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The Full Chain Model: Linking Chemical Exposure from Indoor Sources to Human Health Effects
Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences (from 2013).ORCID iD: 0000-0001-6322-9556
Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences (from 2013).ORCID iD: 0000-0002-3395-2409
Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences (from 2013). Icahn School of Medicine at Mount Sinai, USA.ORCID iD: 0000-0003-0417-1686
2022 (English)In: Handbook of Indoor Air Quality / [ed] Yinping Zhang, Philip K. Hopke, Corinne Mandin, Springer, 2022, 1, p. 1301-1324Chapter in book (Other academic)
Abstract [en]

There is an increasing concern for health risks from exposure to chemical emissions in indoor environments where we spend a lot of time. A chain of complex relationships connects emission sources, exposure, and health effects. For some indoor contaminants, we know a lot about the separate relationships. However, linking specific sources and environmental exposure pathways to hazardous effects is challenging, with a lack of evidence that is needed for risk assessment as a result. This chapter presents the full chain model that follows chemicals and maps the relationships from sources to potential health effects. It is a tool to establish relevant scientific knowledge regarding chemical exposure. The model consists of three overlapping sections: environmental exposure, human exposure, and health effects, and includes relationships between emission sources, environmental pathways, human uptake, and effects on health and development. As a demonstration, results from the Swedish Environmental Longitudinal Mother and child Asthma and allergy (SELMA) study were applied to the full chain model. Phthalates, a group of abundant indoor contaminants, and airway disorders were used as an example. Starting with polyvinyl chloride (PVC) flooring as an emission source, connections were made between indoor dust levels, exposure and uptake among pregnant women, and airway symptoms in young children. By using the full chain model, not only separate relationships were identified. Butylbenzyl phthalate could be followed from a source to elevated environmental exposure and human uptake to associations with a higher risk for airway outcomes in children. 

Place, publisher, year, edition, pages
Springer, 2022, 1. p. 1301-1324
Keywords [en]
Biomarkers, Dust, Human intake, Indoor exposure, Phthalates
National Category
Occupational Health and Environmental Health Public Health, Global Health and Social Medicine Environmental Sciences
Research subject
Public Health Science
Identifiers
URN: urn:nbn:se:kau:diva-96297DOI: 10.1007/978-981-16-7680-2_79Scopus ID: 2-s2.0-85165418631ISBN: 978-981-16-7679-6 (print)ISBN: 978-981-16-7680-2 (electronic)OAI: oai:DiVA.org:kau-96297DiVA, id: diva2:1786573
Available from: 2023-08-09 Created: 2023-08-09 Last updated: 2025-02-20Bibliographically approved

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Preece, Anna-SofiaShu, HuanBornehag, Carl-Gustaf

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