A quantitative solar ultraviolet radiation job-exposure matrix for Europe

被引:0
作者
Wurtz, Else T. [1 ]
Pugdahl, Kirsten [1 ]
Fenger-Gron, Morten [1 ,2 ]
Berglind, Ina A. [3 ]
Cherrie, Mark P. C. [4 ]
Dahlman-Hoglund, Anna [5 ]
Grandahl, Kasper [6 ]
Macan, Jelena [7 ]
Modenese, Alberto [8 ]
Noto, Hilde [9 ]
Solovieva, Svetlana [10 ]
Straif, Kurt [11 ,12 ]
Wittlich, Marc [13 ]
Connemann, Sven [13 ]
Heepenstrick, Timo [13 ]
Philipsen, Peter A. [14 ]
Westerhausen, Stephan [13 ]
Ge, Calvin B. [15 ]
Hansen, Johnni [16 ]
Peters, Cheryl E. [17 ,18 ]
Mehlum, Ingrid Sivesind [9 ,19 ]
Schlunssen, Vivi [20 ]
Kolstad, Henrik A. [1 ,21 ]
机构
[1] Aarhus Univ Hosp, Danish Ramazzini Ctr, Dept Occupat Med, Palle Juul Jensens Blvd 99, DK-8200 Aarhus, Denmark
[2] Univ Res Clin, Goedstrup Hosp, Danish Ramazzini Ctr, Dept Occupat Med, Hospitalsparken 15, DK-7400 Herning, Denmark
[3] Karolinska Inst, Inst Environm Med, S-171 77 Stockholm, Sweden
[4] Inst Occupat Med, Res Ave North, Edinburgh EH14 4AP, Midlothian, Scotland
[5] Sahlgrens Univ Hosp, Dept Occupat & Environm Med, S-40530 Gothenburg, Sweden
[6] Copenhagen Univ Hosp, Holbaek Hosp, Dept Occupat & Social Med, Gl Ringstedvej 4B, DK-4300 Holbaek, Denmark
[7] Inst Med Res & Occupat Hlth, Ksaverska Cesta 2, Zagreb 10000, Croatia
[8] Univ Modena & Reggio Emilia, Dept Biomed Metab & Neural Sci, Via Giuseppe Campi 287, I-41125 Modena, Italy
[9] Natl Inst Occupat Hlth STAMI, Pb Majorstuen 5330, N-0304 Oslo, Norway
[10] Finnish Inst Occupat Hlth, PO Box 40,Tyoterveyslaitos, FI-00032 Helsinki, Finland
[11] Barcelona Inst Global Hlth ISGlobal, Doctor Aiguader 88, Barcelona 08003, Spain
[12] Boston Coll, 140 Commonwealth Ave, Chestnut Hill, MA 02467 USA
[13] German Social Accid Insurance IFA, Inst Occupat Safety & Hlth, Alte Heerstr 111, D-53757 St Augustin, Germany
[14] Copenhagen Univ Hosp Bispebjerg, Dept Dermatol, Nielsine Nielsens Vej 9, DK-2400 Copenhagen, Denmark
[15] TNO, PO Box 80015, NL-3508 TA Utrecht, Netherlands
[16] Danish Canc Soc, Res Ctr, Strandboulevarden 49, DK-2100 Copenhagen, Denmark
[17] British Columbia Ctr Dis Control, Populat & Publ Hlth, Vancouver, BC V5Z 4R4, Canada
[18] BC Canc, Prevent Screening & Hereditary Canc Program, Vancouver, BC V5Z 1G1, Canada
[19] Copenhagen Univ Hosp, Bispebjerg Frederiksberg Hosp, Bispebjerg Bakke 23, DK-2400 Copenhagen, Denmark
[20] Aarhus Univ, Danish Ramazzini Ctr, Dept Publ Hlth, Res Unit Environm Occupat & Hlth, Bartholins 2, DK-8000 Aarhus, Denmark
[21] Aarhus Univ, Dept Clin Med, Palle Juul Jensens Blvd 99, DK-8200 Aarhus, Denmark
基金
欧盟地平线“2020”;
关键词
job exposure matrix; ultraviolet radiation; epidemiology; occupational exposure; UV-EXPOSURE; RISK-FACTOR; WORKERS; CONSTRUCTION; ERYTHEMA; CANCER;
D O I
10.1093/annweh/wxaf011
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Introduction Outdoor workers are exposed to high levels of solar ultraviolet radiation (UVR). UVR causes skin cancer and is a risk factor for cataract and other short- and long-term health effects, but there are significant knowledge gaps regarding the exposure-response relations based on quantitative measures of UVR exposure. We developed a quantitative UVR job-exposure matrix (JEM) for the general working population of Europe.Methods Three experts from each of Northern, Central, and Southern Europe rated duration of outdoor work for all 372 occupations defined by the International Standard Classification of Occupations from 1988 (ISCO-88(COM)). A systematic literature search identified 12 studies providing 223 sets of summary workday UVR exposure for 49 ISCO-88(COM) occupations based on 75,711 personal workday measurements obtained from 2,645 participants and reported as arithmetic mean standard erythemal dose (SED). We combined the expert ratings with the measured occupational UVR exposure data and estimated harmonized workday UVR exposures for all 372 occupations in a linear mixed effects model.Results Monotonically increasing workday UVR exposure of 0.68, 1.57, 1.80, and 2.49 SED were seen by increasing expert ratings of 0, 1 to 2, 3 to 4, and >= 5 h of daily outdoor work. The UVR exposure showed a 6-fold increase from lowest to highest exposed occupation. Farm hands, roofers, concrete placers, and other occupations within craft and related trades were among the highest exposed, while bartenders, wood-processing-plant operators, and several white-collar occupations who typically work indoor were among the lowest exposed.Conclusion This quantitative JEM for solar UVR exposure proves able to provide substantial discrimination between occupations, shows good agreement with expert assessments, and may facilitate epidemiological studies characterizing the exposure-response relation between occupational solar UVR exposure and different health effects.
引用
收藏
页码:415 / 428
页数:14
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