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Quality of life in relation to upper and lower respiratory conditions among retired 9/11-exposed firefighters with pulmonary disability.

Authors
Berninger-A; Webber-MP; Weakley-J; Gustave-J; Zeig-Owens-R; Lee-R; Al-Othman-F; Cohen-HW; Kelly-K; Prezant-DJ
Source
Qual Life Res 2010 Dec; 19(10):1467-1476
NIOSHTIC No.
20038462
Abstract
PURPOSE: To examine health-related quality of life (HRQoL) and World Trade Center (WTC) cough syndrome conditions in male firefighters who retired due to a 9/11-related pulmonary disability. METHODS: From 3/1/2008 to 1/31/2009, we contacted 275 disability-retired firefighters and compared their HRQoL and current aerodigestive conditions to those from WTC-exposed non-disabled retired and active firefighters. Relationships between HRQoL and explanatory variable(s) were examined using multivariable linear regression models. RESULTS: Mean physical component summary (PCS) scores were lowest in disabled retirees compared with non-disabled retirees and actives: 36.4 (9.6), 49.4 (8.7), and 53.1 (5.1), respectively (P < 0.0001). Mean mental component summary (MCS) scores were closer: 44.5 (11.9), 48.1 (8.5), and 48.7 (7.4), respectively (P < 0.0001). In multivariable models, after adjustment for many factors, PCS scores were not associated with early WTC arrival, but were inversely associated with disability retirement and all WTC cough syndrome conditions. MCS scores were inversely associated with early WTC arrival and most WTC cough syndrome conditions, but were not associated with disability retirement. CONCLUSION: WTC cough syndrome conditions predict lower HRQoL scores even 8 years after exposure, independent of retirement status. These data suggest that monitoring physical conditions of individuals with occupational exposures might help identify those at risk for impaired HRQoL.
Keywords
Fire-fighters; Pulmonary-disorders; Pulmonary-function; Pulmonary-system; Pulmonary-system-disorders; Respiratory-system-disorders; Author Keywords: Respiratory health; Occupational medicine; Firefighters; Quality of life; Disability retirement
Contact
M. P. Webber, Fire Department of the City of New York, Bureau of Health Services, 9 Metrotech Center, Brooklyn, NY 11201, USA
CODEN
QLREEG
Publication Date
20101201
Document Type
Journal Article
Email Address
webberm@fdny.nyc.gov
Funding Type
Grant; Cooperative Agreement
Fiscal Year
2011
NTIS Accession No.
NTIS Price
Identifying No.
Grant-Number-R01-OH-007350; Cooperative-Agreement-Number-U10-OH-008243; Cooperative-Agreement-Number-U10-OH-008242
Issue of Publication
10
ISSN
0962-9343
Source Name
Quality of Life Research
State
NY
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