Estimation of the Probability of Exposure to Machining Fluids in a Population-Based Case-Control Study.

We describe an approach for estimating the probability that study subjects were exposed to metalworking fluids (MWFs) in a population-based case-control study of bladder cancer. Study subject reports on the frequency of machining and use of specific MWFs (straight, soluble, and synthetic/semi-synthe...

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Publicado en:Journal of Occupational & Environmental Hygiene Vol. 11; no. 11; pp. 757 - 771
Autores principales: Park, Dong-Uk, Colt, Joanne S., Baris, Dalsu, Schwenn, Molly, Karagas, Margaret R., Armenti, Karla R., Johnson, Alison, Silverman, Debra T., Stewart, Patricia A.
Formato: research tables/charts Journal Article
Publicado: Taylor & Francis Ltd Nov2014
Acceso en línea:Ver este registro en EBSCOhost
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          Park, Dong-Uk
          Colt, Joanne S.
          Baris, Dalsu
          Schwenn, Molly
          Karagas, Margaret R.
          Armenti, Karla R.
          Johnson, Alison
          Silverman, Debra T.
          Stewart, Patricia A.
        affil: Occupational and Environmental Epidemiology Branch, Division of Cancer Epidemiology and Genetics, National Cancer Institute, National Institutes of Health, Bethesda, Maryland; Department of Environmental Health, Korea National Open University, Seoul, Korea
      sug:
        subj:
          Occupational Exposure Risk Factors
          Probability
          Machinery Utilization
          Metallurgy
          Human
          Maryland
          Case Control Studies
          Funding Source
          Bladder Neoplasms Risk Factors
          Male
          Young Adult
          Adult
          Middle Age
          Questionnaires
          Confidence Intervals
          Odds Ratio
          Data Analysis Software
          Correlation Coefficient
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Male
      ab: We describe an approach for estimating the probability that study subjects were exposed to metalworking fluids (MWFs) in a population-based case-control study of bladder cancer. Study subject reports on the frequency of machining and use of specific MWFs (straight, soluble, and synthetic/semi-synthetic) were used to estimate exposure probability when available. Those reports also were used to develop estimates for job groups, which were then applied to jobs without MWF reports. Estimates using both cases and controls and controls only were developed. The prevalence of machining varied substantially across job groups (0.1–>0.9%), with the greatest percentage of jobs that machined being reported by machinists and tool and die workers. Reports of straight and soluble MWF use were fairly consistent across job groups (generally 50–70%). Synthetic MWF use was lower (13–45%). There was little difference in reports by cases and controls vs. controls only. Approximately, 1% of the entire study population was assessed as definitely exposed to straight or soluble fluids in contrast to 0.2% definitely exposed to synthetic/semi-synthetics. A comparison between the reported use of the MWFs and U.S. production levels found high correlations (r generally >0.7). Overall, the method described here is likely to have provided a systematic and reliable ranking that better reflects the variability of exposure to three types of MWFs than approaches applied in the past. [Supplementary materials are available for this article. Go to the publisher's online edition ofJournal of Occupational and Environmental Hygienefor the following free supplemental resources: a list of keywords in the occupational histories that were used to link study subjects to the metalworking fluids (MWFs) modules; recommendations from the literature on selection of MWFs based on type of machining operation, the metal being machined and decade; popular additives to MWFs; the number and proportion of controls who reported various MWF responses by job group; the number and proportion of controls assigned to the MWF types by job group and exposure category; and the distribution of cases and controls assigned various levels of probability by MWF type.]
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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