Eighty-six workers in six fiberglass-reinforced plastics manufacturing
plants in Taiwan were given a detailed evaluation including medical a
nd occupational questionnaires, symptom questionnaires, blood sampling
, and neurobehavioral tests, including cognitive performance, vibrator
y perception threshold, and thermal perception threshold. A Chinese ve
rsion of cognitive tests modified from the Neurobehavioral Evaluation
System 2 was applied. Forty-one workers directly exposed to styrene at
the mean concentration of 22 ppm are compared with 45 workers not sub
ject to styrene exposure. Multiple linear regression analysis controll
ing for age, sex, education, and alcohol intake revealed significant a
ssociations between styrene exposure and responses in some neuropsycho
logic measurements. No acute or chronic symptom had significant correl
ation with styrene exposure. Among the neurobehavioral tests, only the
continuous performance test and vibration threshold were significantl
y and adversely affected in workers exposed to styrene. Significant ch
anges in the central and peripheral nervous system were thus detected
at a mean styrene exposure of 22 ppm.