Comparison of Prevalence and Associated Factors of Multisystem Health Symptoms Among Workers in the Gas Station Area, Thailand

Chan Pattama Polyong; Anamai Thetkathuek

doi:10.21109/kesmas.v18i3.6924

Comparison of Prevalence and Associated Factors of Multisystem Health Symptoms Among Workers in the Gas Station Area, Thailand

Chan Pattama Polyong, Anamai Thetkathuek

Abstract

This cross-sectional study aimed to compare the prevalence of multisystem health symptoms (MHS) of workers in gas station areas before and after their employment and examine the factors affecting the MHS of workers. Data were collected by an interview questionnaire from 200 workers inside and outside refueling areas at eight gas stations in Rayong Province, Thailand. This study found that employees had a statistically significant increase in the prevalence of current MHS in comparison to before starting work (p-value<0.05), with 31.5%. Working overtime for more than 6 hours per week led to respiratory symptoms (OR = 2.63, 95% CI = 1.14–6.07) and psychological symptoms (OR = 2.69, 95% CI = 1.12–6.49). Wearing respiratory protective equipment for less than three hours affected ear/throat/nose systems (OR = 4.26, 95% CI = 1.43–12.65). Petrol refueling resulted in liver (OR = 2.32, 95% CI = 1.4–12.65) and eye symptoms (OR = 2.57, 95% CI = 1.10–5.39). Therefore, gas station owners should set up enclosed rooms to reduce the duration of fuel exposure, and workers should wear personal protective equipment when refueling or near the dispenser.

Keywords

BTEX; gas stations; multisystem health symptoms; prevalence; risk factors

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References

1. Huang Y, Unger N, Harper K, et al. Global Climate and Human Health Effects of the Gasoline and Diesel Vehicle Fleets. Geo Health. 2020; 4 (3): e2019GH000240.

2. Ekpenyong CE, Asuquo EA. Recent Advances in Occupational and Environmental Health Hazards of Workers Exposed to Gasoline Compounds. Int J Occup Med Environ Health. 2017; 30: 1-26.

3. Al-Harbi M, Alhajri I, Al-Awadhi A, et al. Health Symptoms Associated with Occupational Exposure of Gasoline Station Workers to BTEX Compounds. Atmos Environ. 2020; 241: 117847.

4. Polyong PC, Thetkatuek A. Factors Affecting Prevalence of Neurological Symptoms among Workers at Gasoline Stations in Rayong Province, Thailand. Environ Anal Health Toxicol. 2022; 37(2): e2022009-0.

5. Chaiklieng S, Suggaravetsiri P, Kaminski N, et al. Exposure to Benzene and Toluene of Gasoline Station Workers in Khon Kaen, Thailand and Adverse Effects. HERA 2021; 27 (7): 1823-1837

6. Chauhan SK, Saini N, Yadav VB. Recent Trends of Volatile Organic Compounds in Ambient Air and Its Health Impacts: A review. Int J Sci Res Eng Technol. 2014; 1 (8): 667-78.

7. Alves L, Vieira D, Nunes L, et al. Relationship between Symptoms, Use of PPE and Habits Related to Occupational Exposure to BTEX Compounds in Workers of Gas Stations in Bahia, Brazil. J Environ Protect. 2017; 8 (5): 650-661.

8. Tunsaringkarn T, Soogarun S, Palasuwa A. Occupational Exposure to Benzene and Changes in Hematological Parameters and Urinary Trans, Trans-muconic Acid. Int J Occup Environ. 2013; 4 (1): 45–49

9. Ayyadhi NA, Akhtar S. Prevalence and Risk Factors Associated with Self-Rated Morbidities among South Asian Migrant Gas Station Workers in Kuwait. J Immigr Minor Health. 2018; 20 (6): 1324-1331.

10. Solanki RB, Bhise AR, Dangi BM. A Study on Spirometry in Petrol Pump Workers of Ahmedabad, India. Lung India. 2015; 32 (4): 347-352.

11. Rasoul GMA, Salem EA, Allam HK, et al. Neurobehavioral and Hematological Health Disorders among Fuel Supply Station Workers. J Environ Publ Health. 2017; 30 (4): 1103-1109.

12. Neghab M, Hosseinzadeh K, Hassanzadeah J. Hematological Study of Petrol Station Worker’s Exposure to Unleaded Petrol. J Toxicol Environ Chem. 2015; 96 (6): 951-961.

13. Moro AM, Brucker N, Charao M, et al. Early Hematological and Immunological Alteration in Gasoline Station Attendants Exposed to Benzene. Environ Res. 2015; 137 (1): 349-356.

14. Kuranchie FA, Angnunavuri PN, Attiogbe F, et al. Occupational Exposure of Benzene, Toluene, Ethylbenzene and Xylene (BTEX) to Pump Attendants in Ghana: Implications for Policy Guidance. Cogent Environ Sci. 2019; 5: 1603418.

15. Chaiklieng S. Comparison of BTEX Exposure between Operative and Inoperative Vapor Recovery System during Loading Fuel into the Storage Tanks at Gasoline Stations. Thai J Toxicol. 2020; 35 (2): 30-42.

16. Thetkathuek A, Jaidee W, Saowakhontha S, et al. Neuropsychological Symptoms among Workers Exposed to Toluene and Xylene in Two Paint Manufacturing Factories in Eastern Thailand. Adv Prev Med. 2015; 183728.

17. Naik AV, Ferreira AM. A Cross Sectional Study of Occupational Hazards among Petrol Pump Attendants of Panjim City in Goa. IJoPCCM. 2020; 6 (1): 15-19.

18. Fenga C, Gangemi S, Teodoro M, et al. 8-Hydroxydeoxyquanosine as a Biomarker of Oxidative DNA Damage in Workers Exposed to Low-dose Benzene. Toxicol Reports. 2017; 4 (1): 291-295.

19. Tuakuila J. S-phenymercapturic Acid (S-PMA) Levels in Urine as an Indicator of Exposure to Benzene in the Kinshasa Population. Int J Hyg Environ Health. 2013; 216 (4): 494-498.

20. Chaiklieng S, Suggaravetsiri P, Kaminski N, et al. Factors Affecting Urinary tt-Muconic Acid Detection among Benzene Exposed Workers at Gasoline Stations. Int J Environ Res Publ Health. 2019; 16 (21): 4209.

21. Thetkathuek A, Polyong CP. Health Status and Factors Influencing Access to Healthcare Services by Workers in Petrol Stations in Rayong Province, Thailand. Rocz Panstw Zakl Hig. 2022; 73 (3): 351-364.

22. Chaiklieng S, Nantanuch, R. Factors Associated with Adverse Symptoms Related to Benzene Toxicity among Workers at Gasoline Station. Srinagarind Med J. 2015; 30: 458-466.

23. PerkinElmer, Inc. Environmental: Aromatics on Brownlee Analytical C18. Waltham, MA: PerkinElmer, Inc; 2013.

24. American Conference of Governmental Industrial Hygienists. TLV/BEIs Guidelines. Cincinnati, OH: American Conference of Governmental Industrial Hygienists; 2023.

25. Diaz F, Cornelius T, Bramley S, et al. The Association Between Sleep and Psychological Distress among New York City Healthcare Workers During the COVID-19 Pandemic. J Affect Disord. 2022; 298 (1): 618-624.

26. Agency for Toxic Substances and Disease Registry. Benzene Overview, Benzene, Also Known as Benzol, is a Colorless Liquid with a Sweet Odor; 2021.

27. Hormozi M, Ansari-Moghaddam A, Mirzaei R, et al. The Risk of Hearing Loss Associated with Occupational Exposure to Organic Solvents Mixture with and without Concurrent Noise Exposure: A Systematic Review and Meta-analysis. Int J Occu Environ health. 2017; 30 (4): 521-535.

28. Polyong CP, Yingratanasuk T, Sirivarasai J, et al. Comparison of Trans, Trans-Muconic Acid Between Groups of Gas Station Attendants, with and without Skin Contact with Fuel Oil in Rayong province. Dis Control J. 2021; 47 (1): 687-699.

29. Alyami AR. Occupational Exposure Assessment to Gasoline Vapoursunder Various Conditions at Public Gasoline Stations. Athens J Sci. 2017; 4 (1): 323-342.

30. Al-Olayan EM, El-Khadragy MF, Aref AM, et al. The Potential Effect of Physalis Peruviana L. Against Carbon Tetrachloride Induced Hepatotoxicity in Rats is Mediated by Suppression of Oxidative Stress and Down Regulation of MMP-9 Expression. Oxid Med Cell Longev. 2014; 381413.

31. Sirdah MM, Al-Laham NA, El-Madhoun RA. Possible Health Effects of Liquefied Petroleum Gas on Workers at Filling and Distribution Stations of Gaza Governorates. East Mediterr Health J. 2013; 19 (3): 289-294.

32. Obazee E, Aiwuyo H, Kweki A, et al. Lung Function Impairment among Gasoline Attendants: A Cross-Sectional Study. Open J Respir Dis. 2023; 13 (3): 48-63.

33. Sinha A, Patil SN. Pulmonary Function Tests in Petrol Pump Workers in Karad Town. Int J Biol Med Res. 2014; 5 (4): 260–263.

DOI: http://dx.doi.org/10.21109/kesmas.v18i3.6924