Arnold Susan F, Shao Yuan, Ramachandran Gurumurthy
a Division of Environmental Health Sciences, School of Public Health , University of Minnesota , Minneapolis , Minnesota.
b Department of Environmental Health and Engineering, Bloomberg School of Public Health , Johns Hopkins University , Baltimore , Maryland.
J Occup Environ Hyg. 2017 Jun;14(6):427-437. doi: 10.1080/15459624.2017.1285492.
Exposure judgments made without personal exposure data and based instead on subjective inputs tend to underestimate exposure, with exposure judgment accuracy not significantly more accurate than random chance. Therefore, objective inputs that contribute to more accurate decision making are needed. Models have been shown anecdotally to be useful in accurately predicting exposure but their use in occupational hygiene has been limited. This may be attributable to a general lack of guidance on model selection and use and scant model input data. The lack of systematic evaluation of the models is also an important factor. This research addresses the need to systematically evaluate two widely applicable models, the Well-Mixed Room (WMR) and Near-Field-Far-Field (NF-FF) models. The evaluation, conducted under highly controlled conditions in an exposure chamber, allowed for model inputs to be accurately measured and controlled, generating over 800 pairs of high quality measured and modeled exposure estimates. By varying conditions in the chamber one at a time, model performance across a range of conditions was evaluated using two sets of criteria: the ASTM Standard 5157 and the AIHA Exposure Assessment categorical criteria. Model performance for the WMR model was excellent, with ASTM performance criteria met for 88-97% of the pairs across the three chemicals used in the study, and 96% categorical agreement observed. Model performance for the NF-FF model, impacted somewhat by the size of the chamber was nevertheless good to excellent. NF modeled estimates met modified ASTM criteria for 67-84% of the pairs while 69-91% of FF modeled estimates met these criteria. Categorical agreement was observed for 72% and 96% of NF and FF pairs, respectively. These results support the use of the WMR and NF-FF models in guiding decision making towards improving exposure judgment accuracy.
在没有个人暴露数据的情况下,基于主观输入做出的暴露判断往往会低估暴露情况,其暴露判断准确性并不比随机猜测显著更准确。因此,需要有助于做出更准确决策的客观输入。有轶事表明模型在准确预测暴露方面很有用,但它们在职业卫生中的应用一直有限。这可能归因于在模型选择和使用方面普遍缺乏指导以及模型输入数据不足。对模型缺乏系统评估也是一个重要因素。本研究满足了系统评估两个广泛适用的模型的需求,即完全混合室(WMR)模型和近场 - 远场(NF - FF)模型。在暴露室内高度受控的条件下进行的评估,使得能够准确测量和控制模型输入,生成了800多对高质量的测量和建模暴露估计值。通过一次改变室内的一个条件,使用两组标准对一系列条件下的模型性能进行了评估:美国材料与试验协会(ASTM)标准E5157和美国工业卫生协会(AIHA)暴露评估分类标准。WMR模型的性能非常出色,在研究中使用的三种化学品中,88 - 97%的配对满足ASTM性能标准,并且观察到96%的分类一致性。NF - FF模型的性能虽然在一定程度上受到室大小的影响,但仍然良好到出色。NF建模估计值在67 - 84%的配对中满足修改后的ASTM标准,而FF建模估计值在69 - 91%的配对中满足这些标准。分别观察到NF和FF配对的分类一致性为72%和96%。这些结果支持使用WMR和NF - FF模型来指导决策,以提高暴露判断的准确性。