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Occupational exposures and 20-year incidence of COPD: the European Community Respiratory Health Survey

Artikel i vetenskaplig tidskrift
Författare T. Lytras
M. Kogevinas
H. Kromhout
A. E. Carsin
J. M. Anto
H. Bentouhami
J. Weyler
J. Heinrich
D. Nowak
I. Urrutia
J. Martinez-Moratalla
J. A. Gullon
A. Pereira-Vega
C. Raherison-Semjen
I. Pin
P. Demoly
B. Leynaert
S. Villani
T. Gislason
C. Svanes
M. Holm
B. Forsberg
D. Norback
A. J. Mehta
N. Probst-Hensch
G. Benke
R. Jogi
Kjell Torén
T. Sigsgaard
V. Schlunssen
M. Olivieri
P. D. Blanc
R. Vermeulen
J. Garcia-Aymerich
D. Jarvis
J. P. Zock
Publicerad i Thorax
Volym 73
Nummer/häfte 11
Sidor 1008-ICENE,UMR 1219, Bordeaux, France. [Pin, Isabelle] CHU Grenoble Alpes, Dept Pediat, Grenoble, France. [Pin, Isabelle] Inserm, U1209, IAB, Team Environm Epidemiol Appl Reprod & Resp Hlth, Grenoble, [Pin, Isabelle] Univ Grenoble Alpes, Grenoble, France. [Demoly, Pascal] Univ Hosp Montpellier, Montpellier, France. [Demoly, Pascal] Sorbonne Univ, Paris, France. [Leynaert, Benedicte] Univ Paris Diderot, Inserm UMR Equipe Epidemiol 1152, Paris, France. [Villani, Simona] Univ Pavia, Unit Biostat & Clin Epidemiol, Dept Hlth Sci Expt & Forens Med, Pavia, [Gislason, Thorarinn] Landspitali Univ Hosp, Dept Resp Med & Sleep, Reykjavik, Iceland. [Gislason, Thorarinn] Univ Iceland, Fac Med, Reykjavik, Iceland. [Svanes, Cecilie] Haukeland Hosp, Dept Occupat Med, Bergen, Norway. [Svanes, Cecilie] Univ Bergen, Ctr Int Hlth, Bergen, Norway. [Holm, Mathias] Sahlgrens Univ Hosp, Dept Occupat & Environm Med, Gothenburg, Sweden. [Forsberg, Bertil] Umea Univ, Dept Publ Hlth & Clin Med, Occupat & Environm Med, Umea, Sweden. [Norback, Dan] Uppsala Univ, Dept Med Sci, Uppsala, Sweden. [Mehta, Amar J.] Boston Publ Hlth Commiss, Res & Evaluat Off, Boston, MA USA. [Probst-Hensch, Nicole] Swiss Trop & Publ Hlth Inst, Dept Epidemiol & Publ Hlth, Basel, Switzerland. [Probst-Hensch, Nicole] Univ Basel, Basel, Switzerland. [Benke, Geza] Monash Univ, Sch Publ Hlth & Prevent Med, Monash Ctr Occupat & Environm Hlth, [Jogi, Rain] Tartu Univ Hosp, Lung Clin, Tartu, Estonia. [Toren, Kjell] Univ Gothenburg, Sahlgrenska Acad, Inst Med, Sect Occupat & Environm Med, [Sigsgaard, Torben; Schlunssen, Vivi] Aarhus Univ, Sect Environm, Danish Ramazzini Ctr, Dept Publ [Schlunssen, Vivi] Natl Res Ctr Working Environm, Copenhagen, Denmark. [Olivieri, Mario] Univ Hosp Verona, Unit Occupat Med, Verona, Italy. [Blanc, Paul D.] Univ Calif San Francisco, San Francisco Vet Affairs Med Ctr, San Francisco, CA 94143 [Jarvis, Deborah] Imperial Coll London, Natl Heart & Lung Inst, Populat Hlth & Occupat Dis, London, [Jarvis, Deborah] Imperial Coll London, MRC PHE Ctr Environm & Hlth, London, England.
ISSN 0040-6376
Publiceringsår 2018
Publicerad vid Institutionen för medicin, avdelningen för samhällsmedicin och folkhälsa
Sidor 1008-ICENE,UMR 1219, Bordeaux, France. [Pin, Isabelle] CHU Grenoble Alpes, Dept Pediat, Grenoble, France. [Pin, Isabelle] Inserm, U1209, IAB, Team Environm Epidemiol Appl Reprod & Resp Hlth, Grenoble, [Pin, Isabelle] Univ Grenoble Alpes, Grenoble, France. [Demoly, Pascal] Univ Hosp Montpellier, Montpellier, France. [Demoly, Pascal] Sorbonne Univ, Paris, France. [Leynaert, Benedicte] Univ Paris Diderot, Inserm UMR Equipe Epidemiol 1152, Paris, France. [Villani, Simona] Univ Pavia, Unit Biostat & Clin Epidemiol, Dept Hlth Sci Expt & Forens Med, Pavia, [Gislason, Thorarinn] Landspitali Univ Hosp, Dept Resp Med & Sleep, Reykjavik, Iceland. [Gislason, Thorarinn] Univ Iceland, Fac Med, Reykjavik, Iceland. [Svanes, Cecilie] Haukeland Hosp, Dept Occupat Med, Bergen, Norway. [Svanes, Cecilie] Univ Bergen, Ctr Int Hlth, Bergen, Norway. [Holm, Mathias] Sahlgrens Univ Hosp, Dept Occupat & Environm Med, Gothenburg, Sweden. [Forsberg, Bertil] Umea Univ, Dept Publ Hlth & Clin Med, Occupat & Environm Med, Umea, Sweden. [Norback, Dan] Uppsala Univ, Dept Med Sci, Uppsala, Sweden. [Mehta, Amar J.] Boston Publ Hlth Commiss, Res & Evaluat Off, Boston, MA USA. [Probst-Hensch, Nicole] Swiss Trop & Publ Hlth Inst, Dept Epidemiol & Publ Hlth, Basel, Switzerland. [Probst-Hensch, Nicole] Univ Basel, Basel, Switzerland. [Benke, Geza] Monash Univ, Sch Publ Hlth & Prevent Med, Monash Ctr Occupat & Environm Hlth, [Jogi, Rain] Tartu Univ Hosp, Lung Clin, Tartu, Estonia. [Toren, Kjell] Univ Gothenburg, Sahlgrenska Acad, Inst Med, Sect Occupat & Environm Med, [Sigsgaard, Torben; Schlunssen, Vivi] Aarhus Univ, Sect Environm, Danish Ramazzini Ctr, Dept Publ [Schlunssen, Vivi] Natl Res Ctr Working Environm, Copenhagen, Denmark. [Olivieri, Mario] Univ Hosp Verona, Unit Occupat Med, Verona, Italy. [Blanc, Paul D.] Univ Calif San Francisco, San Francisco Vet Affairs Med Ctr, San Francisco, CA 94143 [Jarvis, Deborah] Imperial Coll London, Natl Heart & Lung Inst, Populat Hlth & Occupat Dis, London, [Jarvis, Deborah] Imperial Coll London, MRC PHE Ctr Environm & Hlth, London, England.
Språk en
Länkar dx.doi.org/10.1136/thoraxjnl-2017-2...
Ämnesord copd epidemiology, occupational lung disease, obstructive pulmonary-disease, cotton textile workers, air-flow, obstruction, lung-function, follow-up, response relationships, longitudinal changes, pesticide exposure, chronic-bronchitis, national-health, Respiratory System
Ämneskategorier Omvårdnad

Sammanfattning

Background Occupational exposures have been associated with an increased risk of COPD. However, few studies have related objectively assessed occupational exposures to prospectively assessed incidence of COPD, using postbronchodilator lung function tests. Our objective was to examine the effect of occupational exposures on COPD incidence in the European Community Respiratory Health Survey. Methods General population samples aged 20-44 were randomly selected in 1991-1993 and followed up 20 years later (2010-2012). Spirometry was performed at baseline and at follow-up, with incident COPD defined using a lower limit of normal criterion for postbronchodilator FEV1/FVC. Only participants without COPD and without current asthma at baseline were included. Coded job histories during follow-up were linked to a Job-Exposure Matrix, generating occupational exposure estimates to 12 categories of agents. Their association with COPD incidence was examined in log-binomial models fitted in a Bayesian framework. Findings 3343 participants fulfilled the inclusion criteria; 89 of them had COPD at follow-up (1.4 cases/1000 person-years). Participants exposed to biological dust had a higher incidence of COPD compared with those unexposed (relative risk (RR) 1.6, 95% CI 1.1 to 2.3), as did those exposed to gases and fumes (RR 1.5, 95% CI 1.0 to 2.2) and pesticides (RR 2.2, 95% CI 1.1 to 3.8). The combined population attributable fraction for these exposures was 21.0%. Interpretation These results substantially strengthen the evidence base for occupational exposures as an important risk factor for COPD.

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