Occupational Exposure and Airflow Obstruction and Self-Reported COPD Among Ever-Employed US Adults Using a COPD-Job Exposure Matrix

Details

• Personal Author:
  Doney B ; Frenk SM ; Hale J ; Halldin, Cara N. ; Kurth L
• Description:
  Introduction: This study examined the association of spirometry-defined airflow obstruction and self-reported COPD defined as self-reported doctor diagnosed chronic bronchitis or emphysema, with occupational exposure among ever-employed US adults. Methods: Data were obtained from the National Health and Nutrition Examination Survey (NHANES) 2007-2008 to 2011-2012, a nationally representative study of the non-institutionalized civilian US population. Reported current and/or longest held job were used to create prevalence estimates and prevalence odds ratios (PORs) (adjusted for age, gender, race, and smoking status) for airflow obstruction and self-reported COPD by occupational exposure, determined using both NHANES participants' self-reported exposures and eight categories of COPD job exposure matrix (JEM) assigned exposures. Results: Significant PORs for airflow obstruction and self-reported COPD respectively were observed with self-reported exposure for >/= 20 years to mineral dust (POR = 1.44; 95% confidence interval (CI) 1.13-1.85; POR = 1.69; 95% CI 1.17-2.43) and exhaust fumes (POR = 1.65; 95% CI 1.27-2.15; POR = 2.22; 95% CI 1.37-3.58). Airflow obstruction or self-reported COPD were also associated with COPD-JEM assigned high exposure to mineral dust, combined dust, diesel exhaust, vapor-gas, sensitizers, and overall exposure. Conclusion: Airflow obstruction and self-reported COPD are associated with both self-reported and JEM-assigned exposures. [Description provided by NIOSH]
• Subjects:
  Lung Occupational Exposure Occupational Health Respiratory Function Tests Respiratory System Safety
• Keywords:
  Airway Obstruction Author Keywords: Airflow Obstruction Bronchitis CDC Chronic Obstructive Pulmonary Disease COPD JEM Job Exposure Matrix Lung Function NHANES Occupational Exposure Prevalence Spirometry Surveillance

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• ISSN:
  0271-3586
• Document Type:
  Text
• Genre:
  Journal Article
• Place as Subject:
  Maryland ; OSHA Region 3 ; West Virginia
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Division:
  RHD - Respiratory Health Division
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Pages in Document:
  393-403
• Volume:
  62
• Issue:
  5
• NIOSHTIC Number:
  nn:20054787
• Citation:
  Am J Ind Med 2019 May; 62(5):393-403
• Contact Point Address:
  Brent Doney, PhD, MPH, MS, CIH, Surveillance Branch, Respiratory Health Division, NIOSH, 1095 Willowdale Rd., HG900.2, Morgantown, WV 26505
• Email:
  bdoney@cdc.gov
• Federal Fiscal Year:
  2019
• Peer Reviewed:
  True
• Source Full Name:
  American Journal of Industrial Medicine
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:ed3bd7df70f9209671cac3d6d20d688b07a8129dafb317e0295b9a4c67943784af4abbb01b2347b16f8499a84e4222802b544c68872b6a2358d26ddb31a6bf30
• Download URL:
  https://stacks.cdc.gov/view/cdc/217219/cdc_217219_DS1.pdf
• File Type:
  [PDF - 476.84 KB ]