职业健康风险评估模型中化学物接触参数赋值的思考

Assignment of chemical exposure parameter in occupational health risk assessment models: Key consideration

  • 摘要: 职业健康风险评估模型的核心思想在于依据有害因素的危害特征和劳动者的接触水平,对职业健康风险实施系统评估。职业接触评估基于浓度、频率和接触时间等反映劳动者实际接触有害因素的指标开展,是健康风险评估中的关键环节。然而,由于不同研究在接触评估参数赋值上的差异以及对多重职业危害接触的重视不足,评估结果的准确性和可比性受到影响。本综述旨在探讨职业健康风险评估模型中接触评估参数的赋值及其规范化问题,系统梳理了常用职业健康风险评估模型中接触评估相关参数的含义、赋值方法及其来源,以期为研究者提供规范化的评估工具,提高职业健康风险评估的科学性和实用性。考虑到职业接触存在个体差异和时间波动,建议研究者基于相似接触组(SEG)划分,采用适当的抽样策略,合理选择采样对象和时间,并对所得数据进行统计推断,以获得具有代表性的接触参数。对于多重危害因素的职业接触,毒作用相似的化学物的联合暴露,其健康风险评估方法已相对成熟;而性质和健康效应不同的危害因素联合暴露的评估,仍缺乏科学权威的解决方案,亟须进一步研究探讨。

     

    Abstract: The core idea of occupational health risk assessment models is to systematically evaluate occupational health risks according to target hazard characteristics and relevant exposure levels of workers. Occupational exposure assessment is based on concentration, frequency, exposure time, and other indicators that indicate actual exposure of workers to occupational hazards, which is a critical component of health risk assessment. However, the accuracy and comparability of assessment results are affected by differences in parameter assignment for exposure assessment across different studies, as well as insufficient emphasis on multiple occupational hazard exposure. This review aimed to explore the assignment and standardization of exposure assessment parameters for occupational health risk assessment modeling, and systematically sorted out the meaning, assignment methods, and sources of exposure assessment related parameters in commonly used occupational health risk assessment models, with the goal of providing researchers with standardized assessment tools to enhance the scientific rigor and practicality of occupational health risk assessments. Considering the individual differences and temporal fluctuations in occupational exposure, it is recommended that researchers should adopt appropriate sampling strategies, reasonably select sample subjects and time based on the division of similar exposure group (SEG), and conduct statistical inference on the obtained data to derive representative exposure parameters. For combined exposure to chemicals with similar toxic effects, the health risk assessment methods are relatively mature. However, the assessment of combined exposure to hazards with different properties and health effects still lacks scientific authority and needs further research and discussion.

     

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