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The aim of this study was to assess exposure to BTEX and their carcinogenic and non-carcinogenic risks in shoe-industry-related workplaces. This study was carried out at different shoe manufactures, small shoe workshop units, shoe markets, and shoe stores in Tabriz, Iran in 2021. Personal inhalation exposure to BTEX was measured using the National Institute for Occupational Safety and Health (NIOSH) 1501 method. Carcinogenic and non-carcinogenic risks due to inhalation exposure to BTEX were estimated by United States Environmental Protection Agency (U.S. EPA) method based on Mont Carlo simulation. Results showed that the concentrations of benzene and toluene were higher than the threshold limit value (TLV) in both gluing and non-gluing units of shoe manufactures. The total carcinogenic risk (TCR) due to exposure to benzene and ethyl benzene was considerable in all shoe industry-related workplaces. Also, the hazard index (HI) as a non-carcinogenic index was higher than standard levels in all shoe industry-related workplaces. Therefore, shoe industry-related workers are at cancer and non-cancer risks due to exposure to BTEX. Prevention measures need to be implemented to reduce the concentration of BTEX in shoe industry-related workplaces.<\/jats:p>","DOI":"10.1177\/07482337231212693","type":"journal-article","created":{"date-parts":[[2023,11,8]],"date-time":"2023-11-08T00:24:21Z","timestamp":1699403061000},"page":"33-40","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":8,"title":["Health risk assessment of exposure to benzene, toluene, ethyl benzene, and xylene in shoe industry-related workplaces"],"prefix":"10.1177","volume":"40","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5975-661X","authenticated-orcid":false,"given":"Amirreza","family":"Abouee-Mehrizi","sequence":"first","affiliation":[{"name":"Department of Occupational Health Engineering, Faculty of Health, Tabriz University of Medical Sciences, Tabriz, Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zahra","family":"Soltanpour","sequence":"additional","affiliation":[{"name":"Department of Occupational Health Engineering, Faculty of Health, Tabriz University of Medical Sciences, Tabriz, Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5545-3619","authenticated-orcid":false,"given":"Yousef","family":"Mohammadian","sequence":"additional","affiliation":[{"name":"Department of Occupational Health Engineering, Faculty of Health, Tabriz University of Medical Sciences, Tabriz, Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Akbar","family":"Sokouti","sequence":"additional","affiliation":[{"name":"Department of Health, Safety and Environment Management, Faculty of Health, Tabriz University of Medical Sciences, Tabriz, Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sajjad","family":"Barzegar","sequence":"additional","affiliation":[{"name":"Ms.c in Occupational Health Engineering, Sharif Safety Index Company, Tehran, Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2023,11,7]]},"reference":[{"key":"e_1_3_5_2_1","doi-asserted-by":"publisher","DOI":"10.1080\/26896583.2020.1715713"},{"key":"e_1_3_5_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.lfs.2020.118254"},{"key":"e_1_3_5_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10646-020-02288-z"},{"key":"e_1_3_5_5_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph15091837"},{"key":"e_1_3_5_6_1","doi-asserted-by":"publisher","DOI":"10.1182\/blood.V44.6.837.837"},{"key":"e_1_3_5_7_1","volume-title":"The threshold limit value (TLV)","author":"American Conference of Governmental Industrial Health (ACGIH)","year":"2021","unstructured":"American Conference of Governmental Industrial Health (ACGIH) (2021) The threshold limit value (TLV). 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