Evidence map›Paper›PMID 41264383›Full record

ArticleAnnals of work exposures and health2026

Characterization of occupational exposure to air pollutants during asphalt milling and paving.

Maria Hedmer, Karin Lovén, Johannes Rex, Carina A Nilsson, Merve Polat, Jakob K Nøjgaard, Joakim Pagels, Bo Strandberg, Lina Hagvall

Abstract read
In one paragraph

Article in Annals of work exposures and health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Maria HedmerDepartment of Occupational and Environmental Medicine, Skåne University Hospital, Lund SE-22381, Sweden.ORCID 0000-0002-7422-2621
Karin LovénDepartment of Occupational and Environmental Medicine, Skåne University Hospital, Lund SE-22381, Sweden.ORCID 0000-0003-3837-8124
Johannes RexErgonomics and Aerosol Technology, LTH, Lund University, Lund SE-22100, Sweden.ORCID 0009-0003-5073-7000
Carina A NilssonDepartment of Occupational and Environmental Medicine, Skåne University Hospital, Lund SE-22381, Sweden.
Merve PolatNational Research Centre for the Working Environment, Copenhagen DK-2100, Denmark.ORCID 0000-0002-6675-2462
Jakob K NøjgaardNational Research Centre for the Working Environment, Copenhagen DK-2100, Denmark.ORCID 0000-0003-3108-9100
Joakim PagelsErgonomics and Aerosol Technology, LTH, Lund University, Lund SE-22100, Sweden.ORCID 0000-0002-7423-3240
Bo StrandbergDepartment of Occupational and Environmental Medicine, Skåne University Hospital, Lund SE-22381, Sweden.ORCID 0000-0001-5267-6254
Lina HagvallDepartment of Occupational and Environmental Medicine, Skåne University Hospital, Lund SE-22381, Sweden.ORCID 0000-0002-9141-9215

Funding

Occupational and Environmental Medicine, Skåne University HospitalSwedish Research Council FORTE 2019-00775
6 · The paper itself

Abstract

objectivesAsphalt is frequently used as road pavement and consists of bitumen as a binder, and fillers. Bitumen consists of a complex mixture of hydrocarbons, where a minor component is polycyclic aromatic hydrocarbons (PAHs). Many PAHs are classified as carcinogenic to humans. Bitumen fumes from road paving have been classified as possibly carcinogenic. Paving and milling are open processes generating asphalt fumes, mechanically generated dust particulate matter and diesel exhaust, which the asphalt workers are exposed to. Ultrafine particles (UFPs) are present in both asphalt fumes and diesel exhaust. The aim was to characterize occupational exposure of milling and road paving with a novel multi-metric approach by using real-time monitors and offline methods. Additional aims were to monitor asphalt workers' skin contamination of PAHs by skin wiping, and to biologically monitor their systemic exposure to PAH in urine.

methodsPersonal exposure measurements of lung deposited surface area (LDSA), particle number concentration (PNC), particulate mass (PM0.3), average particle size, organic carbon (OC), elemental carbon (EC), equivalent black carbon, 16 US Environmental Protection Agency (EPA) PAHs, and nitrogen dioxide (NO2) were performed on millers and pavers in a field study. Skin wipe samples (palm) and urine samples were collected before and after workshifts and were analysed for PAH and PAH metabolites, respectively. Repeated self-administered samplings of 16 US EPA PAHs and NO2 were performed twice by the millers and pavers.

resultsThe pavers had the highest average exposure to all exposure metrics, except for OC and NO2. Their geometric mean (GM) exposures to PNC and LDSA were 31,000/cm3 and 80 µm2/cm3, respectively. The GM exposure to 16 US EPA PAHs, OC, EC, and NO2 were 0.29, 21, 0.75, and 31 µg/m3, respectively. The millers' GM exposures to PNC and LDSA were 29,000/cm3 and 67 µm2/cm3, respectively. Their GM exposure to 16 US EPA PAHs, OC, EC, and NO2 were 0.053, 40, 0.40, and 83 µg/m3, respectively. The self-administrated sampling of 16 US EPA PAH and NO2 showed that the exposures were in the same range as in the field study, increasing the validity of the results. Pavers showed significantly higher levels of PAH on the palm after the workshift compared with millers. Millers showed higher levels of benzo[a]pyrene on their palm after the workshift compared with pavers. The urinary levels of PAH metabolites were significantly increased in pavers after the workshift.

conclusionsThis study showed that millers and pavers were exposed to airborne 16 US EPA PAHs, UFPs, OC, and diesel exhaust. With a study design that involved repeated exposure measurements for each participant, more accurate exposure characterization and assessment of PAHs and NO2 were obtained. By using portable aerosol monitors, valuable exposure data for novel metrics, including UFPs, could be obtained. Operators of, eg, rollers and milling machines were exposed to multiple peak exposures during the workshift. Millers were exposed to somewhat elevated levels of the carcinogenic particulate PAHs. As biomonitoring generally is measuring metabolites of gaseous and intermediate molecular mass PAHs, particulate PAH exposure could not be detected. Air and skin exposure measurements were vital in order to detect this exposure. Recommendations for reducing occupational exposure are proposed.

Indexed as

Air Pollutants, OccupationalHydrocarbonsOccupational ExposureEnvironmental MonitoringHumansInhalation ExposureParticle SizeParticulate MatterPolycyclic Aromatic HydrocarbonsSkinVehicle EmissionsAir Pollutants, OccupationalasphaltHydrocarbonsParticulate MatterPolycyclic Aromatic HydrocarbonsVehicle Emissionsbiological monitoringdermal exposuredirect-reading monitorsLDSANO2PAHsparticle numberultrafine particles

Identifiers

PMID41264383
PMCPMC13016829

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Registered trials

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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.