Je. Churchill et al., Recent chemical exposures and blood volatile organic compound levels in a large population-based sample, ARCH ENV HE, 56(2), 2001, pp. 157-166
Little is known about factors that influence blood levels of volatile organ
ic compounds in nonoccupationally exposed populations. The authors examined
the possible relationship between recent self-reported chemical exposures
and elevated blood volatile organic compound levels among 982 adult partici
pants in the Third National Health and Nutrition Examination Survey. A stro
ng dose-response effect was indicated (p < .001) for increasing lifetime pa
ck-years of cigarettes smoked for elevated levels of toluene, styrene, and
benzene. A positive dose-response effect was indicated for daily alcohol co
nsumption with respect to elevated blood levels of 2-butanone and acetone.
For volatile organic compounds typically found in 10-75% of the population,
the establishment of a link with specific environmental exposures is relat
ively easy because there is less effect of confounding in this group. Some
volatile organic compounds, however, are seen in less than 10% of the gener
al population; finding these compounds at any level may warrant a search fo
r a particular exposure.