Sleep disturbances and neurotoxicity in workers exposed to hydrocarbons. An observational study from Algeria

Am J Ind Med. 2016 Feb;59(2):129-36. doi: 10.1002/ajim.22561. Epub 2016 Jan 4.

Abstract

Background: Occupational exposure to solvents may lead to neurotoxicity and sleep disturbances. We aimed to investigate the association of occupational exposure to petroleum-derived hydrocarbons with neurotoxicity and sleep disturbance symptoms.

Methods: We included male workers handling/distributing petroleum products (exposed, n = 250) and electricians (non-exposed, n = 250) from two companies in Tlemcen (Algeria). Neurotoxicity was evaluated with the Q-16 questionnaire, and sleep disturbances with the Epworth and the Berlin questionnaires. Multivariable Poisson regression models with robust error variances were applied obtaining risk ratios (RR) and their 95% confidence interval (CI).

Results: Overall, the prevalence of reported neurotoxicity and sleep disturbance symptoms was higher in exposed than in non-exposed workers. Significant adjusted associations were observed for neurotoxicity, snoring, and excessive sleepiness (RR = 2.2, CI: 1.7-2.8; RR = 1.4; CI: 1.1-1.7; RR = 1.3, CI: 1.2-1.5, respectively). No significant associations were observed with the Epworth score.

Conclusions: Our questionnaire-based cross-sectional study suggests that exposure to petroleum-derived hydrocarbons is associated with self-reported sleep disturbances and neurotoxicity symptoms.

Keywords: Occupational medicine; hydrocarbons; neurotoxicity; sleep symptoms.

Publication types

  • Observational Study

MeSH terms

  • Adult
  • Algeria / epidemiology
  • Cross-Sectional Studies
  • Humans
  • Hydrocarbons / toxicity*
  • Male
  • Middle Aged
  • Neurotoxicity Syndromes / epidemiology*
  • Occupational Diseases / chemically induced
  • Occupational Diseases / epidemiology*
  • Occupational Exposure / adverse effects
  • Oil and Gas Industry*
  • Petroleum / toxicity
  • Poisson Distribution
  • Prevalence
  • Regression Analysis
  • Self Report
  • Sleep Wake Disorders / chemically induced
  • Sleep Wake Disorders / epidemiology*

Substances

  • Hydrocarbons
  • Petroleum