title: Estimating individual-level exposure to airborne polycyclic aromatic hydrocarbons throughout the gestational period based on personal, indoor, and outdoor monitoring.
abstract: OBJECTIVE
  Current understanding on health effects of long-term polycyclic aromatic hydrocarbon (PAH) exposure is limited by lack of data on time-varying nature of the pollutants at an individual level. In a cohort of pregnant women in Krakow, Poland, we examined the contribution of temporal, spatial, and behavioral factors to prenatal exposure to airborne PAHs within each trimester and developed a predictive model of PAH exposure over the entire gestational period.
  
  
  METHODS
  We monitored nonsmoking pregnant women (n = 341) for their personal exposure to pyrene and eight carcinogenic PAHs-benz[a]anthracene, chrysene/isochrysene, benzo[b]fluoranthene, benzo[k]fluoranthene, benzo[a]pyrene [B(a)P], indeno[1,2,3-c,d]pyrene, dibenz[a,h]anthracene, and benzo[g,h,i]perylene-during their second trimester for a consecutive 48-hr period. In a subset (n = 78), we monitored indoor and outdoor levels simultaneously with the personal monitoring during the second trimester with an identical monitor. The subset of women was also monitored for personal exposure for a 48-hr period during each trimester. We repeatedly administered a questionnaire on health history, lifestyle, and home environment.
  
  
  RESULTS
  The observed personal, indoor, and outdoor B(a)P levels we observed in Krakow far exceed the recommended Swedish guideline value for B(a)P of 0.1 ng/m(3). Based on simultaneously monitored levels, the outdoor PAH level alone accounts for 93% of total variability in personal exposure during the heating season. Living near the Krakow bus depot, a crossroad, and the city center and time spent outdoors or commuting were not associated with higher personal exposure. During the nonheating season only, a 1-hr increase in environmental tobacco smoke (ETS) exposure was associated with a 10-16% increase in personal exposure to the nine measured PAHs. A 1 degrees C decrease in ambient temperature was associated with a 3-5% increase in exposure to benz[a]anthracene, benzo[k]fluoranthene, and dibenz[a,h]anthracene, after accounting for the outdoor concentration. A random effects model demonstrated that mean personal exposure at a given gestational period depends on the season, residence location, and ETS.
  
  
  CONCLUSIONS
  Considering that most women reported spending < 3 hr/day outdoors, most women in the study were exposed to outdoor-originating PAHs within the indoor setting. Cross-sectional, longitudinal monitoring supplemented with questionnaire data allowed development of a gestation-length model of individual-level exposure with high precision and validity. These results are generalizable to other nonsmoking pregnant women in similar exposure settings and support reduction of exposure to protect the developing fetus.
authors.affiliation: Columbia Center for Children's Environmental Health, Mailman School of Public Health, Columbia University, New York, New York, USA. hchoi@hsph.harvard.edu
authors.forename: Hyunok
authors.initials: H
authors.lastname: Choi
authors.forename: Frederica
authors.initials: F
authors.lastname: Perera
authors.forename: Agnieszka
authors.initials: A
authors.lastname: Pac
authors.forename: Lu
authors.initials: L
authors.lastname: Wang
authors.forename: Elzbieta
authors.initials: E
authors.lastname: Flak
authors.forename: Elzbieta
authors.initials: E
authors.lastname: Mroz
authors.forename: Ryszard
authors.initials: R
authors.lastname: Jacek
authors.forename: Tricia
authors.initials: T
authors.lastname: Chai-Onn
authors.forename: Wieslaw
authors.initials: W
authors.lastname: Jedrychowski
authors.forename: Elizabeth
authors.initials: E
authors.lastname: Masters
authors.forename: David
authors.initials: D
authors.lastname: Camann
authors.forename: John
authors.initials: J
authors.lastname: Spengler
mesh_terms: D000293:Adolescent; D000328:Adult; D000393:Air Pollutants / Q000633:toxicity*; D004784:Environmental Monitoring / Q000379:methods*; D005260:Female; D006801:Humans; D011083:Polycyclic Compounds / Q000633:toxicity*; D011247:Pregnancy
chemical_list: D000393:Air Pollutants; D011083:Polycyclic Compounds