biostudies-literatureUnknown124(4)Thayer KAIntramural NIH HHS<h4>Background</h4>Bisphenol A (BPA) is a high-production-volume chemical associated with a wide range of health outcomes in animal and human studies. BPA is used as a developer in thermal paper products, including cash register receipt paper; however, little is known about exposure of cashiers to BPA and alternative compounds in receipt paper.<h4>Objective</h4>We determined whether handling receipt paper results in measurable absorption of BPA or the BPA alternatives bisphenol S (BPS) and 4-hydroxyphenyl 4-isoprooxyphenylsulfone (BPSIP).<h4>Methods</h4>Cashiers (n = 77) and non-cashiers (n = 25) were recruited from the Raleigh-Durham-Chapel Hill region of North Carolina during 2011-2013. Receipts were analyzed for the presence of BPA or alternatives considered for use in thermal paper. InEnvironmental health perspectives437-44https://www.ebi.ac.uk/biostudies/studies/S-EPMC4824622biostudies-literatureBisphenol A, Bisphenol S, and 4-Hydro​xyphenyl 4-Isopro​oxyphenyl​sulfone (BPSIP) in Urine and Blood of Cashiers.PMC4824622Herbert BSchurman SHChurchwell MIChurch RJankowich RScheri RCBucher JRThayer KAHunt DBirnbaum LSGarantziotis SKissling GETaylor KWfalseBisphenol A, Bisphenol S, and 4-Hydro​xyphenyl 4-Isopro​oxyphenyl​sulfone (BPSIP) in Urine and Blood of Cashiers.<h4>Background</h4>Bisphenol A (BPA) is a high-production-volume chemical associated with a wide range of health outcomes in animal and human studies. BPA is used as a developer in thermal paper products, including cash register receipt paper; however, little is known about exposure of cashiers to BPA and alternative compounds in receipt paper.<h4>Objective</h4>We determined whether handling receipt paper results in measurable absorption of BPA or the BPA alternatives bisphenol S (BPS) and 4-hydroxyphenyl 4-isoprooxyphenylsulfone (BPSIP).<h4>Methods</h4>Cashiers (n = 77) and non-cashiers (n = 25) were recruited from the Raleigh-Durham-Chapel Hill region of North Carolina during 2011-2013. Receipts were analyzed for the presence of BPA or alternatives considered for use in thermal paper. In2016-01-01T00:00:00Z2016 Apr2025-05-29T19:20:23.218Z2025-05-29T19:20:23.218ZS-EPMC48246222630924210.1289/ehp.1409427