The occupational burden of chronic obstructive pulmonary disease

Trupin, Laura; Earnest, Gillian; Balmes, John R.; Eisner, Mark D.; Yelin, Edward H.; Katz, Patricia P.; Blanc, Paul D.

doi:10.1183/09031936.03.00094203

Cited by 292 publications

(227 citation statements)

References 25 publications

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“…Occupational exposure to dust and fumes may contribute to the increased risk among manual workers [20,23,28]. In the study of EAGAN et al [9], exposure to dust and fumes was accounted for, and the results showed a slightly decreased risk associated with educational level.…”

Section: Socio-economic Status and Asthmamentioning

confidence: 99%

Socio-economic status is related to incidence of asthma and respiratory symptoms in adults

Hedlund

Eriksson²,

Rönmark³

2006

Eur Respir J

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The aim of the present study was to assess the association between socio-economic status and impaired respiratory health in a 10-yr follow-up of a population-based postal survey in Northern Sweden.Multiple logistic regression was used to estimate odds ratios in relation to socio-economic class, using age, sex, a family history of asthma, smoking habits, and occupational exposures to dust, gases and fumes as possible confounders.The study comprised 2,341 males and 2,413 females. Cumulative incidences were generally lowest in professionals, including executives and civil servants at intermediate and higher levels, who were chosen as reference group. Manual workers in industry showed a significantly increased risk of developing asthma, recurrent wheeze, attacks of shortness of breath or a combination of the two, and chronic productive cough. Manual workers in service showed a similar pattern for attacks of shortness of breath, recurrent wheeze, or a combination of the two, and chronic productive cough. The corresponding population attributable risks were ,10%.Low socio-economic status was a risk factor for the development of asthma, symptoms common in asthma and chronic productive cough.

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Section: Socio-economic Status and Asthmamentioning

confidence: 99%

Socio-economic status is related to incidence of asthma and respiratory symptoms in adults

Hedlund

Eriksson²,

Rönmark³

2006

Eur Respir J

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“…The epidemiological evidence from population-based studies suggests that approximately 15% of the cases of COPD in society may be attributable to workplace exposures to dusts, noxious gases/vapors, and fumes [4][5][6][7]. Although, there is biological plausibility that persistent inhalation exposures over many years to high enough concentrations of dusts, fumes and irritant gases could cause lung damage eventually predisposing to COPD, appraisal of the contribution of occupational exposure to the COPD burden is complex.…”

Section: Discussionmentioning

confidence: 99%

“…Although cigarette smoking is the most important risk factor worldwide for COPD, occupational exposures to mineral and organic dusts, irritant gases and fumes, and to other industrially produced or used agents have been established as risk factors for COPD [2][3][4][5][6][7][8][9][10][11][12][13][14]. Industryand population-based epidemiological studies have reported increased risk of COPD due to occupational exposures or due to employment in certain industries or job categories.…”

Section: Introductionmentioning

confidence: 99%

“…Industryand population-based epidemiological studies have reported increased risk of COPD due to occupational exposures or due to employment in certain industries or job categories. Occupational groups reported to have increased risk of COPD include coal miners, hard rock miners, tunnel workers, concretemanufacturing workers, construction workers, agricultural workers, and some manufacturing workers [2,3,[6][7][8][9]. COPD etiology is multi-factorial in nature and is strongly associated with non-occupational factors such as tobacco smoking.…”

Section: Introductionmentioning

confidence: 99%

“…Because of the complex etiology, establishing workrelated risk factors for COPD requires an epidemiological investigation involving reliable measures of occupational exposure and smoking. When evaluating the risk of COPD associated with occupational exposure in population-based studies, evaluation of occupational exposure is often done through the use of a Job Exposure Matrix (JEM) [7,15,16]. The JEM is utilized to assign qualitative indices to specific job categories to indicate the potential for workers' exposure to vapors, dust, gases, and fumes (VDGF).…”

Section: Introductionmentioning

confidence: 99%

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Assessment of Lifetime Occupational Exposure in an Epidemiologic Study of COPD

Graziani¹,

Doney²,

Hnizdo³

et al. 2012

TOEPIJ

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Ascertainment of lifetime occupational exposures in an epidemiological study of chronic obstructive pulmonary disease (COPD) is important in order to investigate its effect on the disease and develop prevention strategies. The aim of our paper is to describe and evaluate a methodology used to assign lifetime occupational exposure to participants in a case-control study of COPD where lifetime occupational history was ascertained through telephone questionnaire interviews.The methodology involved assigning to each individual a qualitative index of potential exposure to eight occupational hazards, summarized individually overall the job categories reported by the individual, and an overall qualitative index of lifetime exposure to all eight hazards. The eight occupational hazards scored were mineral dusts, metal dusts/fumes, organic dusts, irritant gases/vapors, sensitizers, organic solvents, diesel exhaust, and environmental tobacco smoke (ETS). Two industrial hygienists independently assigned the above indices based on: their expert opinion, a priori knowledge based on literature review, and study participants' responses to interviewer questions regarding types and duration of exposure. To evaluate agreement of the assigned scores, we used the Kappa statistic to test the agreement between the two scorers on each of the indices. The Kappa statistic generally indicated good agreement between the industrial hygienists' scores but varied by exposure from 0.42 to 0.86. Although the exposure scoring is somewhat subjective, it is based on experience of experts and review of the literature. This method, with subject interviews providing qualitative lifetime exposure data when air monitoring has not been conducted, is useful for reconstructing lifetime exposures.

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The Impact of Asthma and Chronic Obstructive Pulmonary Disease (COPD) on Patient‐Reported Outcomes in Systemic Lupus Erythematosus (SLE)

Katz

Pedro

Trupin

et al. 2021

ACR Open Rheumatology

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Background Risk of asthma and chronic obstructive pulmonary disease (COPD) may be elevated in systemic lupus erythematosus (SLE), but little research has studied the impact of these conditions on SLE outcomes. We examined prevalence, incidence, and impact of self‐reported asthma and COPD in two US‐based SLE cohorts (FORWARD and Lupus Outcomes Study [LOS]). Methods Prevalence of asthma and COPD were defined as presence of conditions at individuals’ first interviews; incidence was defined as new reports over the next 3 years. Cross‐sectional associations of asthma/COPD with patient‐reported outcomes (PROs) and longitudinal analyses associations with asthma/COPD at entry with PROs 3 years later were examined. Results In FORWARD, 19.8% and 8.3% participants reported asthma and COPD, respectively, at entry. In LOS, 36.0% reported the presence of either (US population comparisons: asthma, 9.7%; COPD, 6.1%). Cross‐sectionally, asthma/COPD was associated with worse PROs, including disease activity. In FORWARD, individuals with asthma experienced greater worsening of fatigue, pain, and global health ratings longitudinally; individuals with COPD experienced greater increases in self‐reported SLE activity. However, no such patterns were noted in the LOS. Conclusion Asthma and COPD appeared to be more common in SLE than in the general US population and were associated with worse status on PROs cross‐sectionally. Asthma was linked to decrements in PROs longitudinally.

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The occupational burden of chronic obstructive pulmonary disease

Cited by 292 publications

References 25 publications

Socio-economic status is related to incidence of asthma and respiratory symptoms in adults

Socio-economic status is related to incidence of asthma and respiratory symptoms in adults

Assessment of Lifetime Occupational Exposure in an Epidemiologic Study of COPD

The Impact of Asthma and Chronic Obstructive Pulmonary Disease (COPD) on Patient‐Reported Outcomes in Systemic Lupus Erythematosus (SLE)

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