Background
Studies of workers exposed to benzene at average air concentrations
below one part per million suggest that benzene, a known hematotoxin, causes
hematopoietic damage even at low exposure levels. However, evidence of such
effects outside of occupational settings and for other volatile organic
compounds (VOCs) is limited.
Objective
To investigate associations between ambient exposures to five VOCs,
including benzene, and hematologic parameters among adult residents of the
U. S. Gulf Coast.
Materials and Methods
Blood concentrations of selected VOCs were measured in a sample of
adult participants in the Gulf Long-term Follow-up Study (GuLF STUDY) during
2012 and 2013. Complete blood counts with differentials were also performed
on a subset of participants (n=406). We used these data together
with detailed questionnaire data to estimate adjusted associations between
blood BTEXS (benzene, toluene, ethylbenzene, o-xylene, m/p-xylene, and
styrene) concentrations and hematologic parameters using generalized linear
models.
Results
We observed inverse associations between blood benzene concentrations
and hemoglobin concentration and mean corpuscular hemoglobin concentration,
and a positive association with red cell distribution width among tobacco
smoke-unexposed participants (n=146). Among tobacco smoke-exposed
participants (n=247), we observed positive associations between
blood VOC concentrations and several hematologic parameters, including
increased white blood cell and platelet counts, suggestive of hematopoietic
stimulation typically associated with tobacco smoke exposure. Most
associations were stronger for benzene than for the other VOCs.
Conclusions
Our results suggest that ambient exposure to BTEXS, particularly
benzene, may be associated with hematologic effects, including decreased
hemoglobin concentration, mean corpuscular hemoglobin concentration, and
increased red cell distribution width.