Prevalence of obstructive lung disease in older Kentucky farmers. Part I: objective and subjective indicators.
American Industrial Hygiene Conference and Exposition, June 2 - 7, 2007, Philadelphia, Pennsylvania. Fairfax, VA: American Industrial Hygiene Association, 2007 Jun; :135
A cohort of older farmers (n=134) ages 58-86 was identified from the 1995 Kentucky farm family health hazard surveillance survey (FFHHSS) describing demographics, respiratory symptoms, and pulmonary function measurements. Independent measures of objective pulmonary function, including physician diagnosis, forced expiratory volume (FEV1%), and subjective symptom reports, were used to determine the prevalence of asthma or obstructive lung disease in older farmers. When surveillance relied on symptoms and reports of physician-diagnosed asthma, the prevalence of asthma was 37%. By including a pulmonary function test indicator, such as FEV1% <0.80, an additional 15 farmers with no reported symptoms or disease are identified, increasing the prevalence to over 45%. Older farmers should receive pulmonary function testing for obstructive lung disease. Symptom reports alone may not be reliable. Asthma or other obstructive lung diseases may be prevalent in this population even without reported symptoms.
Respiratory-function-tests; Respiratory-gas-analysis; Respiratory-hypersensitivity; Respiratory-irritants; Respiratory-protection; Respiratory-system-disorders; Lung; Lung-burden; Lung-disorders; Lung-function; Lung-irritants; Pulmonary-disorders; Pulmonary-function; Pulmonary-function-tests; Pulmonary-system; Farmers; Agricultural-industry; Agricultural-workers; Agriculture; Safety-climate; Safety-education; Safety-monitoring; Safety-programs; Surveillance-programs
Abstract; Conference/Symposia Proceedings
Agriculture; Cooperative Agreement
American Industrial Hygiene Conference and Exposition, June 2 - 7, 2007, Philadelphia, Pennsylvania
University of Kentucky