IMPORTANCEThe potential effects of long-term occupational exposure to formaldehyde (FA) on human semen quality is not clear. OBJECTIVE To assess whether long-term occupational exposure to FA is associated with semen quality.
DESIGN, SETTING, AND PARTICIPANTS This population-based cohort study was conducted fromJune 1 to June 30, 2021, in Xi'an, China. Participants were adults aged 23 to 40 years who had lived in the study area for 24 months or longer. Data analysis was performed from September 1 to October 1, 2021.EXPOSURES Long-term occupational exposure to FA was measured using a formaldehyde detector, and the FA exposure index (FEI) was calculated as follows: FEI = final concentration of FA (mg/m 3 ) × work time during a workday (hour) × cumulative workdays (year).
MAIN OUTCOMES AND MEASURESSemen samples were collected by masturbation after 3 to 7 days of abstinence and were then assessed by the computer-automated semen analysis system, Baso-Papanicolaou staining, and sperm-chromatin structure assay.
RESULTSA total of 205 men (mean [SD] age, 29.49 [3.64] years), with 124 individuals in the FA exposure group (mean [SD] FEI , 73.72 [54.86]) and 81 age-matched controls, were included in the final analysis. Long-term personal occupational exposure to FA was significantly associated with poor semen quality. Specifically, a 1-unit increase in FEI was associated with a change of −0.