Evidence map›Paper›PMID 41223732›Full record

ArticleJournal of preventive medicine and public health = Yebang Uihakhoe chi2026

Exposure to Benzene, Toluene, Ethylbenzene, and Xylenes and Risk of Depression: A Cross-sectional Study of a National Sample of Korean Adults.

Hyun-Wook Park, Byung-Sun Choi, Bomi Park, Wanhyung Lee, Weon-Young Lee

Abstract read
In one paragraph

Article in Journal of preventive medicine and public health = Yebang Uihakhoe chi, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Hyun-Wook ParkDepartment of Preventive Medicine, Chung-Ang University College of Medicine, Seoul, Korea.
Byung-Sun ChoiDepartment of Preventive Medicine, Chung-Ang University College of Medicine, Seoul, Korea.
Bomi ParkDepartment of Preventive Medicine, Chung-Ang University College of Medicine, Seoul, Korea.
Wanhyung LeeDepartment of Preventive Medicine, Chung-Ang University College of Medicine, Seoul, Korea.
Weon-Young LeeDepartment of Preventive Medicine, Chung-Ang University College of Medicine, Seoul, Korea.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesBenzene, toluene, ethylbenzene, and xylenes (BTEX) are co-occurring neurotoxicants that are structurally similar aromatic hydrocarbons sharing common metabolic pathways and mechanisms of toxicity. This study investigated the effects of BTEX exposure on depression and aimed to identify the primary contributors to depression risk.

methodsWe conducted a cross-sectional analysis of 1733 adults from the 2020-2021 Korea National Health and Nutrition Examination Survey. BTEX exposure was quantified based on urinary metabolite concentrations: S-phenylmercapturic acid (SPMA) for benzene, benzylmercapturic acid for toluene, the sum of phenylglyoxylic acid and mandelic acid for ethylbenzene, and methylhippuric acid for xylenes. Depression was defined according to self-reported physician diagnosis. Logistic regression was used to estimate the risk associated with individual chemicals, while weighted quantile sum (WQS) regression was employed to assess mixture effects and identify the primary toxicant. Sensitivity analyses were performed to address potential confounding by tobacco smoke.

resultsUrinary SPMA concentrations were significantly higher in individuals with depression. Logistic regression revealed a significant association between SPMA levels and depression (odds ratio, 2.62; 95% confidence interval, 1.34 to 5.13). Although the overall BTEX mixture was not significantly associated with depression after covariate adjustment in WQS models, SPMA consistently emerged as the major contributor. The association between SPMA and depression remained robust in sensitivity analyses excluding participants exposed to tobacco smoke.

conclusionsBenzene exposure was associated with an increased risk of depression in the general Korean adult population. Therefore, strengthened environmental regulations on benzene could help reduce the public health burden of depression.

Indexed as

BenzeneBenzene DerivativesDepressionEnvironmental ExposureTolueneXylenesAdultAgedCross-Sectional StudiesFemaleHumansMaleMiddle AgedNutrition SurveysRepublic of KoreaRisk FactorsBenzeneBenzene DerivativesethylbenzeneTolueneXylenesBenzeneBenzene derivativesBiological monitoringCross-sectional studiesDepressive disorderEnvironmental pollutants

Identifiers

PMID41223732
PMCPMC12883907

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.