Utterback D F, Rinsky R A
U.S. Department of Health and Human Services Centers for Disease Control and Prevention, National Institute for Occupational Safety, Cincinnati, OH 45226, USA.
Am J Ind Med. 1995 May;27(5):661-76. doi: 10.1002/ajim.4700270504.
Many risk assessments for leukemia associated with benzene exposure have been based on the mortality experience of the rubber hydrochloride worker cohort. Although there have been several different historical exposure assessments proposed for this cohort, Paustenbach et al. [1992, J Tox Environ Health], recently published a new historical characterization of benzene exposures based on data previously developed by Rinsky et al. [1981, Am J Ind Med] and further modified by Crump and Allen [1984: OSHA]. Adjustments by Paustenbach et al. in the Rinsky et al. data result in retrospective benzene exposure estimates far greater than those previously reported, by an order of magnitude in many cases. Judgments made on the significance of dermal contact and interpretation of historical measurement data led Paustenbach et al. to arrive at exposure estimates for this cohort that are in conflict with what is known about the adverse effects of benzene exposure. More reasonable estimates for dermal absorption are included in this report that do not substantially affect total estimates of benzene exposure for the cohort. The exposure estimates originally presented in the Rinsky et al. article appear in concordance with data not previously reported in any analyses.
许多与苯接触相关的白血病风险评估都是基于盐酸橡胶工人队列的死亡率经验。尽管针对该队列提出了几种不同的历史暴露评估方法,但保斯滕巴克等人[1992年,《毒理学与环境卫生杂志》]最近根据林斯基等人[1981年,《美国工业医学杂志》]先前收集的数据,并经克伦普和艾伦[1984年:职业安全与健康管理局]进一步修改,发表了一种新的苯暴露历史特征描述。保斯滕巴克等人对林斯基等人的数据进行的调整导致回顾性苯暴露估计值远高于先前报告的值,在许多情况下相差一个数量级。对皮肤接触的重要性的判断以及对历史测量数据的解释导致保斯滕巴克等人得出的该队列暴露估计值与已知的苯暴露不良影响相冲突。本报告纳入了更合理的皮肤吸收估计值,这些估计值对该队列苯暴露的总估计值影响不大。林斯基等人文章中最初提出的暴露估计值似乎与之前任何分析中未报告的数据一致。