Sex differences in asthma and gastroesophageal reflux disease incidence among the World Trade Center Health Program general responder cohort
Peer Reviewed
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2016/09/01
Details
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Personal Author:Crane MA ; Dasaro CR ; Icitovic N ; Jiang J ; Kaplan JR ; Lucchini RG ; Luft BJ ; Moline JM ; Pendem L ; Shapiro M ; Teitelbaum SL ; Todd AC ; Udasin IG
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Description:Background: Asthma and gastroesophageal reflux disease (GERD) are two common conditions among the responders to the WTC attacks. This study examined whether the cumulative incidence rates of asthma and GERD differed by sex among 24,022 and 23,557 WTC responders, respectively. Methods: Cox proportional hazards regression was used to examine the sex difference in the rate of onset of physician-diagnosed asthma or GERD, from 9/12/2001 through 12/31/2015. Results: The cumulative incidence of asthma reached 23% for women and 17% for men by the end of 2015, and the cumulative incidence of GERD reached 38% for women and 45% for men. Comparing women to men, the hazard ratio was 1.48 (95% confidence interval (CI): 1.27, 1.74) for asthma, and 1.25 (95% CI: 1.13, 1.38) for GERD. Conclusions: WTC general responders have a substantial burden of asthma and GERD, with higher incidence in women. Description provided by NIOSH
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Subjects:
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Keywords:
- Emergency-responders
- Fire-fighters
- Police-officers
- Paramedical-services
- Surveillance-programs
- Statistical-analysis
- Epidemiology
- Gastroesophageal reflux disease
- GERD
- Respiratory system disorders
- Bronchial asthma
- Gender factors
- Sex factors
- Mathematical models
- Clinical diagnosis
- Men
- Women
- Worker health
- Cohort studies
- WTC
- World Trade Center
- Humans
- Age groups
- Rescue workers
- Author Keywords: asthma
- GERD
- 9/11
- World Trade Center
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ISSN:0271-3586
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Volume:59
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Issue:9
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NIOSHTIC Number:nn:20048356
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Citation:Am J Ind Med 2016 Sep; 59(9):815-822
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Contact Point Address:Susan L. Teitelbaum, PhD, Department of Preventive Medicine, Icahn School of Medicine at Mount Sinai, One, Gustave L. Levy Place, Box1057, NY 10029
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Email:susan.teitelbaum@mssm.edu
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Federal Fiscal Year:2016
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Performing Organization:State University of New York Stony Brook
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Peer Reviewed:True
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Start Date:20040715
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Source Full Name:American Journal of Industrial Medicine
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End Date:20110630
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Main Document Checksum:urn:sha-512:3b694f941f849853c5960923c5ccdc6ba319ceb95389ddfee6c5c62608a151766c74089bb6f629d90f9615f35b5f4789a35f3c94043491bb0ac00aa4ee81648d
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