Occupational exposures and incidence of chronic bronchitis and related symptoms over two decades: the European Community Respiratory Health Survey
Autor: | Lytras, Theodore, Kogevinas, Manolis, Kromhout, Hans, Carsin, Anne Elie, Antó, Josep Maria, Bentouhami, Hayat, Weyler, Joost, Heinrich, Joachim, Nowak, Dennis, Urrutia, Isabel, Martínez-Moratalla, Jesús, Gullón, José Antonio, Vega, Antonio Pereira, Raherison Semjen, Chantal, Pin, Isabelle, Demoly, Pascal, Leynaert, Bénédicte, Villani, Simona, Gíslason, Thorarinn, Svanes, Øistein, Holm, Mathias, Forsberg, Bertil, Norbäck, Dan, Mehta, Amar J., Probst-Hensch, Nicole, Benke, Geza, Jogi, Rain, Torén, Kjell, Sigsgaard, Torben, Schlünssen, Vivi, Olivieri, Mario, Blanc, Paul D., Watkins, John, Bono, Roberto, Buist, A. Sonia, Vermeulen, Roel, Jarvis, Deborah, Zock, Jan Paul, One Health Chemisch, dIRAS RA-2, Dep IRAS |
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Přispěvatelé: | Universitat Pompeu Fabra [Barcelona] (UPF), Instituto de Salud Global - Institute For Global Health [Barcelona] (ISGlobal), Center for Genomic Regulation (CRG-UPF), CIBER de Epidemiología y Salud Pública (CIBERESP), Division of Occupational and Environmental Health, Institute for Risk Assessment (IRAS), Utrecht University [Utrecht], University of Antwerp (UA), Universiteit Antwerpen [Antwerpen], Ludwig-Maximilians-Universität München (LMU), Galdakao Hospital, Complejo Hospitalario Universitario de Albacete, Respiratory Department, Hospital Universitario San Agustín (HUSA), Universidad de Huelva, Bordeaux population health (BPH), Université de Bordeaux (UB)-Institut de Santé Publique, d'Épidémiologie et de Développement (ISPED)-Institut National de la Santé et de la Recherche Médicale (INSERM), Institute for Advanced Biosciences / Institut pour l'Avancée des Biosciences (Grenoble) (IAB), Centre Hospitalier Universitaire [Grenoble] (CHU)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Etablissement français du sang - Auvergne-Rhône-Alpes (EFS)-Centre National de la Recherche Scientifique (CNRS)-Université Grenoble Alpes (UGA), Centre Hospitalier Universitaire [Grenoble] (CHU), Centre Hospitalier Régional Universitaire [Montpellier] (CHRU Montpellier), Sorbonne Université - Département de santé publique, Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-CHU Tenon [AP-HP], Sorbonne Université (SU)-Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Sorbonne Université (SU), Physiopathologie et Epidémiologie des Maladies Respiratoires (PHERE (UMR_S_1152 / U1152)), Institut National de la Santé et de la Recherche Médicale (INSERM)-Université de Paris (UP), University of Pavia, Landspitali National University Hospital of Iceland, Haukeland University Hospital, University of Bergen (UiB), University of Gothenburg (GU), Umeå University, Uppsala University Hospital, Boston Public Health Commission (Office of Research and Evaluation), Swiss Tropical and Public Health Institute [Basel], Monash University [Clayton], University of Tartu, Sahlgrenska Academy at University of Gothenburg [Göteborg], Aarhus University Hospital, Department of Public Health [Copenhagen, Denmark] (Danish Ramazzini Centre), Aarhus University [Aarhus]-The National Research Center for Work Environment [Copenhagen, Denmark], University of Verona (UNIVR), University of California [San Francisco] (UCSF), University of California, Cardiff University, University of Turin, Oregon Health and Science University [Portland] (OHSU), University Medical Center [Utrecht], Imperial College London, Salvy-Córdoba, Nathalie, Universiteit Antwerpen = University of Antwerpen [Antwerpen], Centre Hospitalier Universitaire [Grenoble] (CHU)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Etablissement français du sang - Auvergne-Rhône-Alpes (EFS)-Centre National de la Recherche Scientifique (CNRS)-Université Grenoble Alpes [2016-2019] (UGA [2016-2019]), Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Sorbonne Université (SU)-Sorbonne Université (SU), Institut National de la Santé et de la Recherche Médicale (INSERM)-Université Paris Cité (UPCité), Università degli Studi di Pavia = University of Pavia (UNIPV), Università degli studi di Verona = University of Verona (UNIVR), University of California [San Francisco] (UC San Francisco), University of California (UC), Università degli studi di Torino = University of Turin (UNITO), One Health Chemisch, dIRAS RA-2, Dep IRAS, Medical Research Council (MRC), Commission of the European Communities |
Jazyk: | angličtina |
Rok vydání: | 2019 |
Předmět: |
Male
Chronic bronchitis Epidemiology [SDV.MHEP.PSR]Life Sciences [q-bio]/Human health and pathology/Pulmonology and respiratory tract 0302 clinical medicine 1599 Other Commerce Management Tourism and Services Risk Factors Medicine longitudinal studies 030212 general & internal medicine Respiratory system COPD Incidence (epidemiology) Incidence Longitudinal studies epidemiology respiratory retrospective exposure assessment Smoking Dust Middle Aged 030210 environmental & occupational health 3. Good health Bronchitis Chronic Europe Respiratory Female Public Health Gases Adult medicine.medical_specialty European community Pulmonary disease Environmental & Occupational Health 1117 Public Health and Health Services 03 medical and health sciences Internal medicine Occupational Exposure Humans Pesticides MESH: Bronchitis Chronic / etiology Gases / adverse effects Health Surveys Europe / epidemiology United States / epidemiology Smoking / adverse effects Respiratory health Retrospective exposure assessment business.industry Environmental and Occupational Health Public Health Environmental and Occupational Health Australia 1103 Clinical Sciences medicine.disease United States Cough [SDV.SPEE] Life Sciences [q-bio]/Santé publique et épidémiologie [SDV.MHEP.PSR] Life Sciences [q-bio]/Human health and pathology/Pulmonology and respiratory tract [SDV.SPEE]Life Sciences [q-bio]/Santé publique et épidémiologie Human medicine business |
Zdroj: | Occupational and Environmental Medicine Occupational and Environmental Medicine, BMJ Publishing Group, 2019, pp.oemed-2018-105274. ⟨10.1136/oemed-2018-105274⟩ Lytras, T, Kogevinas, M, Kromhout, H, Carsin, A-E, Antó, J M, Bentouhami, H, Weyler, J, Heinrich, J, Nowak, D, Urrutia, I, Martínez-Moratalla, J, Gullón, J A, Vega, A P, Raherison Semjen, C, Pin, I, Demoly, P, Leynaert, B, Villani, S, Gíslason, T, Svanes, Ø, Holm, M, Forsberg, B, Norbäck, D, Mehta, A J, Probst-Hensch, N, Benke, G, Jogi, R, Torén, K, Sigsgaard, T, Schlünssen, V, Olivieri, M, Blanc, P D, Watkins, J, Bono, R, Buist, A S, Vermeulen, R, Jarvis, D & Zock, J-P 2019, ' Occupational exposures and incidence of chronic bronchitis and related symptoms over two decades : the European Community Respiratory Health Survey ', Occupational and Environmental Medicine, vol. 76, no. 4, pp. 222-229 . https://doi.org/10.1136/oemed-2018-105274 Occupational and environmental medicine Occupational and Environmental Medicine, 2019, pp.oemed-2018-105274. ⟨10.1136/oemed-2018-105274⟩ Occupational and Environmental Medicine, 76, 222. BMJ Publishing Group Ltd |
ISSN: | 1351-0711 |
DOI: | 10.1136/oemed-2018-105274⟩ |
Popis: | ObjectivesChronic bronchitis (CB) is an important chronic obstructive pulmonary disease (COPD)-related phenotype, with distinct clinical features and prognostic implications. Occupational exposures have been previously associated with increased risk of CB but few studies have examined this association prospectively using objective exposure assessment. We examined the effect of occupational exposures on CB incidence in the European Community Respiratory Health Survey.MethodsPopulation samples aged 20–44 were randomly selected in 1991–1993, and followed up twice over 20 years. Participants without chronic cough or phlegm at baseline were analysed. Coded job histories during follow-up were linked to the ALOHA Job Exposure Matrix, generating occupational exposure estimates to 12 categories of chemical agents. Their association with CB incidence over both follow-ups was examined with Poisson models using generalised estimating equations.Results8794 participants fulfilled the inclusion criteria, contributing 13 185 observations. Only participants exposed to metals had a higher incidence of CB (relative risk (RR) 1.70, 95% CI 1.16 to 2.50) compared with non-exposed to metals. Mineral dust exposure increased the incidence of chronic phlegm (RR 1.72, 95% CI 1.43 to 2.06). Incidence of chronic phlegm was increased in men exposed to gases/fumes and to solvents and in women exposed to pesticides.ConclusionsOccupational exposures are associated with chronic phlegm and CB, and the evidence is strongest for metals and mineral dust exposure. The observed differences between men and women warrant further investigation. |
Databáze: | OpenAIRE |
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