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自1979年以来美国职业安全与健康管理局进行的工作场所测量:描述性分析及暴露评估的潜在用途。

Workplace measurements by the US Occupational Safety and Health Administration since 1979: descriptive analysis and potential uses for exposure assessment.

作者信息

Lavoue J, Friesen M C, Burstyn I

机构信息

University of Montreal Hospital Research Center, Montréal, Québec, Canada.

出版信息

Ann Occup Hyg. 2013 Jan;57(1):77-97. doi: 10.1093/annhyg/mes055. Epub 2012 Sep 5.

Abstract

BACKGROUND

Inspectors from the US Occupational Safety and Health Administration (OSHA) have been collecting industrial hygiene samples since 1972 to verify compliance with Permissible Exposure Limits. Starting in 1979, these measurements were computerized into the Integrated Management Information System (IMIS). In 2010, a dataset of over 1 million personal sample results analysed at OSHA's central laboratory in Salt Lake City [Chemical Exposure Health Data (CEHD)], only partially overlapping the IMIS database, was placed into public domain via the internet. We undertook this study to inform potential users about the relationship between this newly available OSHA data and IMIS and to offer insight about the opportunities and challenges associated with the use of OSHA measurement data for occupational exposure assessment.

METHODS

We conducted a literature review of previous uses of IMIS in occupational health research and performed a descriptive analysis of the data recently made available and compared them to the IMIS database for lead, the most frequently sampled agent.

RESULTS

The literature review yielded 29 studies reporting use of IMIS data, but none using the CEHD data. Most studies focused on a single contaminant, with silica and lead being most frequently analysed. Sixteen studies addressed potential bias in IMIS, mostly by examining the association between exposure levels and ancillary information. Although no biases of appreciable magnitude were consistently reported across studies and agents, these assessments may have been obscured by selective under-reporting of non-detectable measurements. The CEHD data comprised 1 450 836 records from 1984 to 2009, not counting analytical blanks and erroneous records. Seventy eight agents with >1000 personal samples yielded 1 037 367 records. Unlike IMIS, which contain administrative information (company size, job description), ancillary information in the CEHD data is mostly analytical. When the IMIS and CEHD measurements of lead were merged, 23 033 (39.2%) records were in common to both IMIS and CEHD datasets, 10 681 (18.2%) records were only in IMIS, and 25 012 (42.6%) records were only in the CEHD database. While IMIS-only records represent data analysed in other laboratories, CEHD-only records suggest partial reporting of sampling results by OSHA inspectors into IMIS. For lead, the percentage of non-detects in the CEHD-only data was 71% compared to 42% and 46% in the both-IMIS-CEHD and IMIS-only datasets, respectively, suggesting differential under-reporting of non-detects in IMIS.

CONCLUSIONS

IMIS and the CEHD datasets represent the biggest source of multi-industry exposure data in the USA and should be considered as a valuable source of information for occupational exposure assessment. The lack of empirical data on biases, adequate interpretation of non-detects in OSHA data, complicated by suspected differential under-reporting, remain the principal challenges to the valid estimation of average exposure conditions. We advocate additional comparisons between IMIS and CEHD data and discuss analytical strategies that may play a key role in meeting these challenges.

摘要

背景

自1972年以来,美国职业安全与健康管理局(OSHA)的检查员一直在收集工业卫生样本,以核实是否符合允许接触限值。从1979年开始,这些测量数据被计算机化录入综合管理信息系统(IMIS)。2010年,一个包含在盐湖城的OSHA中央实验室分析的超过100万个个人样本结果的数据集[化学暴露健康数据(CEHD)]通过互联网向公众公开,该数据集与IMIS数据库仅有部分重叠。我们开展这项研究,旨在让潜在用户了解这些新可得的OSHA数据与IMIS之间的关系,并深入探讨使用OSHA测量数据进行职业暴露评估所带来的机遇和挑战。

方法

我们对IMIS在职业健康研究中的既往使用情况进行了文献综述,并对最近公开的数据进行了描述性分析,同时将其与IMIS数据库中采样频率最高的铅的数据进行了比较。

结果

文献综述共检索到29项报告使用IMIS数据的研究,但均未使用CEHD数据。大多数研究聚焦于单一污染物,其中二氧化硅和铅是分析最为频繁的污染物。16项研究探讨了IMIS中潜在的偏差,主要是通过检查暴露水平与辅助信息之间的关联。尽管在各项研究和污染物中均未一致报告有显著程度的偏差,但这些评估可能因对未检出测量值的选择性漏报而受到影响。CEHD数据包含1984年至2009年的1450836条记录,不包括分析空白和错误记录。78种有超过1000个个人样本的污染物产生了1037367条记录。与包含公司规模、工作描述等管理信息的IMIS不同,CEHD数据中的辅助信息大多是分析性的。当将IMIS和CEHD对铅的测量数据合并时,IMIS和CEHD数据集共有23033条(39.2%)记录,仅有10681条(18.2%)记录仅在IMIS中,25012条(42.6%)记录仅在CEHD数据库中。仅在IMIS中的记录代表在其他实验室分析的数据,仅在CEHD中的记录表明OSHA检查员向IMIS部分报告了采样结果。对于铅,仅在CEHD数据中未检出的比例为71%,而在IMIS和CEHD共有以及仅在IMIS数据集中分别为42%和46%,这表明IMIS中对未检出值的漏报情况存在差异。

结论

IMIS和CEHD数据集是美国多行业暴露数据的最大来源,应被视为职业暴露评估的宝贵信息来源。由于存在可疑的差异漏报情况,缺乏关于偏差的实证数据以及对OSHA数据中未检出值的充分解读,仍然是有效估计平均暴露条件的主要挑战。我们提倡对IMIS和CEHD数据进行更多比较,并讨论在应对这些挑战中可能发挥关键作用的分析策略。

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