title: Traditional and environmentally preferable cleaning product exposure and health symptoms in custodians.
abstract: BACKGROUND
  We investigated the associations between traditional and environmentally preferable cleaning product exposure and dermal, respiratory, and musculoskeletal symptoms in a population of custodians.
  
  
  METHODS
  We analyzed associations between symptoms and exposure to traditional and environmentally preferable cleaning product exposure among 329 custodians.
  
  
  RESULTS
  We observed increased odds of dermal (P < 0.01), upper (P = 0.01) and lower respiratory (P = 0.01), and upper extremity (P < 0.01), back (P < 0.01), and lower extremity (P = 0.01) musculoskeletal symptoms associated with increased typical traditional cleaning product exposure. We observed significant trends for increased odds of dermal (P = 0.03) and back (P = 0.04) and lower (P = 0.02) extremity musculoskeletal symptoms associated with increased typical environmentally preferable cleaning product exposure.
  
  
  CONCLUSIONS
  Fewer positive associations and reduced odds of health symptoms associated with environmentally preferable cleaning product exposure suggest that these products may represent a safer alternative to traditional cleaning products.
authors.affiliation: Division of Occupational and Environmental Medicine, UConn Health, Farmington, Connecticut.
authors.forename: Jennifer L
authors.initials: JL
authors.lastname: Garza
authors.affiliation: Division of Occupational and Environmental Medicine, UConn Health, Farmington, Connecticut.|Department of Community Medicine and Health Care, Farmington, Connecticut.
authors.forename: Jennifer M
authors.initials: JM
authors.lastname: Cavallari
authors.affiliation: Center for Public Health and Health Policy, UConn Health, Farmington, Connecticut.
authors.forename: Sara
authors.initials: S
authors.lastname: Wakai
authors.affiliation: Division of Occupational and Environmental Medicine, UConn Health, Farmington, Connecticut.
authors.forename: Paula
authors.initials: P
authors.lastname: Schenck
authors.affiliation: Department of Environmental and Occupational Health Sciences, University of Washington, Seattle, Washington.
authors.forename: Nancy
authors.initials: N
authors.lastname: Simcox
authors.affiliation: Division of Occupational and Environmental Medicine, UConn Health, Farmington, Connecticut.
authors.forename: Tim
authors.initials: T
authors.lastname: Morse
authors.affiliation: Preventive Medicine, Mount Sinai Hospital, New York, New York.
authors.forename: John D
authors.initials: JD
authors.lastname: Meyer
authors.affiliation: Division of Occupational and Environmental Medicine, UConn Health, Farmington, Connecticut.
authors.forename: Martin
authors.initials: M
authors.lastname: Cherniack
mesh_terms: D000328:Adult; D000368:Aged; D003430:Cross-Sectional Studies; D003902:Detergents / Q000737:chemistry / Q000633:toxicity*; D005260:Female; D055772:Green Chemistry Technology; D006796:Household Work; D006801:Humans; D008297:Male; D008875:Middle Aged; D009140:Musculoskeletal Diseases / Q000139:chemically induced / Q000453:epidemiology; D009784:Occupational Diseases / Q000139:chemically induced / Q000453:epidemiology*; D016273:Occupational Exposure / Q000009:adverse effects*; D012140:Respiratory Tract Diseases / Q000139:chemically induced / Q000453:epidemiology; D012307:Risk Factors; D012871:Skin Diseases / Q000139:chemically induced / Q000453:epidemiology; D055815:Young Adult
chemical_list: D003902:Detergents
keywords: exposure assessment; health and safety; occupational hygiene