational and Environmental Medicine
. 1998 May;55(5):310–316. doi: 10.1136/oem.55.5.310

Comprehensive evaluation of long-term trends in occupational exposure: Part 2. Predictive models for declining exposures

E Symanski, L L Kupper, I Hertz-Picciotto, S M Rappaport
PMCID: PMC1757586  PMID: 9764108

Abstract

OBJECTIVES: To explore the effects of various factors related to the industry, the contaminant, and the period and type of sampling on long term declining trends in occupational exposure. METHODS: Linear regression analyses were used to assess the relation between reductions in exposure and geographical location, industrial sector, type of contaminant, type of monitoring, carcinogenic classification, calendar period, duration of sampling, and number of reductions in the threshold limit value during the sampling period. Both univariable and multivariable models were applied. RESULTS: Based on univariable analyses, the findings suggest that exposures declined more rapidly in manufacturing than in mining, more rapidly for aerosol contaminants than for vapours, and more rapidly when biological, rather than airborne, monitoring was conducted. Exposures collected more recently (first year of sampling in 1972 or later) fell more rapidly than exposures first evaluated during earlier periods. Irrespective of when the data were collected, the results also suggest that the longer the duration of sampling the slower the rate of decline. Taken together, we found that characteristics related to the contaminant, the industry, the sampling period, and the type of sampling explained a substantial proportion of the variability for exposures evaluated before 1972 (R2 = 0.78) and for sites evaluated both before and after 1972 (R2 = 0.91), but explained essentially no variation for data gathered exclusively after 1972 (R2 = 0.04). CONCLUSIONS: By identifying factors that have affected the rates of reduction in a consistent fashion, the results should guide investigators in estimating historical levels when studies assessing exposure-response relations are carried out.

 

Full Text

The Full Text of this article is available as a PDF (149.0 KB).

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Armstrong B. G., Tremblay C. G., Cyr D., Thériault G. P. Estimating the relationship between exposure to tar volatiles and the incidence of bladder cancer in aluminum smelter workers. Scand J Work Environ Health. 1986 Oct;12(5):486–493. doi: 10.5271/sjweh.2109. [DOI] [PubMed] [Google Scholar]
  2. Attfield M. D., Morring K. The derivation of estimated dust exposures for U.S. coal miners working before 1970. Am Ind Hyg Assoc J. 1992 Apr;53(4):248–255. doi: 10.1080/15298669291359609. [DOI] [PubMed] [Google Scholar]
  3. Brunekreef B., Noy D., Clausing P. Variability of exposure measurements in environmental epidemiology. Am J Epidemiol. 1987 May;125(5):892–898. doi: 10.1093/oxfordjournals.aje.a114606. [DOI] [PubMed] [Google Scholar]
  4. Checkoway H., Heyer N. J., Demers P. A., Breslow N. E. Mortality among workers in the diatomaceous earth industry. Br J Ind Med. 1993 Jul;50(7):586–597. doi: 10.1136/oem.50.7.586. [DOI] [PMC free article] [PubMed] [Google Scholar]
  5. Corn M. Historical perspective on approaches to estimation of inhalation risk by air sampling. Am J Ind Med. 1992;21(1):113–123. doi: 10.1002/ajim.4700210114. [DOI] [PubMed] [Google Scholar]
  6. Dement J. M., Harris R. L., Jr, Symons M. J., Shy C. M. Exposures and mortality among chrysotile asbestos workers. Part I: exposure estimates. Am J Ind Med. 1983;4(3):399–419. doi: 10.1002/ajim.4700040303. [DOI] [PubMed] [Google Scholar]
  7. Eisen E. A., Smith T. J., Wegman D. H., Louis T. A., Froines J. Estimation of long term dust exposures in the Vermont granite sheds. Am Ind Hyg Assoc J. 1984 Feb;45(2):89–94. doi: 10.1080/15298668491399424. [DOI] [PubMed] [Google Scholar]
  8. Hornung R. W., Greife A. L., Stayner L. T., Steenland N. K., Herrick R. F., Elliott L. J., Ringenburg V. L., Morawetz J. Statistical model for prediction of retrospective exposure to ethylene oxide in an occupational mortality study. Am J Ind Med. 1994 Jun;25(6):825–836. doi: 10.1002/ajim.4700250607. [DOI] [PubMed] [Google Scholar]
  9. Kauppinen T. P., Pannett B., Marlow D. A., Kogevinas M. Retrospective assessment of exposure through modeling in a study on cancer risks among workers exposed to phenoxy herbicides, chlorophenols and dioxins. Scand J Work Environ Health. 1994 Aug;20(4):262–271. doi: 10.5271/sjweh.1399. [DOI] [PubMed] [Google Scholar]
  10. Kogevinas M., Ferro G., Andersen A., Bellander T., Biocca M., Coggon D., Gennaro V., Hutchings S., Kolstad H., Lundberg I. Cancer mortality in a historical cohort study of workers exposed to styrene. Scand J Work Environ Health. 1994 Aug;20(4):251–261. doi: 10.5271/sjweh.1400. [DOI] [PubMed] [Google Scholar]
  11. Ott M. G., Messerer P., Zober A. Assessment of past occupational exposure to 2,3,7,8-tetrachlorodibenzo-p-dioxin using blood lipid analyses. Int Arch Occup Environ Health. 1993;65(1):1–8. doi: 10.1007/BF00586050. [DOI] [PubMed] [Google Scholar]
  12. Plato N., Krantz S., Gustavsson P., Smith T. J., Westerholm P. Fiber exposure assessment in the Swedish rock wool and slag wool production industry in 1938-1990. Scand J Work Environ Health. 1995 Oct;21(5):345–352. doi: 10.5271/sjweh.48. [DOI] [PubMed] [Google Scholar]
  13. Rappaport S. M. Assessment of long-term exposures to toxic substances in air. Ann Occup Hyg. 1991 Feb;35(1):61–121. doi: 10.1093/annhyg/35.1.61. [DOI] [PubMed] [Google Scholar]
  14. Seixas N. S., Checkoway H. Exposure assessment in industry specific retrospective occupational epidemiology studies. Occup Environ Med. 1995 Oct;52(10):625–633. doi: 10.1136/oem.52.10.625. [DOI] [PMC free article] [PubMed] [Google Scholar]
  15. Smith T. J. Occupational exposure and dose over time: limitations of cumulative exposure. Am J Ind Med. 1992;21(1):35–51. doi: 10.1002/ajim.4700210107. [DOI] [PubMed] [Google Scholar]
  16. Stewart P. A., Lees P. S., Francis M. Quantification of historical exposures in occupational cohort studies. Scand J Work Environ Health. 1996 Dec;22(6):405–414. doi: 10.5271/sjweh.161. [DOI] [PubMed] [Google Scholar]
  17. Symanski E., Kupper L. L., Rappaport S. M. Comprehensive evaluation of long-term trends in occupational exposure: Part 1. Description of the database. Occup Environ Med. 1998 May;55(5):300–309. doi: 10.1136/oem.55.5.300. [DOI] [PMC free article] [PubMed] [Google Scholar]
  18. Thomas D., Stram D., Dwyer J. Exposure measurement error: influence on exposure-disease. Relationships and methods of correction. Annu Rev Public Health. 1993;14:69–93. doi: 10.1146/annurev.pu.14.050193.000441. [DOI] [PubMed] [Google Scholar]

Articles from Occupational and Environmental Medicine are provided here courtesy of BMJ Publishing Group

RESOURCES