Skip to main content

Thank you for visiting nature.com. You are using a browser version with limited support for CSS. To obtain the best experience, we recommend you use a more up to date browser (or turn off compatibility mode in Internet Explorer). In the meantime, to ensure continued support, we are displaying the site without styles and JavaScript.

  • Original Article
  • Published:

Calibrating a population-based job-exposure matrix using inspection measurements to estimate historical occupational exposure to lead for a population-based cohort in Shanghai, China

Abstract

The epidemiologic evidence for the carcinogenicity of lead is inconsistent and requires improved exposure assessment to estimate risk. We evaluated historical occupational lead exposure for a population-based cohort of women (n=74,942) by calibrating a job-exposure matrix (JEM) with lead fume (n=20,084) and lead dust (n=5383) measurements collected over four decades in Shanghai, China. Using mixed-effect models, we calibrated intensity JEM ratings to the measurements using fixed-effects terms for year and JEM rating. We developed job/industry-specific estimates from the random-effects terms for job and industry. The model estimates were applied to subjects’ jobs when the JEM probability rating was high for either job or industry; remaining jobs were considered unexposed. The models predicted that exposure increased monotonically with JEM intensity rating and decreased 20–50-fold over time. The cumulative calibrated JEM estimates and job/industry-specific estimates were highly correlated (Pearson correlation=0.79–0.84). Overall, 5% of the person-years and 8% of the women were exposed to lead fume; 2% of the person-years and 4% of the women were exposed to lead dust. The most common lead-exposed jobs were manufacturing electronic equipment. These historical lead estimates should enhance our ability to detect associations between lead exposure and cancer risk in the future epidemiologic analyses.

This is a preview of subscription content, access via your institution

Access options

Buy this article

Prices may be subject to local taxes which are calculated during checkout

Figure 1
Figure 2
Figure 3

Similar content being viewed by others

References

  1. NRC. Lead in the Human Environment. Committee on Lead in Human Environment, National Research Council, National Academy of Science: Washington, DC, 1980.

  2. ATSDR. Toxicological profile for lead. Agency for Toxic Substances and Disease Registry, US Department of Health and Human Services, Public Health Service: Atlanta, 2007.

  3. Park DU, Paik NW . Effect on blood lead of airborne lead particles charaterized by size. Ann Occup Hyg 2002; 46: 237–243.

    CAS  PubMed  Google Scholar 

  4. Hodgkins DG, Robins TG, Hinkamp DL, Schork MA, Levine SP, Krebs WH . The effect of airborne lead particle size on worker blood-lead levels: an empirical study on battery workers. J Occup Med 1991, 1265–1273.

  5. Moline JM, Landrigan PJ . Lead. In: Rosenstock L, Cullen MR, Brodkin CA, Redlich CA, (eds). Textbook of Clinical Occupational and Environmental Medicine, 2nd edn. Elsevier Saunders, Philadelphia, 2005 pp 967–978.

    Google Scholar 

  6. IARC. Inorganic and organic lead compounds. IARC monographs on the evaluation of carcinogenic risks to humans, vol. International Agency for Research on Cancer 2006; 87: 228–237.

    Google Scholar 

  7. Fu H, Boffetta P . Cancer and occupational exposure to organic lead compounds: a meta-analysis of published data. Occup Environ Med 1995; 52: 73–81.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  8. Jemal A, Graubard BI, Devesa SS, Flegal KM . The association of blood lead level and cancer mortality among whites in the United States. Environ Health Perspect 2002; 110: 325–329.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  9. Steenland K, Boffetta P . Lead and cancer in humans: where are we now? Am J Ind Med 2000; 38: 295–299.

    Article  CAS  PubMed  Google Scholar 

  10. Bhatti P, Stewart PA, Hutchinson A, Rothman N, Linet MS, Inskip PD et al. Lead exposure, polymorphisms in genes related to oxidative stress, and risk of adult brain tumors. Cancer Epidemiol Biomarker Prev 2009; 18: 1841–1848.

    Article  CAS  Google Scholar 

  11. Boffetta P, Fontana L, Stewart P, Zaridze D, Szeszenia-Dabrowska N, Jaar B et al. Occupational exposure to arsenic, cadmium, chromium, lead and nickel, and renal cell carcinoma: a case-control study from Central and Eastern Europe. Occup Environ Med 2011; 68: 723–728.

    Article  CAS  PubMed  Google Scholar 

  12. Cocco P, Ward MH, Dosemeci M . Occupational risk factors for cancer of the gastric cardia. Analysis of death certificates from 24 US states. J Occup Environ Med 1998; 40: 855–861.

    Article  CAS  PubMed  Google Scholar 

  13. Golabek T, Darewicz B, Borawska M, Markiewicz R, Socha K, Kudelski J . Lead concentration in the bladder tissue and blood of patients with bladder cancer. Scand J Urol Nephrol 2009; 43 (6): 467–470.

    Article  CAS  PubMed  Google Scholar 

  14. Rajaraman P, Stewart PA, Samet JM, Schwartz BS, Linet MS, Zahm SH et al. Lead, genetic susceptibility, and risk of adult brain tumors. Cancer Epidemiol Biomarkers Prev 2006; 15: 2514–2520.

    Article  CAS  PubMed  Google Scholar 

  15. Rousseau MC, Parent ME, Nadon L, Latreille B, Siemiatycki J . Occupational exposure to lead compounds and risk of cancer among men: a population-based case-control study. Am J Epidemiol 2007; 166: 1005–1014.

    Article  PubMed  Google Scholar 

  16. van Bemmel DM, Boffetta P, Liao LM, Berndt SI, Menashe I, Yeager M et al. Comprehensive analysis of 5-aminolevulinic acid dehydrogenase (alad) variants and renal cell carcinoma risk among individuals exposed to lead. PLoS One 2011; 6: e20432.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  17. van Wijngaarden E, Dosemeci M . Brain cancer mortality and potential occupational exposure to lead: findings from the National Longitudinal Mortality Study, 1979–1989. Int J Epidemiol 2006; 119: 36–44.

    Google Scholar 

  18. Zheng W, Chow W-H, Yang G, Jin F, Rothman N, Blair A et al. The Shanghai Women’s Health Study: rationale, study design, and baseline characteristics. Am J Epidemiol 2005; 162: 1123–1131.

    Article  PubMed  Google Scholar 

  19. Friesen MC, Coble JB, Lu W, Shu X-O, Ji B-T, Xue S et al. Combining a job exposure matrix with exposure measurements using an empirical Bayes framework to assess occupational exposure to benzene in a population cohort in Shanghai, China. Ann Occup Hyg 2012; 56: 80–91.

    CAS  PubMed  Google Scholar 

  20. Gu XQ . Experience in controlling lead poisoning in the People’s Republic of China. Scand J Work Environ Health 1985; 11 (suppl 4): 16–19.

    CAS  PubMed  Google Scholar 

  21. Wang YL . Industrial lead poisoning in China over the past 33 years. Ecotox Environ Safe 1984; 8: 526–530.

    Article  CAS  Google Scholar 

  22. Ye X, Wong O . Lead exposure, lead poisoning, and lead regulatory standards in China, 1990–2005. Regul Toxicol Pharm 2006; 46: 157–162.

    Article  CAS  Google Scholar 

  23. Lubin JH, Colt JS, Camann D, Davis S, Cerhan JR, Severson RK et al. Epidemiological evaluation of measurement data in the presence of detection limits. Environ Health Perspect 2004; 112: 1691–1696.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  24. Robinson GK . That BLUP is a good thing: the estimation of random effects. Stat Sci 1991; 6: 15–51.

    Article  Google Scholar 

  25. Casella G . An introduction to empirical Bayes data analysis. Am Stat 1985; 39: 83–87.

    Google Scholar 

  26. Kromhout H, Vermeulen R . Application of job-exposure matrices in studies of the general population: some clues to their performance. Eur Respir Rev 2001; 11: 80–90.

    Google Scholar 

  27. Rappaport SM . Assessment of long-term exposures to toxic substances in air. Ann Occup Hyg 1991; 35: 61–121.

    CAS  PubMed  Google Scholar 

  28. Christiani DC . Occupational health in the People’s Republic of China. Am J Public Health 1984; 74: 58–64.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  29. Tang HW, Liang YX, Hu XH, Yang HG . Alterations of monoamine metabolites and neurobehavioral function in lead-exposed workers. Biomed Envrion Science 1995; 8: 23–29.

    CAS  Google Scholar 

  30. Wang YL, Lu PK, Chen ZQ, Liang YX, Lu QM, Pan ZQ et al. Effects of occupational lead exposure. Scand J Work Environ Health 1985; 11 (suppl 4): 20–25.

    CAS  PubMed  Google Scholar 

  31. Gustavsson P, Plato N, Hallqvist J, Hogstedt C, Lewne M, Reuterwall C et al. A population-based case-referent study of myocardial infarction and occupational exposure to motor exhaust, other combustion products, organic solvents, lead, and dynamite. Epidemiol 2001, 222–228.

  32. Henn SA, Sussell AL, Li J, Shire JD, Alarcon WA, Tak S . Characterization of lead in US workplaces with data from OSHA’s Integrated Management Information System. Am J Ind Med 2011, 356–365.

  33. Fischbein A, Hu H . Occupational and environmental exposure to lead. In: Rom WN, (ed). Environmental and Occupational Medicine, 4th edn. Lippincott Williams & Wilkins, Philadelphia, 2007 pp 955–990.

    Google Scholar 

  34. ILO. Women in labour markets: measuring progress and identifying challenges. Geneva, 2010.

  35. Kennedy SM, Koehoorn M . Exposure assessment in epidemiology: dose gender matter? Am J Ind Med 2003; 44: 576–583.

    Article  PubMed  Google Scholar 

  36. Froines JR, Liu WCV, Hinds WC, Wegman DH . Effects of aerosol size on the blood lead distribution of industrial workers. Am J Ind Med 1986; 9: 227–237.

    Article  CAS  PubMed  Google Scholar 

  37. Tsai CJ, Shih TS, Sheu RN . Characteristics of lead aerosols in different work environments. Am Ind Hyg Assoc J 1997; 58: 650–656.

    Article  CAS  PubMed  Google Scholar 

  38. Vlaanderen J, Fransman W, Miller B, Burnstyn I, Heederik D, Hurley F et al. A graphical tool to evaluate temporal coverage of occupational history by exposure measurements. Occup Environ Med 2010; 67: 636–638.

    Article  PubMed  Google Scholar 

Download references

Acknowledgements

This research was supported by the US National Institutes of Health (grant R37 CA70867) and the Intramural Research Program of the National Institutes of Health (contract N02 CP1101066).

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Melissa C Friesen.

Ethics declarations

Competing interests

The authors declare no conflict of interest.

Additional information

Supplementary Information accompanies the paper on the Journal of Exposure Science and Environmental Epidemiology website

Supplementary information

Rights and permissions

Reprints and permissions

About this article

Cite this article

Koh, DH., Bhatti, P., Coble, J. et al. Calibrating a population-based job-exposure matrix using inspection measurements to estimate historical occupational exposure to lead for a population-based cohort in Shanghai, China. J Expo Sci Environ Epidemiol 24, 9–16 (2014). https://doi.org/10.1038/jes.2012.86

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1038/jes.2012.86

Keywords

This article is cited by

Search

Quick links