E. Symanski et al., COMPREHENSIVE EVALUATION OF LONG-TERM TRENDS IN OCCUPATIONAL EXPOSURE- PART 1 - DESCRIPTION OF THE DATABASE, Occupational and environmental medicine, 55(5), 1998, pp. 300-309
Objectives-To conduct a comprehensive evaluation of long term changes
in occupational exposure among a broad cross section of industries wor
ldwide. Methods-A review of the scientific literature identified studi
es that reported historical changes in exposure. About 700 sets of dat
a from 119 published and several unpublished sources were compiled. Da
ta were published over a 30 year period in 25 journals that spanned a
range of disciplines. For each data set, the average exposure level wa
s compiled for each period and details on the contaminant, the industr
y and location, changes in the threshold limit value (TLV), as well as
the type of sampling method were recorded. Spearman rank correlation
coefficients were used to identify monotonic changes in exposure over
time and simple linear regression analyses were used to characterise t
rends in exposure. Results-About 78% of the natural log transformed da
ta showed linear trends towards lower exposure levels whereas 22% indi
cated increasing trends. (The Spearman rank correlation analyses produ
ced a similar breakdown between exposures monotonically increasing or
decreasing over time.) Although the rates of reduction for the data sh
owing downward trends ranged from -1% to -62% per year, most exposures
declined at rates between -4% and -14% per year (the interquartile ra
nge), with a median value of -8% per year. Exposures seemed to increas
e at rates that were slightly lower than those of exposures which have
declined over time. Data sets that showed downward (versus upward) tr
ends were influenced by several factors including type and carcinogeni
city of the contaminant, type of monitoring, historical changes in the
threshold limit values (TLVs), and period of sampling. Conclusions-Th
is review supports the notion that occupational exposures are generall
y lower today than they were years or decades ago. However, such trend
s seem to have been affected by factors related to the contaminant, as
well as to the period and type of sampling.