COPD and occupational exposures: a case-control study.
Weinmann-S; Vollmer-WM; Breen-V; Heumann-M; Hnizdo-E; Villnave-J; Doney-B; Graziani-M; McBurnie-MA; Buist-AS
J Occup Environ Med 2008 May; 50(5):561-569
Objective: Evidence demonstrates that occupational exposures are causally linked with chronic obstructive pulmonary disease (COPD). This case-control study evaluated the association between occupational exposures and prevalent COPD based on lifetime occupational history. Methods: Cases (n = 388) aged 45 years and older with COPD were compared with controls (n = 356), frequency matched on age, sex, and cigarette smoking history. Odds ratios for exposure to each of eight occupational hazard categories and three composite measures of exposure were computed using logistic regression. Results: Occupational exposures most strongly associated with COPD were diesel exhaust, irritant gases and vapors, mineral dust, and metal dust. The composite measures describing aggregate exposure to gases, vapors, solvents, or sensitizers (GVSS) and aggregate exposure to dust, GVSS, or diesel exhaust were also associated with COPD. In the small group of never-smokers, a similar pattern was evident. Conclusion: These population-based findings add to the literature linking occupational exposures to COPD.
Respiratory-system-disorders; Pulmonary-system-disorders; Chronic-exposure; Occupational-exposure; Occupational-diseases; Case-studies; Smoking; Statistical-analysis; Diesel-exhausts; Irritant-gases; Vapors; Metal-dusts; Mineral-dusts; Organic-solvents; Organic-dusts; Organic-vapors; Gases; Dusts; Solvents; Solvent-vapors; Tobacco-smoke; Surveillance
Sheila Weinmann, PhD, Center for Health Research, Kaiser Permanente Northwest, 3800 N. Interstate Avenue, Portland, OR 97227
Journal of Occupational and Environmental Medicine