umu.sePublications
Change search
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf
Occupational exposure to vapors, gases, dusts and fumes and mortality in relation to chronic obstructive pulmonary disease among Swedish construction workers: a longitudinal cohort study
Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine, Occupational and Environmental Medicine.
2014 (English)In: Chest, ISSN 0012-3692, E-ISSN 1931-3543, Vol. 145, no 5, 992-997 p.Article in journal (Refereed) Published
Abstract [en]

OBJECTIVES: The aim of the present study was to elucidate whether occupational exposure to vapors, gases, dusts and fumes increases the mortality risk for chronic obstructive pulmonary disease (COPD), especially among never-smokers.

METHODS: The study population was a cohort of 354,718 male construction workers; of these 196,329 were exposed to vapors, gases, dusts and fumes and 117,964 were unexposed. Exposure to inorganic dust, wood dust, vapors, fumes and gases, and irritants was based on a job-exposure matrix with a focus on exposure in the mid-1970s. The cohort was followed from 1972 to 2011. Relative risks (RR) were obtained using Poisson regression models adjusting for age, body mass index and smoking habits.

RESULTS: There were 1,085 deaths from COPD among the exposed workers, including 49 never-smokers. Workers with any occupational exposure to vapors, gases, fumes and dust showed an increased mortality due to COPD (RR=1.32, 95% confidence interval (CI) 1.18-1.47). When comparing different exposure groups, there was a significantly increased mortality due to COPD among those exposed to fumes (RR 1.20, 95% CI 1.07-1.36) and inorganic dust (RR 1.19, 95% CI 1.07-1.33) . Among never-smokers, there was high mortality due to COPD among workers with any occupational airborne exposure (RR 2.11, 95% CI 1.17-3.83). The fraction of COPD attributable to occupational exposure was 0.24 among all workers and 0.53 among never-smoking workers.

CONCLUSIONS: Occupational exposure to airborne pollution increases the mortality risk for COPD, especially among never-smokers.

Place, publisher, year, edition, pages
2014. Vol. 145, no 5, 992-997 p.
National Category
Environmental Health and Occupational Health
Identifiers
URN: urn:nbn:se:umu:diva-83949DOI: 10.1378/chest.13-1429ISI: 000336532100015PubMedID: 24264472OAI: oai:DiVA.org:umu-83949DiVA: diva2:678063
Available from: 2013-12-11 Created: 2013-12-11 Last updated: 2017-12-06Bibliographically approved

Open Access in DiVA

No full text

Other links

Publisher's full textPubMed

Search in DiVA

By author/editor
Järvholm, Bengt
By organisation
Occupational and Environmental Medicine
In the same journal
Chest
Environmental Health and Occupational Health

Search outside of DiVA

GoogleGoogle Scholar

doi
pubmed
urn-nbn

Altmetric score

doi
pubmed
urn-nbn
Total: 191 hits
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf