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Occupational and Environmental Medicine 2002;59:620-624; doi:10.1136/oem.59.9.620
Copyright © 2002 by the BMJ Publishing Group Ltd.
Occupational and Environmental Medicine 2002;59:620-624
© 2002 Occupational and Environmental Medicine

ORIGINAL ARTICLE

Validity of empirical models of exposure in asphalt paving

I Burstyn1, P Boffetta2, G A Burr3, A Cenni4, U Knecht5, G Sciarra4 and H Kromhout1

1 Division of Environmental and Occupational Health, Institute for Risk Assessment Sciences, Utrecht University, PO Box 80176, 3508TD Utrecht, Netherlands
2 Unit of Environmental Cancer Epidemiology, International Agency for Research on Cancer, 150 cours Albert-Thomas, 69372 Lyon Cedex 08, France
3 The National Institute for Occupational Safety and Health, 5555 Ridge Avenue, Cincinnati, Ohio 45213, USA
4 Operative Unit of Industrial Hygiene—National Health Service, Strada del Ruffolo, 53100 Sienna, Italy
5 Institute of Occupational and Social Medicine, Aulweg 129/ III, 35392 Giessen, Germany

Correspondence to:
Correspondence to:
Dr H Kromhout, Environmental and Occupational Health Group, Institute for Risk Assessment Sciences, Utrecht University, PO Box 80176, 3508TD Utrecht, Netherlands;
h.kromhout{at}iras.uu.nl

Aims: To investigate the validity of empirical models of exposure to bitumen fume and benzo(a)pyrene, developed for a historical cohort study of asphalt paving in Western Europe.

Methods: Validity was evaluated using data from the USA, Italy, and Germany not used to develop the original models. Correlation between observed and predicted exposures was examined. Bias and precision were estimated.

Results: Models were imprecise. Furthermore, predicted bitumen fume exposures tended to be lower (-70%) than concentrations found during paving in the USA. This apparent bias might be attributed to differences between Western European and USA paving practices. Evaluation of the validity of the benzo(a)pyrene exposure model revealed a similar to expected effect of re-paving and a larger than expected effect of tar use. Overall, benzo(a)pyrene models underestimated exposures by 51%.

Conclusions: Possible bias as a result of underestimation of the impact of coal tar on benzo(a)pyrene exposure levels must be explored in sensitivity analysis of the exposure–response relation. Validation of the models, albeit limited, increased our confidence in their applicability to exposure assessment in the historical cohort study of cancer risk among asphalt workers.

Keywords: bitumen; occupational exposure; reproducibility of results


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