Information de reference pour ce titreAccession Number: | 00007070-201407000-00012.
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Author: | Georgopoulos, Panos G. 1; Brinkerhoff, Christopher J. 1; Isukapalli, Sastry 1; Dellarco, Michael 2; Landrigan, Philip J. 3; Lioy, Paul J. 1
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Institution: | (1)Rutgers University, Environmental & Occupational Health Science Institute (EOHSI), Piscataway, NJ, USA (2)Eunice Kennedy Shriver National Institute of Child Health & Human Development, NICHD, Bethesda, MD, USA (3)Icahn School of Medicine at Mount Sinai, New York, NY, USA
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Title: | A Tiered Framework for Risk-Relevant Characterization and Ranking of Chemical Exposures: Applications to the National Children's Study (NCS).[Article]
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Source: | Risk Analysis. 34(7):1299-1316, July 2014.
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Abstract: | : A challenge for large-scale environmental health investigations such as the National Children's Study (NCS), is characterizing exposures to multiple, co-occurring chemical agents with varying spatiotemporal concentrations and consequences modulated by biochemical, physiological, behavioral, socioeconomic, and environmental factors. Such investigations can benefit from systematic retrieval, analysis, and integration of diverse extant information on both contaminant patterns and exposure-relevant factors. This requires development, evaluation, and deployment of informatics methods that support flexible access and analysis of multiattribute data across multiple spatiotemporal scales. A new "Tiered Exposure Ranking" (TiER) framework, developed to support various aspects of risk-relevant exposure characterization, is described here, with examples demonstrating its application to the NCS. TiER utilizes advances in informatics computational methods, extant database content and availability, and integrative environmental/exposure/biological modeling to support both "discovery-driven" and "hypothesis-driven" analyses. "Tier 1" applications focus on "exposomic" pattern recognition for extracting information from multidimensional data sets, whereas second and higher tier applications utilize mechanistic models to develop risk-relevant exposure metrics for populations and individuals. In this article, "tier 1" applications of TiER explore identification of potentially causative associations among risk factors, for prioritizing further studies, by considering publicly available demographic/socioeconomic, behavioral, and environmental data in relation to two health endpoints (preterm birth and low birth weight). A "tier 2" application develops estimates of pollutant mixture inhalation exposure indices for NCS counties, formulated to support risk characterization for these endpoints. Applications of TiER demonstrate the feasibility of developing risk-relevant exposure characterizations for pollutants using extant environmental and demographic/socioeconomic data.
(C)2014 Kluwer Academic Publishers
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Author Keywords: | Birth outcomes; Exposure Information System (EXIS); Modeling Environment for Total Risk studies (MENTOR); Prioritization and Ranking of Toxic Exposures with GIS Extension (PRoTEGE); risk-relevant exposure indices (EIs); Tiered Exposure Ranking (TiER) framework.
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Language: | English.
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Document Type: | Original Research Articles.
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Journal Subset: | Physical Science & Engineering.
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ISSN: | 0272-4332
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NLM Journal Code: | 8109978, ria
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DOI Number: | https://dx.doi.org/10.1111/risa....- ouverture dans une nouvelle fenêtre
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