Assessment of a pesticide exposure intensity algorithm in the agricultural health study

J Expo Sci Environ Epidemiol. 2010 Sep;20(6):559-69. doi: 10.1038/jes.2009.54. Epub 2009 Nov 4.

Abstract

The accuracy of the exposure assessment is a critical factor in epidemiological investigations of pesticide exposures and health in agricultural populations. However, few studies have been conducted to evaluate questionnaire-based exposure metrics. The Agricultural Health Study (AHS) is a prospective cohort study of pesticide applicators who provided detailed questionnaire information on their use of specific pesticides. A field study was conducted for a subset of the applicators enrolled in the AHS to assess a pesticide exposure algorithm through comparison of algorithm intensity scores with measured exposures. Pre- and post-application urinary biomarker measurements were made for 2,4-D (n=69) and chlorpyrifos (n=17) applicators. Dermal patch, hand wipe, and personal air samples were also collected. Intensity scores were calculated using information from technician observations and an interviewer-administered questionnaire. Correlations between observer and questionnaire intensity scores were high (Spearman's r=0.92 and 0.84 for 2,4-D and chlorpyrifos, respectively). Intensity scores from questionnaires for individual applications were significantly correlated with post-application urinary concentrations for both 2,4-D (r=0.42, P<0.001) and chlorpyrifos (r=0.53, P=0.035) applicators. Significant correlations were also found between intensity scores and estimated hand loading, estimated body loading, and air concentrations for 2,4-D applicators (r-values 0.28-0.50, P-values<0.025). Correlations between intensity scores and dermal and air measures were generally lower for chlorpyrifos applicators using granular products. A linear regression model indicated that the algorithm factors for individual applications explained 24% of the variability in post-application urinary 2,4-D concentration, which increased to 60% when the pre-application urine concentration was included. The results of the measurements support the use of the algorithm for estimating questionnaire-based exposure intensities in the AHS for liquid pesticide products. Refinement of the algorithm may be possible using the results from this and other measurement studies.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, N.I.H., Intramural
  • Research Support, U.S. Gov't, Non-P.H.S.

MeSH terms

  • 2,4-Dichlorophenoxyacetic Acid / analysis*
  • 2,4-Dichlorophenoxyacetic Acid / urine
  • Agriculture*
  • Air Pollutants, Occupational / analysis
  • Air Pollutants, Occupational / urine
  • Algorithms
  • Biomarkers / urine
  • Chlorpyrifos / analysis*
  • Chlorpyrifos / urine
  • Cohort Studies
  • Environmental Exposure / analysis
  • Environmental Monitoring / methods
  • Gas Chromatography-Mass Spectrometry
  • Humans
  • Iowa
  • Linear Models
  • North Carolina
  • Occupational Exposure / analysis*
  • Pesticides / analysis*
  • Pesticides / urine
  • Risk Assessment / methods*
  • Skin Absorption
  • Surveys and Questionnaires

Substances

  • Air Pollutants, Occupational
  • Biomarkers
  • Pesticides
  • 2,4-Dichlorophenoxyacetic Acid
  • Chlorpyrifos