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Internal exposure of Flemish teenagers to environmental pollutants: results of the Flemish Environment and Health Study 2016–2020 (FLEHS IV)
Schoeters, G.; Verheyen, V.J.; Colles, A.; Remy, S.; Rodriguez Martin, L.; Govarts, E.; Nelen, V.; Den Hond, E.; De Decker, A.; Franken, C.; Loots, I.; Coertjens, D.; Morrens, B.; Bastiaensen, M.; Gys, C.; Malarvannan, G.; Covaci, A.; Nawrot, T.; De Henauw, S.; Bellemans, M.; Leermakers, M.; van Larebeke, N.; Baeyens, W.; Jacobs, G.; Voorspoels, S.; Nielsen, F.; Bruckers, L. (2022). Internal exposure of Flemish teenagers to environmental pollutants: results of the Flemish Environment and Health Study 2016–2020 (FLEHS IV). International Journal of Hygiene and Environmental Health 242: 113972. https://dx.doi.org/10.1016/j.ijheh.2022.113972
In: International Journal of Hygiene and Environmental Health. Elsevier: Munich. ISSN 1438-4639; e-ISSN 1618-131X, more
Peer reviewed article  

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  • Schoeters, G.
  • Verheyen, V.J.
  • Colles, A.
  • Remy, S.
  • Rodriguez Martin, L.
  • Govarts, E.
  • Nelen, V.
  • Den Hond, E.
  • De Decker, A.
  • Franken, C.
  • Loots, I.
  • Coertjens, D.
  • Morrens, B.
  • Bastiaensen, M.
  • Gys, C.
  • Malarvannan, G.
  • Covaci, A., more
  • Nawrot, T.
  • De Henauw, S., more
  • Bellemans, M.
  • Leermakers, M., more
  • van Larebeke, N., more
  • Baeyens, W., more
  • Jacobs, G.
  • Voorspoels, S., more
  • Nielsen, F.
  • Bruckers, L.

Abstract
    The Flemish Environment and Health Study (FLEHS) collects information on internal exposure to a broad range of environmental chemicals in the general population in Flanders, the Northern region of Belgium. The aim is to establish biomonitoring exposure distributions for the general population in support of public health and environmental policy, environmental risk assessment and risk management decisions. In 2017–2018, urine and blood samples were collected from 428 teenagers by a stratified clustered two stage randomized design. Samples were analyzed for a broad range of biomarkers related to exposure to chlorinated and newer pesticides, brominated and organophosphate flame retardants (BFR/OPFR), polychlorinated biphenyls (PCBs), bisphenols, phthalates and alternative plasticizers, per-and polyfluoroalkyl substances (PFAS), polycyclic aromatic hydrocarbons (PAHs), benzene, metals and trace elements. The geometric mean levels and percentiles of the distribution were estimated for each biomarker, for the whole study population and following stratification for sex, the household educational attainment and the residence area's urbanicity.

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