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Gender differences in the effect of occupational endotoxin exposure on impaired lung function and death: the Shanghai Textile Worker Study
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02/01/2014
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Source: Occup Environ Med. 71(2):118-125
[PDF-824.92 KB]
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Alternative Title:Occup Environ Med
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Description:OBJECTIVE
Airborne endotoxin exposure has both adverse and protective health effects. Studies show males have augmented acute inflammatory responses to endotoxin. In this longitudinal cohort study we investigated the effect of long-term exposure to endotoxin in cotton dust on health, and determined whether these effects differ by gender.
METHODS
In the Shanghai Textile Worker Study, 447 cotton and 472 control silk textile workers were followed from 1981 to 2011 with repeated measures of occupational endotoxin exposure, spirometry, and health questionnaires. Impaired lung function was defined as a decline in forced expiratory volume in one second to less than the 5th percentile of population predicted. Death was ascertained by death registries. We used Cox proportional hazards models to assess the effect of endotoxin exposure on the time to development of impaired lung function and death.
RESULTS
128 deaths and 164 diagnoses of impaired lung function were ascertained between 1981 and 2011. Hazard ratios (HRs) for the composite endpoint of impaired lung function or death was 1.47 (95% CI 1.09-1.97) for cotton vs. silk workers and 1.04 (95% CI 1.01-1.07) per 10,000 endotoxin units (EU)/m3-years increase in exposure. HRs for all-cause mortality was 1.36 (95% CI 0.93-1.99) for cotton vs. silk workers and 1.04 (95% CI 0.99-1.08) per 10,000 EU/m3-years. The risk associated with occupational endotoxin exposure was elevated only in men.
CONCLUSIONS
Occupational endotoxin exposure is associated with an increase in the risk of impaired lung function and all-cause mortality in men.
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Pubmed ID:24297825
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Pubmed Central ID:PMC4033669
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Volume:71
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Issue:2
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