The nail salon workforce: a systematic scoping review of carcinogen exposure assessments, health outcome, and workforce intervention research.
Nail salon workers are routinely exposed to occupational hazards, including volatile organic compounds (VOCs), ultraviolet radiation, fine particulate matter (PM2.5), and heavy metals. With the industry projected to double in size over the next decade, identifying exposure risks and intervention gaps is essential for workforce protection. This systematic scoping review synthesized peer-reviewed exposure assessments, health outcome studies, and intervention research in nail salons published between 2013 and 2024. We followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses and the National Institute of Environmental Health Sciences National Toxicology Program Handbook for Conducting Systematic Reviews. Risk of bias was assessed using the Strengthening the Reporting of Observational Studies in Epidemiology guidelines. Forty-two studies met inclusion criteria: 29 exposure assessments, 11 health outcome studies, and two intervention evaluations. Most were conducted in the U.S. (88 %), with sample sizes ranging from 20 to 150 workers. Common findings included inadequate ventilation (71 %), VOC concentrations above Occupational Safety and Health Administration limits, and persistent detection of methyl methacrylate, despite its U.S. Food and Drug Administration ban. PM2.5 was evaluated in one study and exceeded World Health Organization guidelines. Heavy metals were infrequently measured, though one study raised concerns about chronic exposure. Only 17 % of studies examined exposure-health outcome associations, with limited evidence on cognitive and psychosocial impacts. Two intervention studies reported improved knowledge and reduced exposures but lacked randomized designs. This review highlights the urgent need for evidence-based interventions, stronger regulatory oversight, and comprehensive evaluation of health impacts in this socially vulnerable workforce.
- Research Article
38
- 10.1007/s10900-019-00702-0
- Jul 11, 2019
- Journal of Community Health
The products used in nail care services contain toxic chemicals. This study aimed to characterize occupational health risk factors and chemical exposures among Asian nailsalon workers onthe East Coast of the U.S. for informing the development of more effective, culturally appropriate interventions. We conducted a community-based participatory research (CBPR) study to characterize occupational health risks. A face-to-face, self-reported survey was performed, and personal exposure to volatile organic compounds (VOCs) was evaluated. Three VOCs, acetone, methyl methacrylate (MMA), and toluene, were measured using 3M 3500 organic vapor monitors. We collected data on 112 workers with 100 personal chemical exposure measurements from 25 nail salons. Self-reported health problems that emerged or worsened after participants started working in the nail salon industry included headaches (8%); lightheadedness (9.8%); and irritation to the nose, eyes, throat, and skin (21.2%). Approximately 70% of participants reported that they had been pregnant, 11.7% of whom had at least one miscarriage. The mean concentrations of acetone, MMA, and toluene were 18.51parts per million(ppm), 39.45ppm, and 0.09ppm, respectively. Mean concentrations of acetone and MMA measured fromsalons in New York City were significantly lower than those measured in Philadelphia and southern New Jersey. CBPR proved to be as an efficient approach for recruiting hard-to-reach Asian immigrant nail salon workers. Adverse health symptoms and problems associated with providing nail salon services were identified in theseworkers. Further studies are needed to better understand the long-term health effects of chronic chemical exposures in nail salon environments.
- Research Article
6
- 10.1016/j.buildenv.2020.106784
- Mar 4, 2020
- Building and Environment
Optimization of VOC removal using novel, low-cost sorbent sinks and active flows
- Research Article
1
- 10.1016/j.apr.2024.102236
- Jun 19, 2024
- Atmospheric Pollution Research
Fragrance chemicals in nail salons: Personal inhalation exposures and potential sources
- Research Article
46
- 10.1007/s40572-019-00247-3
- Sep 21, 2019
- Current environmental health reports
To review the literature published from 2014 to 2019 on hair and nail salon workers concerning exposure assessment, reproductive and respiratory endpoints, and endocrine disruption, in relation to workplace exposures. We identified 29 relevant peer-reviewed publications. Overall, there were insufficient studies to determine whether working in these settings is associated with reproductive health endpoints, although prior studies suggest that reproductive effects are of concern. There is consistent evidence that working in hair and nail salons may increase the risk of respiratory effects. Also, despite the fact that many hair and nail care products contain endocrine disrupting compounds, no recent studies have evaluated endocrine-related endpoints. Moreover, few studies have evaluated chemical exposures in these settings and biomonitoring studies are sparse. Improved exposure assessment of chemical hazards in hair and nail salons is necessary to properly characterize occupational exposures and assess their potential health risks. Further studies on endpoints related to endocrine disruption and reproductive health outcomes among hair and nail salon workers are needed. Improved exposure and epidemiologic studies will help inform chemical exposure mitigation efforts in a vulnerable occupational population, as well as policies related to workplace and consumer product safety.
- Research Article
46
- 10.1080/09603123.2012.755152
- Jan 4, 2013
- International Journal of Environmental Health Research
Air samples were collected in 12 randomly selected commercial nail salons in Salt Lake County, Utah. Measurements of salon physical/chemical parameters (room volume, CO2 levels) were obtained. Volatile organic compound (VOC) concentrations were collected using summa air canisters and sorbent media tubes for an 8-h period. Multivariate analyses were used to identify relationships between salon physical/chemical characteristics and the VOCs found in the air samples. The ACGIH® additive mixing formula was also applied to determine if there were potential overexposures to the combined airborne concentrations of chemicals monitored. Methyl methacrylate was detected in 58% of the establishments despite having been banned for use in nail products by the state of Utah. Formaldehyde was found above the NIOSH REL® (0.016 ppm) in 58% of the establishments. Given the assortment of VOCs to which nail salon workers are potentially exposed, a combination of engineering as well as personal protective equipment is recommended.
- Research Article
127
- 10.1016/j.buildenv.2008.04.015
- May 4, 2008
- Building and Environment
Evaluation of impact factors on VOC emissions and concentrations from wooden flooring based on chamber tests
- Research Article
8
- 10.3961/jpmph.16.017
- Jul 1, 2016
- Journal of Preventive Medicine and Public Health
Objectives:Nail salon owners in New York City (NYC) are required to provide their workers with gloves and it is their responsibility to maintain healthy, safe working spaces for their employees. The purpose of this study was to determine the frequency with which nail salon workers wear protective gloves.Methods:A Freedom of Information Law request was submitted to New York Department of State’s Division of Licensing Services for a full list of nail salons in Manhattan, NYC. A sample population of 800 nail salons was identified and a simple random sample (without replacement) of 30% (n=240) was selected using a random number generator. Researchers visited each nail salon from October to December of 2015, posing as a potential customer to determine if nail salon workers were wearing gloves.Results:Among the 169 salons in which one or more workers was observed providing services, a total of 562 workers were observed. For 149 salons, in which one or more worker was observed providing services, none of the workers were wearing gloves. In contrast, in six of the salons observed, in which one or more workers was providing services, all of the workers (1 in 2 sites, 2 in 1 site, 3 in 2 sites, and 4 in 1 site) were wearing gloves. Almost three-quarters of the total number of workers observed (n=415, 73.8%) were not wearing gloves.Conclusions:The findings of this study indicate that, despite recent media attention and legislation, the majority of nail salon workers we observed were not wearing protective gloves when providing services.
- Research Article
3
- 10.3390/ijerph20031828
- Jan 19, 2023
- International Journal of Environmental Research and Public Health
The volatile organic compounds (VOCs) released from a plastic track can cause stimulation and damage to the human body; the temperature, relative humidity (RH) and air exchange rate (AER) have a significant impact on the release of VOCs from materials. In this study, we used a 0.1 m3 environmental chamber; a qualitative and quantitative analysis of VOCs released from a plastic track was conducted by gas chromatography-mass spectrometry with a temperature range of 23–60 °C, RH of 5–65% and AER of 0.5–1.5 h−1. The formation rate, the speciation, the nature of the main compounds and the mass concentration of VOCs under different environmental conditions were determined. It is shown that with the increase of temperature, the concentration of some main VOCs gradually increased and the Calkane and Coxygenated organic compounds were larger by 736.13 μg·m−3 and 984.22 μg·m−3 at 60 °C, respectively. Additionally, with the increase of RH, the concentration of different VOCs gradually increased. Nonetheless, the change in RH had no effect on the concentration percentage of different VOCs in the total VOC. With the increase in AER, the concentration of different main VOCs significantly declined, as did the VOC detection rate. When the AER was increased from 0.5 h−1 to 1.5 h−1, the Calkane decreased by 206.74–254.21 μg·m−3 and Coxygenated organic compounds decreased by 73.06–241.82 μg·m−3, and the number of non-detected VOC monomers increased from 1 to 7–12 species. The conclusion is that the increase in temperature and RH can promote the emission of VOCs from a plastic track, while increasing AER significantly reduces the concentrations of VOCs. Environmental temperature mainly causes the changes in the concentrations of different VOCs, and RH is a main factor leading to the variation in the detection rate of main VOCs. Overall, the release of VOCs from a plastic track is affected by environmental temperature, AER and RH in sequence. Through this paper, we clarify the effects of ambient temperature, RH and AER on the emission of VOCs from a plastic track, and furthermore, we determine the release characteristics of plastic track VOCs.
- Research Article
9
- 10.1016/j.scitotenv.2023.167464
- Oct 1, 2023
- Science of The Total Environment
Emission characteristics, environmental impact, and health risk assessment of volatile organic compounds (VOCs) during manicure processes
- Research Article
14
- 10.1080/10807039.2022.2044285
- Feb 19, 2022
- Human and Ecological Risk Assessment: An International Journal
Purpose The objective of this study is to assess the carcinogen and non-carcinogen risks due to exposure to volatile organic compounds including methyl methacrylate (MMA), benzene, toluene, and xylene among Vietnamese nail salon workers, using probabilistic health risk assessment. Methods This study applied the probabilistic health risk assessment framework to assess the health risk due to exposure to four types of volatile organic compounds among nail salon workers. Forty-two passive personal samples of full-shift female nail workers from 15 salons in Da Nang city were monitored and analyzed by GC-FID in the Thammasat laboratory. Exposure parameters were collected by interviewing nail salon workers. Monte Carlo simulation was used to characterize the risk and its uncertainty. Results The mean of concentrations of MMA, benzene, toluene, and xylene were 20.62, 0.21, 2.49, and 0.58 mg m−3, respectively. The 95th percentile hazard quotients calculated for MMA, benzene, toluene, and xylene were 33.14, 7.49, 0.54, and 2.07, respectively. The 95th percentile lifetime cancer risk for benzene was 198 times higher than the EPA recommendation for cancer risk (10−6). Conclusions Non-cancer risks from exposure to MMA, benzene, and xylene were many times higher than the acceptable limit, which indicated a possible risk of adverse health effects among nail salon workers. Nail salon workers may also be at risk of leukemia or cancer of the blood-forming organs because the cancer risk due to exposure to benzene is higher than the recommended level.
- Research Article
254
- 10.1016/s0048-9697(03)00197-9
- May 2, 2003
- Science of The Total Environment
Ambient volatile organic compound (VOC) concentrations around a petrochemical complex and a petroleum refinery
- Research Article
- 10.5204/mcj.1685
- Oct 7, 2020
- M/C Journal
Object-Oriented Diaspora Sensibilities, Disidentification, and Ghostly Performance
- Research Article
15
- 10.1016/j.scitotenv.2023.167847
- Oct 14, 2023
- Science of The Total Environment
Drivers and impacts of decreasing concentrations of atmospheric volatile organic compounds (VOCs) in Beijing during 2016–2020
- Research Article
8
- 10.3390/ijerph191912411
- Sep 29, 2022
- International Journal of Environmental Research and Public Health
The Greater New York City area ranks highest in the United States in the number of nail salon technicians, primarily Asian immigrant women. Nail salon technicians are exposed to toxic phthalates and volatile organic compounds daily in nail salons. The purpose of this pilot study was to measure a mixture of phthalates and volatile organic compounds in nail salons in the Greater New York City area, and to characterize work-related determinants of indoor air quality in these nail salons. Working with four Asian nail salon organizations in the Greater New York City area, we measured indoor air phthalates and volatile organic compounds at 20 nail salons from February to May 2021 using silicone wristbands and passive samplers, respectively. Nail salon characteristics were also examined. We measured six phthalates and 31 volatile organic compounds. Di(2-ethylhexyl) phthalate and Diethyl phthalate had the highest concentrations among the six phthalates measured. Concentrations of toluene, d-limonene, methyl methacrylate, and ethyl methacrylate were higher than that of the rest. Manicure/pedicure tables, the number of customers per day, and application of artificial nail (acrylic) services were positively associated with the levels of phthalates and volatile organic compounds. Given the large number of people employed in the nail industry and the even larger number of customers visiting such establishments, exposures to these toxic chemicals are likely to be widespread.
- Research Article
10
- 10.1016/j.jes.2022.08.005
- Aug 6, 2022
- Journal of Environmental Sciences
Characterization, reactivity, source apportionment, and potential source areas of ambient volatile organic compounds in a typical tropical city
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