Hernández-Valero M A, Bondy M L, Spitz M R, Zahm S H
Department of Gynecologic Oncology, The University of Texas M.D. Anderson Cancer Center, Houston, Texas 77030, USA.
Am J Ind Med. 2001 Nov;40(5):554-60. doi: 10.1002/ajim.10008.
Epidemiologic studies often must rely upon questionnaire data to assess past exposures. The ability of questionnaires to rank migrant farmworkers according to past pesticide exposure is not known.
We conducted a pilot feasibility study to measure a panel of 21 organochlorine pesticides (OCPs) and correlate levels with reported occupational exposures in 26 Mexican-American migrant farmworkers in Baytown, Texas. The Migrant Farmworker Questionnaire developed by the National Cancer Institute (NCI) was administered and each participant donated a blood sample. Three OCPs [mean (ppb) levels: mirex 1.8, DDT 1.0, and trans-nonachlor 0.7] were detected despite the fact that these chemicals have been banned in the US for many years, and the detected levels were far higher than the standard provided by the referent laboratory. Work clothes, protective attire, and self-reported pesticide exposures were significant predictors of OCP exposure. Similarly, personal hygiene, length of employment, and number of duties also predicted OCP exposure.
The results of this study indicate that data obtained from standardized questionnaires may be reasonable indicators of occupational exposure when biomarker data are not available.
流行病学研究常常必须依靠问卷调查数据来评估过去的暴露情况。问卷根据过去农药暴露情况对流动农场工人进行排名的能力尚不清楚。
我们开展了一项初步可行性研究,以测量21种有机氯农药(OCPs)的一组指标,并将其水平与德克萨斯州贝敦市26名墨西哥裔美国流动农场工人报告的职业暴露情况相关联。使用了美国国家癌症研究所(NCI)编制的流动农场工人问卷,并让每位参与者捐献一份血样。尽管这些化学物质在美国已被禁用多年,但仍检测到三种OCPs[平均(ppb)水平:灭蚁灵1.8、滴滴涕1.0和反式九氯0.7],且检测到的水平远高于参考实验室提供的标准。工作服、防护服和自我报告的农药暴露是OCP暴露的重要预测因素。同样,个人卫生、工作时长和职责数量也可预测OCP暴露。
本研究结果表明,在无法获得生物标志物数据时,从标准化问卷中获得的数据可能是职业暴露的合理指标。