NIOSHTIC-2 Publications Search

Healthcare for obstructive lung disease in an industrial spirometry surveillance program.

Authors
Gulati M; Slade MD; Fiellin MG; Cullen MR
Source
J Occup Environ Med 2009 Mar; 51(3):336-342
NIOSHTIC No.
20035642
Abstract
OBJECTIVE: The efficacy of workplace spirometry surveillance programs is unclear. We examine whether aluminum industry workers with airflow obstruction (AO) received health care for obstructive lung disease. METHODS: We performed a cross sectional analysis over 7 years of 6821 aluminum production workers. The primary outcome was the association between obstructive lung disease insurance claims and the presence of AO. We also examined whether the presence of claims was associated with increasing AO severity. RESULTS: Although workers with AO more frequently had claims, 60% of workers with AO, most frequently those with mild and borderline obstruction, had no claim. CONCLUSIONS: Workers with AO, particularly borderline and mild obstruction, frequently do not receive health care despite respiratory surveillance. Further investigation is needed to determine if workers with undiagnosed AO are symptomatic or have accelerated losses in lung function over time.
Keywords
Health-care-personnel; Health-programs; Health-services; Inhalation-studies; Lung-disorders; Lung-irritants; Metal-industry-workers; Occupational-exposure; Occupational-hazards; Occupational-health; Occupational-health-services; Occupational-respiratory-disease; Pulmonary-disorders; Pulmonary-system; Pulmonary-system-disorders; Respiratory-hypersensitivity; Respiratory-irritants; Respiratory-system-disorders; Sensitization; Spirometry; Work-environment; Worker-health; Workplace-studies; Work-practices
Contact
Mridu Gulati, Yale University School of Medicine, New Haven, CT
CODEN
JOEMFM
Publication Date
20090301
Document Type
Journal Article
Email Address
mridu.gulati@yale.edu
Funding Type
Grant
Fiscal Year
2009
Identifying No.
Grant-Number-K01-OH-008644; Grant-Number-T01-OH-008607
Issue of Publication
3
ISSN
1076-2752
Priority Area
Manufacturing
Source Name
Journal of Occupational and Environmental Medicine
State
CT
Performing Organization
Yale University, New Haven, Connecticut
Page last reviewed: May 5, 2020
Content source: National Institute for Occupational Safety and Health Education and Information Division