Air pollution remains a major global public health challenge, particularly in rapidly developing and densely populated urban regions. According to the World Health Organization (WHO), exposure to ambient air pollution contributes substantially to morbidity and premature mortality, with notable effects on cardiovascular, respiratory, and hematological health outcomes (
1,
2). Among air pollutant categories, volatile organic compounds (VOCs) are of particular concern because of their toxicity, photochemical reactivity, and key contribution to the formation of tropospheric ozone and secondary organic aerosols (SOA) (
3-
5). Within this group, benzene, toluene, ethylbenzene, and xylenes (BTEX) constitute a critical subgroup frequently detected in urban environments. These compounds are primarily emitted from anthropogenic activities, including vehicular exhaust, evaporative fuel emissions, petrochemical operations, industrial solvent use, and incomplete combustion processes (
6-
8). Their high volatility and atmospheric persistence enable them to remain suspended for extended periods, thereby contributing substantially to urban air pollution and the deterioration of urban air hygiene (
9).
Among BTEX compounds, benzene is recognized as the most hazardous owing to its established carcinogenicity. The International Agency for Research on Cancer (IARC) classifies benzene as a Group 1 human carcinogen, and it is strongly associated with bone marrow suppression, disruption of hematopoiesis, leukemia, and other chronic hematological disorders (
10,
11). Although toluene, ethylbenzene, and xylenes have lower direct carcinogenic potential, long-term exposure has been linked to neurological dysfunction, mucosal and respiratory irritation, and hepatic and renal impairment (
12,
13). In addition to their toxicological effects, BTEX compounds play an essential role in atmospheric photochemistry; through chain reactions with hydroxyl (OH) radicals and nitrogen oxides (NO
x), they accelerate the accumulation of ground-level ozone and SOA, thereby intensifying photochemical smog formation in urban basins (
14,
15).
Recent evidence from 2020 to 2025 indicates that elevated BTEX concentrations persist in major global megacities despite the introduction of stringent regulatory protocols (
16-
18). Quantitative studies in Beijing, Abu Dhabi, New Delhi, and São Paulo have consistently reported substantial atmospheric BTEX burdens, often associated with dense traffic emissions, localized solvent applications, and limited regional dispersion during winter inversion episodes (
19). These findings indicate that BTEX pollution remains a substantial and unresolved environmental and public health concern worldwide.
Tehran, the capital of Iran, is a densely populated megacity characterized by heavy traffic volumes, a large share of outdated or poorly maintained passenger vehicles, extensive fossil fuel consumption, and a complex bowl-like topographical structure surrounded by the Alborz mountain range. This geographic configuration frequently traps air toxics near the ground because of intense meteorological stagnation and surface-based temperature inversions (
20,
21). Previous studies have reported that BTEX concentrations in several districts of Tehran exceed international guideline thresholds, particularly in high-traffic commercial corridors (
22,
23). Moreover, chronic benzene exposure has been linked to elevated carcinogenic risks among residents living near traffic-dominated areas (
24,
25). Despite these data, prior monitoring campaigns in Tehran often relied on short-term, single-season sampling, lacked multisite microenvironmental characterization, or omitted the simultaneous application of diagnostic ratios alongside modern USEPA deterministic inhalation risk frameworks (Inhalation Unit Risk [IUR]-based calculation updates). This limitation creates a critical knowledge gap regarding long-term seasonal exposure trends under changing urban fuel configurations and evolving vehicle fleet structures. Recent epidemiologic and environmental evidence from Iranian urban centers further highlights the multifaceted health burden of ambient air pollution, linking severe criteria pollutant exposures to systemic, cardiovascular, and neurological hospitalizations, such as pulmonary embolism in Mashhad and multiple sclerosis exacerbations in Kerman (
26,
27). In addition, multidecade cohort syntheses, such as the Tehran Lipid and Glucose Study, underscore the chronic cardiometabolic risks associated with long-term exposure to urban atmospheric air toxics (
28). Diagnostic ratios, particularly toluene-to-benzene (T/B) and xylene-to-benzene (X/B), are commonly used to evaluate dominant emission sources and characterize the photochemical aging of air masses. A T/B ratio of approximately 1.0 to 2.0 typically reflects fresh vehicular exhaust tailpipe emissions, whereas higher urban values may indicate industrial solvent use or substantial fuel evaporation and vapor leakage. Similarly, because xylenes have a much shorter atmospheric lifetime than benzene, the X/B ratio decreases over time because of faster hydroxyl radical reactions, making it a sensitive indicator of photochemical transformation and the relative aging of intercepted air masses (
29-
33). Incorporating these diagnostic fingerprints is essential for interpreting spatial VOC variability and identifying major sources across complex urban canopies.