Kromhout H, Oostendorp Y, Heederik D, Boleij J S
Department of Air Pollution, Agricultural University, Wageningen, The Netherlands.
Am J Ind Med. 1987;12(5):551-62. doi: 10.1002/ajim.4700120509.
A method for qualitative estimation of the exposure at task level was used and validated with actual measurements in five small factories. The results showed that occupational hygienists were in general the most successful estimators. Plant supervisors and workers handled the estimation method less successfully because of more misclassification of the tasks. The method resulted, in general, in a classification of tasks in four exposure categories ranging from no exposure to high exposure. The exposure categories correlated positively with mean concentrations, but showed overlapping exposure distributions. This resulted in misclassification of the exposure for individual workers when a relatively large interindividual variability in exposure levels within an exposure category was present. The results show that this method can be used for workplace exposure zoning, but that the usefulness of the estimates for epidemiological purposes is not clear-cut and depends strongly on the actual exposure characteristics within a workplace. A combination of the qualitative exposure estimation method together with assessment of the exposure levels by measurements makes a rearrangement of tasks or individual workers possible and could improve the validity of this method for epidemiological purposes.
采用一种在任务层面进行暴露定性评估的方法,并在五家小型工厂通过实际测量进行了验证。结果表明,职业卫生学家总体上是最成功的评估者。工厂主管和工人对评估方法的运用不太成功,因为任务的错误分类更多。该方法总体上导致任务被分为四个暴露类别,从无暴露到高暴露。暴露类别与平均浓度呈正相关,但显示出暴露分布存在重叠。当一个暴露类别内个体暴露水平存在相对较大的个体间差异时,这会导致个体工人暴露的错误分类。结果表明,该方法可用于工作场所暴露分区,但这些估计值用于流行病学目的的有用性并不明确,且很大程度上取决于工作场所内的实际暴露特征。定性暴露评估方法与通过测量评估暴露水平相结合,使得重新安排任务或个体工人成为可能,并可提高该方法用于流行病学目的的有效性。