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3858477 
Journal Article 
Serum perfluoroalkyl acids (PFAAs) and associations with behavioral attributes 
Siebenaler, R; Cameron, R; Butt, CM; Hoffman, K; Higgins, CP; Stapleton, HM 
2017 
Yes 
Chemosphere
ISSN: 0045-6535
EISSN: 1879-1298 
Elsevier Ltd 
OXFORD 
184 
687-693 
English 
The ubiquitous use of poly- and perfluoroalkyl substances (PFASs) in a variety of industrial and consumer products has resulted in chronic exposure in most industrialized nations, and led to measurable concentrations in blood and other tissues in humans across all life stages; however, behavioral attributes that relate to exposure are not well studied. To further investigate how behavior may relate to PFAS exposure, 37 adults were recruited from central North Carolina. Participants provided blood samples and behavioral questionnaires were administered, asking questions about a variety of household, dietary, and behavioral outcomes. Six PFAAs, including PFHxA (geometric mean: 0.14 ng/mL), PFOA (1.57 ng/mL), PFNA (0.67 ng/mL), PFDA (0.28 ng/mL), PFHxS (3.17 ng/mL) and PFOS (4.96 ng/mL) were detected in >50% of the samples. Generally, males had higher serum levels than females across all chemicals, and levels were very similar to NHANES levels; however, PFHxS and PFDA levels were higher in our study population. Several personal characteristics and behaviors were associated with serum PFAS levels. Reported use of filtration devices was associated with lower levels of PFOA (28% lower, p = 0.03), but higher levels of PFHxA (122% higher, p = 0.04). Serum PFHxS levels were also elevated in individuals that vacuumed less often, and in individuals that reported consuming more microwavable foods. These results suggest that personal behaviors may be important determinants of PFAS exposures. 
Perfluorinated chemicals; PFOA; PFOS; Serum; Behavior; Adults 
PFAS
• Additional PFAS (formerly XAgency)
     Literature Search November 2019
          Other Sources
               Reference list review of included studies
               TEDX
     Screened Studies
          Excluded
               Exclude (TIAB)
• Expanded PFAS SEM (formerly PFAS 430)
     Litsearch: September 2019
          Other Sources
               PFAS TOX Database
     Screened Studies
          Excluded
               Exclude (TIAB)
• ^Per- and Polyfluoroalkyl Substances (PFAS)
     PFOA (335-67-1) and PFOS (1763-23-1)
          Literature Search – Adverse outcome pathway (2015-present)
               Pubmed
     PFDA (335-76-2)
          Literature Search
               Pubmed
     PFNA (375-95-1)
          Literature Search
               Pubmed
     PFHxA (307-24-4)
          Literature Search
               Pubmed
     PFHxS (355-46-4)
          Literature search
               Pubmed
• PFAS 150
     Literature Search Update December 2020
          PubMed
          WOS
     Literature Search August 2019
          PubMed
          Web of Science
          Other sources
               Reference list review of included studies
               PFAS TOX Database
     Not prioritized for screening
     Perfluorodecanoic acid
     Perfluorohexanesulfonic acid
     Perfluorononanoic acid
     Perfluorooctanesulfonic acid
• PFDA
     Literature Search
          Pubmed
          WOS
     Scopus: April 2021
     Screening Results
          Susceptible populations
     Title and Abstract Screening
          Full Text Screening
          Tagged as Supplemental
               Exposure assessment or qualitative exposure only
     June 2022 Pelch Database
     Submitted to EPA
     Literature Searches (through April 2023 update and post-public comment/peer review)a    
          Other
               Published PFAS SEMs
          Title & Abstract Screening
               Tagged as Supplemental
                    Full Text Screening
                    Exposure assessment or qualitative exposure only
• PFHxA
     Literature Search
          Pubmed
     LitSearch Update: February 2018
          Toxline
          WoS
     Literature Search
          Pubmed
          Toxline
          WOS
     Scopus: April 2021
     Screening Results
          Susceptible populations
     Title and Abstract Screening
          Full Text Screening
          Tagged as Supplemental
               Qualitative exposure only
     Results pulled from Pelch database May 2022
     HAWC
• PFHxS
     Database searches
          Pubmed
          Toxline
          WOS
          Scopus
          Pelch PFAS SEM
          Other
     Inclusion
          TiAb
          Full Text
               Human Study
     Supplemental
          Full Text
          Exposure assessment or characterization (no health outcome)
          Susceptible populations
• PFNA
     Literature Search (August 2017)
          Pubmed
     Litsearch Update 2017-2018
          PFAS Untag
     PFNA Literature Search pre-2019
          WOS
     Literature Search
          Pubmed
          Toxline
          WOS
     PFNA May 2019 Update
          Pubmed
          Toxnet
          Web of Science
     Screening Results
          Human/Epi studies
               Neurotox
     Title and Abstract Screening
          Full Text Screening
               Excluded
                    Not relevant to PECO
          Tagged as Supplemental
               Exposure assessment or qualitative exposure only
               Environmental occurance
               Susceptible population
     June 2022 Pelch Database
• PFOA (335-67-1) and PFOS (1763-23-1)
     Literature Search – Adverse outcome pathway (2015-present)
          Pubmed
     Screening Results
          Susceptible populations
     Literature Search Update (2013-2019)
          PubMed
          WOS