ABSTRACT
Volatile organic compounds (VOC) represent a broad spectrum of compounds and there is growing concern that VOC exposures, in addition to increasing risks for cancer, may be implicated in exacerbating asthma and other adverse respiratory effects. Yet little is known about exposures in the U.S. population beyond the seminal Total Exposure Assessment Methodology (TEAM) studies that were conducted by the U.S. Environmental Protection Agency (U.S. EPA) between 1979 and 1987. This investigation was carried out to evaluate the relationship between personal exposures to benzene, toluene, ethylbenzene, and xylenes (BTEX) and socioeconomic, behavioral, demographic, and residential characteristics using a subsample from the National Health and Nutrition Examination Survey (NHANES) (636 participants who represented an estimated 141,363,503 persons aged 20 to 59 yr in the United States). Personal VOC exposures were evaluated using organic vapor monitors for periods that ranged from 48 to 72 h, and participants were administered a questionnaire regarding personal behaviors and residential characteristics while wearing the monitor. Geometric mean (GM) levels were significantly higher for males for all compounds except toluene. For benzene, GM levels were elevated among smokers and Hispanics. Sociodemographic characteristics could not be evaluated simultaneously in the weighted multiple regression models with the VOC questionnaire data because of issues associated with multicollinearity. Results from the regression analyses suggest that the presence of an attached garage (BTEX), having windows closed in the home during the monitoring period (benzene, toluene), pumping gasoline (toluene, ethylbenzene, and xylenes), or using paint thinner, brush cleaner, or stripper (xylenes) results in higher exposure in the general population and confirm previous findings of studies that were more regional in scope. Once the complete NHANES VOC data are released, additional study is warranted to explore whether risk factors associated with elevated VOC exposures differ in subgroups of U.S. adults, which should inform efforts to develop approaches for minimizing VOC exposures and ameliorating environmental health risks.
Subject(s)
Environmental Exposure/adverse effects , Environmental Pollutants/chemistry , Environmental Pollutants/toxicity , Adult , Benzene/chemistry , Benzene/toxicity , Benzene Derivatives/chemistry , Benzene Derivatives/toxicity , Cross-Sectional Studies , Data Collection , Environmental Monitoring , Female , Humans , Male , Middle Aged , Population Surveillance , Surveys and Questionnaires , Toluene/chemistry , Toluene/toxicity , United States , Volatile Organic Compounds/toxicity , Xylenes/chemistry , Xylenes/toxicity , Young AdultABSTRACT
Hurricane Katrina made landfall along the Gulf Coast as a Category 3 storm on August 29, 2005. Many residents were evacuated to neighboring cities owing to massive destruction. Working with the City of Houston Health Department, researchers conducted a medical and psychological needs assessment of 124 Hurricane Katrina evacuees in Houston shelters from September 4-12, 2005. Among those willing to talk about their experiences, 41% were afraid they would die, 16% saw someone close to them injured or die, 17% saw violence, and 6% directly experienced physical violence. When using a version of the Impact of Stress Experiences scale, the majority of evacuees scored as experiencing moderate (38.6%) to severe (23.9%) post-traumatic stress disorder (PTSD) symptoms. These data suggest that in addition to challenges in finding loved ones, housing, and jobs, many Katrina survivors have experienced significant psychological trauma that may lead to future PTSD.
Subject(s)
Attitude to Health , Disasters , Mental Health Services/organization & administration , Needs Assessment/organization & administration , Population Dynamics , Relief Work/organization & administration , Social Work/organization & administration , Survivors/psychology , Adolescent , Adult , Aged , Aged, 80 and over , Female , Health Care Surveys , Humans , Louisiana , Male , Mental Health , Middle Aged , Population Dynamics/statistics & numerical data , Poverty , Qualitative Research , Stress Disorders, Post-Traumatic/etiology , Stress Disorders, Post-Traumatic/psychology , Surveys and Questionnaires , Survivors/statistics & numerical data , Texas , Violence/psychologyABSTRACT
Consumption of sport-caught fish from the Great Lakes is a recognized source of human exposure to polychlorinated biphenyls (PCBs). Understanding temporal changes in PCB body burden is crucial for evaluating exposure levels and augmenting validity of studies investigating their relationship to adverse health effects. Using data collected from 1980 to 1995, we evaluated longitudinal changes in serum PCB levels among 179 fisheaters and non-fisheaters of the Michigan Fisheater Cohort. Participants identified as fisheaters in 1980 ate 26 lb or more of sport-caught fish per year, whereas non-fisheaters ate less than 6 lb per year. We found a monotonic decline in serum PCB levels among all participants from a mean value of 24 ppb in 1980 to 12 ppb in 1994. This was paralleled by an 83% decrease in mean fish consumption among all participants over the same period. We combined demographic, lifestyle, and fish consumption information with PCB data and evaluated the data using regression models to identify predictors of PCB body burden over a 16-year period. Results of the mixed-effects linear regression model suggest that consumption of Lake Michigan fish before 1980, amount of sport-caught fish eaten in the past year, age, and year of data collection were significant determinants of current PCB body burden over the 16-year study period. PCB levels were particularly elevated for males who were classified as fisheaters in 1980, which may reflect higher levels of sport-caught fish consumption compared with female fisheaters.
