Prevalence of Obstructive Lung Disease in Older Kentucky Farmers Part II: Reliability of Respiratory Questions

Details

• Personal Author:
  Johnson, N.
• Description:
  Using objective measures of previous diagnosis and spirometry, the probable asthma prevalence in the older farmer cohort for the Kentucky farm family health hazard surveillance survey (FFHHSS) was 28.6%; 13.6% report physician-diagnosis of asthma, and 21.6% have an FEV1% (forced expiratory volume) <0.80 during a screening pulmonary function test. The aim of this study is to evaluate the specificity and sensitivity of asthma symptom questions used in the FFHHSS for this cohort of older Kentucky farmers. Physician-diagnosis of asthma and low pulmonary function measurements was matched with self-reported respiratory symptom data in a cohort (n=134) of Kentucky male farmers. Specificity and sensitivity of symptom questions and demographic associations with objective indicators were calculated. Answers to respiratory symptom questions, such as wheeze without a cold or chest tightness, were not associated with objective measures of disease, such as asthma diagnosis and FEV1% decline for older Kentucky farmers. Older farmers with these objective measures of disease more frequently reported positive responses to questions on general wheeze and shortness of breath when hurried, and they evaluated their health status as good to excellent. Respiratory symptom questions typically identified as asthma predictive were not associated with objective respiratory disease for older farmers in Kentucky. [Description provided by NIOSH]
• Subjects:
  Agriculture Farmers Hazardous Substances Irritants Lung Lung Diseases Occupational Health Personal Protective Equipment Respiratory Function Tests Respiratory Hypersensitivity Respiratory Protective Devices Respiratory System Respiratory Tract Diseases Safety

  More +
• Keywords:
  Farmers; Agricultural-workers; Agriculture; Health-hazards; Health-protection; Health-standards; Lung; Lung-burden; Lung-disease; Lung-disorders; Lung-function; Respiration; Respiratory-function-tests; Respiratory-hypersensitivity; Respiratory-infections; Respiratory-irritants; Respiratory-protection; Respiratory-system-disorders; Spirometry; Pulmonary-disorders; Pulmonary-function; Pulmonary-function-tests; Pulmonary-system-disorders; Surveillance-programs
• Document Type:
  Text
• Funding:
  Cooperative Agreement
• Genre:
  Abstract or Summary
• Place as Subject:
  Kentucky ; OSHA Region 3 ; OSHA Region 4 ; Pennsylvania
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Pages in Document:
  4 pdf pages
• NIOSHTIC Number:
  nn:20033900
• Citation:
  American Industrial Hygiene Conference and Exposition, June 2-7, 2007, Philadelphia, Pennsylvania. Fairfax, VA: American Industrial Hygiene Association, 2007 Jun; :136
• Federal Fiscal Year:
  2007
• Performing Organization:
  University of Kentucky
• Peer Reviewed:
  False
• Start Date:
  20010930
• Source Full Name:
  American Industrial Hygiene Conference and Exposition, June 2-7, 2007, Philadelphia, Pennsylvania
• End Date:
  20270929
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:5a11192f437fd764a41a38f0fce6bf6e582abf76fdd1e3fcb1ae74f8e269676666642f3bd9255f176e1455600620b34016613ce91aee295831f927c01639b44f
• Download URL:
  https://stacks.cdc.gov/view/cdc/231613/cdc_231613_DS1.pdf
• File Type:
  [PDF - 548.75 KB ]