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. 2013 Jan 2;19(1):4–27. doi: 10.1080/10807039.2012.650577

Table 2.

Leukemia cancer risk in styrene job/exposure categories.

Study Job/Exposure Category Observed Risk Estimatea 95% CIb
Reinforced Plastic Industry (RPC)c
Kolstad et al. (1994, 1995) 1–49% employees in reinforced plastics 28 1.15 0.77–1.67
50–100% employees in reinforced plastics 14 1.38 0.75–2.32
Total Reinforced plastics 42 1.22 0.88–1.65
No reinforced plastics 13 0.86 0.46–1.47
Production unclassified 6 2.37 0.87–5.16
Kogevinas et al. (1993, 1994) Laminators 3 0.48 0.10–1.39
Unspecified Tasks 16 1.4 0.79–2.28
Other exposed Jobs 4 0.94 0.26–2.40
Unexposed 4 0.99 0.27–2.54
Total 28 1.04 0.69–1.50
Wong et al. (1994)d Open mold processing 1 0.9
Mixing and closed mold processing 0
Finishing operations 2 0.8
Plant supports 1 0.56
Maintenance and preparation 1 0.48
Supervisory and professional 1 1.33
Total 11e 0.74 0.37–1.32
Ruder et al. (2004) High Exposure 1 0.46f 0.01–2.58
Low Exposure 4 0.64f 0.17–1.63
Total 5 0.59f 0.19–1.38
Styrene-Butadiene Rubber Industry (SBR)c
Sathiakumar et al. (2005) Production, polymerization 18 2.04 1.21–3.22
Production, coagulation 10 2.31 1.11–4.25
Production, finishing 19 1.56 0.94–2.44
Maintenance, shop 4 0.93 0.25–2.38
Maintenance, field 10 0.84 0.40–1.55
Labor, production 4 1.23 0.34–3.15
Labor, maintenance 15 2.03 1.14–3.35
Laboratories 14 3.26 1.78–5.46
Other operations 6 0.69 0.25–1.50
McMichael et al.(1976)g Compounding, mixing: cement mixing 1.3 1.0–1.8
Extrusion, tread cementing 3.2 2.4–5.0
Inspection, finishing, repair 3.7 2.8–5.3
Synthetic plant 3.9 2.6–8.0
Polystyrene/Styrene Production Industry (PS)c
Bond et al. (1992)d Styrene monomer and finishing 1 h
Styrene-butadiene latex production 1 h
Product research and development 1 h
Polymerization, coloring, extrusion 6 1.65
Total 9 1.18 0.54–2.24
Hodgson and Jones (1985) Exposed workers 0
Unexposed workers 0
Total 1f h
Nicholson et al. (1978) Total 1 1/0.79
Environmental Exposurec
Loughlin et al. (1999) Men 6 1.82 0.67–3.96
Women 1 0.45 0.01–2.48

aRisk estimates were reported as one of the following: standardized mortality ratio (SMR), standardized incidence ratio (SIR), relative risk (RR), or standardized risk ratio (SRR). Some values were divided by 100 for comparison.

b95% CI = 95% confidence interval.

cStatistically significant findings indicated in bold.

dIf 95% CI was not provided, statistical significance was indicated in study.

eThe total includes the entire study cohort, it is not the sum of all the observed cases by exposure category.

fCompared to the US population. Similar results when compared to Washington state population.

gMcMichael et al. (1976) calculated 99.9% CIs and did not report non-significant associations.

hSMR not calculated by authors if observed <3.