Ramazzini; Blog on work and health by Annet Lenderink

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COPD in construction and trade workers

A study of chronic obstructive pulmonary disease (COPD) among 7,579 current and former workers participating in medical screening programs at Department of Energy (DOE) nuclear weapons facilities through September 2008 was undertaken. The age-standardized prevalence ratio of COPD among DOE workers compared to all NHANES III data was 1.3.  Statistically significant associations were observed for COPD and exposures to asbestos, silica, welding, cement dusts, and some tasks associated with exposures to paints, solvents, and removal of paints.

Airways obstruction among older construction and trade workers at Department Of Energy nuclear sites
John M. Dement, PhD, CIH, Laura Welch, MD, Knut Ringen, PH, MHA, MPH, Eula Bingham, PhD, Patricia Quinn, BA
American Journal of Industrial Medicine, published online 18 Dec 2009

Abstract

Background: A study of chronic obstructive pulmonary disease (COPD) among 7,579 current and former workers participating in medical screening programs at Department of Energy (DOE) nuclear weapons facilities through September 2008 was undertaken.

Methods: Participants provided a detailed work and exposure history and underwent a respiratory examination that included a respiratory history, respiratory symptoms, a posterior-anterior (P-A) chest radiograph classified by International Labour Office (ILO) criteria, and spirometry. Statistical models were developed to generate group-level exposure estimates that were used in multivariate logistic regression analyses to explore the risk of COPD in relation to exposures to asbestos, silica, cement dust, welding, paints, solvents, and dusts/fumes from paint removal. Risk for COPD in the study population was compared to risk for COPD in the general US population as determined in National Health and Nutrition Examination Survey (NHANES III).

Results: The age-standardized prevalence ratio of COPD among DOE workers compared to all NHANES III data was 1.3. Internal analyses found the odds ratio of COPD to range from 1.6 to 3.1 by trade after adjustment for age, race, sex, smoking, and duration of DOE employment. Statistically significant associations were observed for COPD and exposures to asbestos, silica, welding, cement dusts, and some tasks associated with exposures to paints, solvents, and removal of paints.

Conclusions: Our study of construction workers employed at DOE sites demonstrated increased COPD risk due to occupational exposures and was able to identify specific exposures increasing risk. This study provides additional support for prevention of both smoking and occupational exposures to reduce the burden of COPD among construction workers.

Filed under: Chemical agents, lung, occupational, ,

One Response

  1. […] This post was mentioned on Twitter by Annet Lenderink, Michael Riser. Michael Riser said: @Andrea10TV RT @aflen2008: Post on COPD in construction and trade workers, caused by a variety of exposures http://wp.me/pd20O-aF […]

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