Control of smoking in occupational epidemiologic studies: methods and needs.
Blair-A; Steenland-K; Shy-C; O'Berg-M; Halperin-W; Thomas-T
Am J Ind Med 1988; 13(1):3-4
Papers organized from a workshop on the handling of smoking in occupational studies sponsored by the National Cancer Institute and NIOSH were introduced, and problems associated with control of smoking in occupational epidemiology were briefly discussed. Paper topics focused on occupational research regarding the biologic effects of smoking in the workplace, methods of data acquisition on smoking, and analytic strategies for dealing with confounding variables and interactive effects. The authors note that information on occupational smoking is necessary to assess the prevalence of specific disease states among particular occupational groups in the presence of heavy use of tobacco. Difficulties in obtaining smoking information based on the design and use of occupational cohort studies were discussed. A study comparing smoking adjusted and crude standardized mortality ratios in United States veterans showed high correlation coefficients for the two measures. However, several reasons for obtaining smoking information were considered important: for description of possible interactions between occupational exposures and smoking; to avoid false negative findings which would probably result in lack of follow up; and to avoid losing public confidence by not including such information.
NIOSH-Author; Pulmonary-system-disorders; Cigarette-smoking; Occupational-health; Occupational-sociology; Ergonomics; Worker-health; Risk-analysis; Workplace-studies;
Author Keywords: epidemiology; risk model; cancer; cohort studies
American Journal of Industrial Medicine