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Document ID (ISN)111891
CIS number 11-0499
ISSN - Serial title 0271-3586 - American Journal of Industrial Medicine
Year 2010
Convention or series no.
Author(s) Dement J.M., Welch L., Ringen K., Bingham E., Quinn P.
Title Airways obstruction among older construction and trade workers at Department of Energy nuclear sites
Bibliographic information 2010, Vol.53, p.224-240. Illus. 65 ref.
Abstract A study of chronic obstructive pulmonary disease (COPD) among 7579 current and former workers participating in medical screening programs at Department of Energy (DOE) nuclear weapons facilities through September 2008 was undertaken. Participants provided a detailed work and exposure history, and underwent a respiratory examination that included a respiratory history, respiratory symptoms, chest radiographs classified by International Labour Office (ILO) criteria, and spirometry. Statistical models were developed to generate group-level exposure estimates that were used in multivariate logistic regression analyses to explore the risk of COPD in relation to exposures to asbestos, silica, cement dust, welding, paints, solvents, and dusts/fumes from paint removal. Risk for COPD in the study population was compared to risk for COPD in the general US population. Statistically significant associations were observed for COPD and exposures to asbestos, silica, welding, cement dusts and some tasks associated with exposures to paints, solvents and removal of paints. The study demonstrated increased COPD risk due to occupational exposures and was able to identify specific exposures increasing risk.
Descriptors (primary) USA; obstructive ventilatory impairment; exposure evaluation; older workers; armaments industry; job-exposure relation; risk factors
Descriptors (secondary) silica; asbestos; airborne dust; cement; welding fumes; paint removal; symptoms; spirometry; chest radiography; statistical evaluation; medical examinations; construction industry
Document type D - Periodical articles
Subject(s) Occupational pathology
Other industries and occupations
Broad subject area(s) Occupational medicine, epidemiology
Industries and occupations
Browse category(ies) Diseases of the respiratory system (except for pneumoconiosis & similar)
Older workers