title: Styrene and ischemic heart disease mortality among synthetic rubber industry workers.
abstract: OBJECTIVE
  We examined the relation between styrene and ischemic heart disease (IHD) mortality among 16,579 men in the synthetic rubber industry.
  
  
  METHODS
  Associations were measured using stratified and multivariable analysis.
  
  
  RESULTS
  Compared with workers with no exposure to styrene, men in the highest quintile of average intensity of exposure (5.50+ parts per million [ppm]) and in the highest quintile of cumulative exposure (60.67+ ppm-years) had IHD rate ratios of 1.14 (95% confidence interval [CI]=0.96-1.35) and 1.07 (95% CI=0.90-1.27), respectively. Acute IHD was not associated with average intensity of exposure within the most recent 2 years or with other indices of exposure. Chronic IHD rates were elevated in subjects with the highest exposure; these associations were weak and imprecise, and evidence of a positive exposure-response relation was limited.
  
  
  CONCLUSIONS
  This study does not indicate that exposure to styrene causes fatal IHD.
authors.affiliation: Department of Epidemiology, University of Alabama at Birmingham, Birmingham, Alabama 35294-0022, USA. edelzell@uab.edu
authors.forename: Elizabeth
authors.initials: E
authors.lastname: Delzell
authors.forename: Nalini
authors.initials: N
authors.lastname: Sathiakumar
authors.forename: John
authors.initials: J
authors.lastname: Graff
authors.forename: Robert
authors.initials: R
authors.lastname: Matthews
mesh_terms: D000328:Adult; D000368:Aged; D002170:Canada; D006801:Humans; D007221:Industry; D008297:Male; D008875:Middle Aged; D015999:Multivariate Analysis; D017202:Myocardial Ischemia / Q000401:mortality*; D016273:Occupational Exposure; D012408:Rubber; D020058:Styrene / Q000009:adverse effects*; D014481:United States / Q000453:epidemiology
chemical_list: D020058:Styrene; D012408:Rubber