Table 3 Multilevel mixed-effects linear regression modeling of urinary PAH-OH fold changes post-fire based on survey responses.

From: Evaluation of fireground exposures using urinary PAH metabolites

  

Sum of PAH-OHsa

Sum of naphthols

Sum of phenanthrols

Sum of fluorenols

1-Hydroxypyrene

Variable

n (total)

FC (95% CI)

FC (95% CI)

FC (95% CI)

FC (95% CI)

FC (95% CI)

Fire and response type

 Commercial fire (Ref: Residential)

19 (180)

0.646 (0.421, 0.992)*

0.569 (0.356, 0.909)*

0.836 (0.513, 1.363)

0.949 (0.568, 1.584)

1.142 (0.645, 2.020)

 Interior response (Ref: Exterior response)

71 (178)

1.469 (1.068, 2.021)*

1.509 (1.058, 2.153)*

1.481 (1.053, 2.083)*

1.631 (1.156, 2.302)

1.216 (0.820, 1.802)

Duration (minutes)

 Total duration of fire response

180 (180)

1.002 (0.999, 1.006)

1.002 (0.999, 1.006)

1.003 (0.999, 1.006)

0.999 (0.995, 1.003)

1.001 (0.997, 1.006)

 Interior response

105 (105)

1.010 (1.002, 1.019)*

1.011 (1.002, 1.020)*

1.014 (1.006, 1.023)

1.010 (1.001, 1.019)*

1.005 (0.994, 1.017)

 Fire attack

88 (88)

1.004 (0.995, 1.014)

1.004 (0.994, 1.015)

1.011 (1.000, 1.022)*

1.010 (0.999, 1.020)

1.007 (0.995, 1.019)

 Overhaul/Salvage

56 (56)

0.999 (0.992, 1.006)

0.999 (0.991, 1.006)

1.000 (0.994, 1.006)

0.998 (0.992, 1.004)

1.008 (1.001, 1.015)*

Percent time on air

 Fire attack 61–100% (Ref: 0–60%)

81 (88)

0.527 (0.217, 1.280)

0.393 (0.151, 1.020)

1.122 (0.433, 2.907)

1.030 (0.400, 2.656)

0.851 (0.329, 2.203)

 Overhaul/Salvage 61–100% (Ref: 0–60%)

48 (56)

0.949 (0.400, 2.253)

1.004 (0.375, 2.684)

1.001 (0.481, 2.082)

1.094 (0.493, 2.430)

0.821 (0.336, 2.004)

 Ventilation 61–100% (Ref: 0–60%)

21 (23)

0.668 (0.254, 1.756)

0.730 (0.266, 2.002)

0.250 (0.052, 1.202)

1.163 (0.352, 3.839)

1.561 (0.193, 12.64)

 Rehab 61–100% (Ref: 0–60%)

3 (25)

1.792 (0.695, 4.620)

1.709 (0.572, 5.105)

1.454 (0.361, 5.859)

0.865 (0.269, 2.779)

0.766 (0.141, 4.166)

Odor, soot, and gear status

 Smoke odor on skin (Ref: No)

43 (180)

1.461 (1.032, 2.066)*

1.442 (0.980, 2.123)

1.299 (0.885, 1.906)

1.060 (0.712, 1.577)

1.026 (0.659, 1.597)

 Black mucus in nose, mouth or throat (Ref: No)

20 (46)

1.010 (0.471, 2.168)

0.982 (0.433, 2.228)

1.420 (0.920, 2.192)

1.135 (0.501, 2.568)

0.614 (0.290, 1.298)

 Washed with water or wipe on scene (Ref: No)

30 (46)

2.095 (1.021, 4.299)*

2.226 (0.998, 4.963)

2.073 (1.883, 2.283)

2.227 (0.965, 5.141)

0.639 (0.288, 1.419)

 Turnout gear dirty (soot) before response (Ref: No)

83 (180)

1.013 (0.732, 1.403)

1.073 (0.748, 1.542)

0.781 (0.554, 1.100)

0.948 (0.667, 1.348)

1.025 (0.693, 1.516)

 Hood dirty (soot) before response (Ref: No)

27 (171)

1.437 (0.903, 2.285)

1.357 (0.808, 2.279)

1.416 (0.870, 2.306)

1.688 (1.040, 2.738)*

1.546 (0.892, 2.677)

 Laundered turnout gear >1 month (Ref: <1 mo)

117 (180)

1.172 (0.863, 1.592)

1.238 (0.882, 1.738)

0.966 (0.690, 1.352)

0.977 (0.690, 1.384)

0.771 (0.525, 1.131)

 Laundered/changed hood >1 month (Ref: <1 mo)

92 (180)

1.468 (1.108, 1.945)

1.581 (1.160, 2.155)

1.234 (0.898, 1.697)

1.067 (0.767, 1.486)

0.774 (0.536, 1.119)

  1. FC fold change, CI confidence interval.
  2. *p < 0.05; p <  0.01.
  3. aIncludes all naphthols, phenanthrols, fluorenols, and 1-hxdroxypyrene.
  4. Bolded values are statistically significant.