Jedrychowski Wiesław, Pac Agnieszka, Choi Hyunok, Jacek Ryszard, Sochacka-Tatara Elzbieta, Dumyahn Thomas S, Spengler John D, Camann David E, Perera Frederica P
Chair of Epidemiology and Preventive Medicine, Jagiellonian University Medical College, Kopernika 7A, 31-034 Kraków, Poland.
Int J Occup Med Environ Health. 2007;20(4):339-48. doi: 10.2478/v10001-007-0035-z.
This study assessed personal exposure of pregnant women to fine particles (PM(25)) and benzo[a]pyrene (B[a]P) and the relationship between pollutant concentrations in ambient and indoor air.
In a group of 78 pregnant women, simultaneous 48 h measurements of personal, indoor, and outdoor exposure to PM(25) and B[a]P were carried out in the second trimester of pregnancy. The results show that participants were exposed to varying concentrations of PM(25) and B[a]P, with higher exposure in the winter season. Overall, the mean personal PM(25) level was 30.4 microg/m(3) and B[a]P 2.1 ng/m(3). The winter/summer ratios for mean personal exposures were 1.4 (35.6 microg/m(3) vs. 25.8 microg/m(3)) and 5.4 (4.9 ng/m(3) vs. 0.9 ng/m(3)), respectively. As for indoor levels, the winter/summer ratios were 1.4 (33.2 microg/m(3) vs. 24.4 microg/m(3)) for PM(25) and 5.4 (4.3 ng/m(3) vs. 0.8 ng/m(3)) for B[a]P, and for outdoor concentrations, the respective values were 1.5 (40.3 microg/m(3) vs. 26.4 microg/m(3), and 6.8 (6.1 ng/m(3) vs 0.9 ng/m(3)). A stronger correlation was found between personal PM(25) exposure and the pollutant concentration indoors (r = 0.89; 95% CI: 0.83-0.93) than outdoors (r = 0.75; 95% CI: 0.64-0.83). The correlations between personal B[a]P exposure and its indoor or outdoor levels were similar (0.95-0.96) and significant. The markedly higher exposure to B[a]P in Kraków in winter than in summer can be explained by the massive use of coal for heating in the cold season.
We conclude that although ambient PM(25) measurements provide an adequate indicator of outdoor air quality for use in epidemiologic studies, they may not be adequate for studies on relationship between non-ambient pollution and health effects. Since only about 20% of variability in personal B[a]P exposure could be explained by personal PM(25) level, the extrapolation of personal exposure to B[a]P from personal PM(25) data may be greatly underestimated.
本研究评估了孕妇对细颗粒物(PM₂.₅)和苯并[a]芘(B[a]P)的个人暴露情况,以及室内外空气中污染物浓度之间的关系。
在78名孕妇群体中,于妊娠中期同时进行了48小时个人、室内和室外PM₂.₅及B[a]P暴露测量。结果显示,参与者暴露于不同浓度的PM₂.₅和B[a]P中,冬季暴露水平更高。总体而言,个人PM₂.₅平均水平为30.4微克/立方米,B[a]P为2.1纳克/立方米。个人平均暴露的冬夏比值分别为1.4(35.6微克/立方米对25.8微克/立方米)和5.4(4.9纳克/立方米对0.9纳克/立方米)。至于室内水平,PM₂.₅的冬夏比值为1.4(33.2微克/立方米对24.4微克/立方米),B[a]P为5.4(4.3纳克/立方米对0.8纳克/立方米);室外浓度的相应值分别为1.5(40.3微克/立方米对26.4微克/立方米)和6.8(6.1纳克/立方米对0.9纳克/立方米)。个人PM₂.₅暴露与室内污染物浓度之间的相关性(r = 0.89;95%置信区间:0.83 - 0.93)比与室外的相关性(r = 0.75;95%置信区间:0.64 - 0.83)更强。个人B[a]P暴露与其室内或室外水平之间的相关性相似(0.95 - 0.96)且具有显著性。克拉科夫冬季B[a]P暴露明显高于夏季,这可以用寒冷季节大量使用煤炭取暖来解释。
我们得出结论,尽管环境PM₂.₅测量为流行病学研究提供了足够的室外空气质量指标,但对于非环境污染与健康影响之间关系的研究可能并不足够。由于个人B[a]P暴露中只有约20%的变异性可由个人PM₂.₅水平解释,因此从个人PM₂.₅数据推断个人B[a]P暴露可能会被大大低估。