The work of a Finnish veterinarian, the work environment, and the risks of the work varied greatly depending on the tasks assigned to the veterinarian. This has to be taken into consideration when occupational health services are planned for veterinarians.
We investigated the association between medically diagnosed spontaneous abortions and occupational exposure to organic solvents. The study population was composed of women biologically monitored for solvents. The workers were classified into exposure categories on the basis of work description and the use of solvents as reported in the questionnaires, and on biological exposure measurements. The odds ratio of spontaneous abortion for solvent exposure, adjusted for potentially confounding factors, was significantly increased (2.2, 95% confidence interval [CI] = 1.2-4.1). The increase was most consistent among workers exposed to aliphatic hydrocarbons: the odds ratio for high exposure was 3.9 (95% CI = 1.1-14.2) and for exposed graphics workers 5.2 (95% CI = 1.3-20.8). The odds ratio was increased also among toluene-exposed shoe workers (9.3, 95% CI = 1.0-84.7). The results of the study support the hypothesis of a positive association between spontaneous abortion and exposure to organic solvents during pregnancy and suggest that exposure, especially to aliphatic hydrocarbons, increases the risk of abortion.
A retrospective time-to-pregnancy study was performed among women biologically monitored for exposure to organic solvents. The women were participants in a previous study on spontaneous abortion. They were classified into exposure categories on the basis of work description and the use of solvents as reported in the questionnaires and on biological exposure measurements. Daily or high solvent exposure, adjusted for potential confounders, was significantly associated with reduced fecundability in the discrete proportional hazards analysis (incidence density ratio of clinical pregnancies 0.41; 95% confidence interval [CI] 0.27-0.62). The incidence density ratios were decreased also among workers who were exposed to organic solvents in shoe factories (0.28; CI 0.11-0.71), dry cleaning shops (0.44; CI 0.22-0.86), and in the metal industry (0.58; CI 0.34-0.98). The possible effects of various biases are discussed. The results of the study support the hypothesis that daily or high exposure to organic solvents is associated with reduced fertility. There is a need for safer working methods in industries where organic solvents still are used.
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