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Prevalence of chronic obstructive pulmonary disease in the U.S. working population: an analysis of data from the 1997-2004 National Health Interview Survey.

Authors
Bang-KM; Syamlal-G; Mazurek-JM
Source
COPD 2009 Oct; 6(5):380-387
NIOSHTIC No.
20036043
Abstract
To estimate the prevalence and the population attributable fraction of chronic obstructive pulmonary disease (COPD) in the U.S. adult workers, we analyzed data obtained from the National Health Interview Surveys for the period 1997-2004. The overall COPD prevalence was 4.0% (95% confidence interval [CI] 3.9-4.1%). The prevalence was higher in females (5.4%, 95% CI 5.3-5.6%) than in males (2.8%, 95% CI 2.7-2.9%); in Whites (4.2%, 95% CI 4.1-4.3%) than in Blacks (3.4%, 95% CI 3.1-3.7%) and other races (2.4%, 95% CI 2.1-2.8%). Compared with insurance, real estate and other finance industry, the top three industries associated with significantly higher prevalence odds ratios (PORs) (adjusted for age, sex, race, and smoking) were other educational services (POR = 1.5, 95% CI 1.0-2.3); transportation equipment (POR = 1.4, 95% CI 1.1-1.8); and social services, religious and membership organizations (POR = 1.4, 95% CI 1.1-1.7). Compared with managers and administrators, except public administration occupation, the top three occupations with significantly higher PORs were health service (1.8, 95% CI 1.5-2.1), other protective service (POR = 1.6, 95% CI 1.2-2.2), and material moving equipment operators (POR = 1.6, 95% CI 1.1-2.3). The overall population attributable fraction for association of COPD with employment was 12.2% for industry and 17.4% for occupation. Further studies are needed to determine specific risk factors associated with COPD in industries and occupations with elevated prevalence and POR.
Keywords
Chronic-degenerative-diseases; Inhalation-studies; Lung-disease; Lung-disorders; Occupational-respiratory-disease; Pulmonary-system-disorders; Pulmonary-system; Pulmonary-congestion; Respiratory-irritants; Respiratory-infections; Respiratory-system-disorders; Risk-factors; Author Keywords: Chronic obstructive pulmonary disease; Prevalence; Occupation; Industry; Surveillance
Contact
Ki Moon Bang, National Institute for Occupational Safety and Health, Division of Respiratory Disease Studies, 1095 Willowdale Road, Morgantown, WV 26505
Publication Date
20091001
Document Type
Journal Article
Email Address
kmb2@cdc.gov
Fiscal Year
2010
NTIS Accession No.
NTIS Price
Issue of Publication
5
ISSN
1541-2555
NIOSH Division
DRDS
Source Name
COPD: Journal of Chronic Obstructive Pulmonary Disease
State
WV
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