|Document ID (ISN)||111901|
|ISSN - Serial title
||1351-0711 - Occupational and Environmental Medicine
|Convention or series no.
||Claessen H., Arndt V., Drath C., Brenner H.
||Smoking habits and occupational disability: A cohort study of 14 483 construction workers
||Feb. 2010, Vol.67, No.2, p.84-90. 38 ref.
||The objective of this study was to examine the influence of smoking habits on occupational disability among construction workers, an occupational group with particularly high smoking prevalence. The association between smoking and occupational disability was examined during a follow-up of over 10 years in a cohort of 14,483 male construction workers in WŘrttemberg, Germany. The cohort was linked to the regional pension register of the German pension fund to identify workers who were granted a disability pension during the follow-up. HRs (hazard ratios) were calculated with non-smokers as reference by the Cox proportional hazards model adjusting for potential confounding factors such as age, nationality, type of occupation, alcohol consumption and body mass index. Overall, 2643 cases of occupational disability were observed, with dorsopathy (21%) being the most common cause. Clear dose-response relationships were seen between smoking and occupational disability due to all causes, as well as occupational disability due to respiratory, cardiovascular and mental diseases, cancer and dorsopathy. Particularly strong associations were seen between heavy smoking and occupational disability due to mental and respiratory diseases (HR 3.25 and 3.26 respectively). Implications of these findings are discussed.
||sickness absenteeism; smoking; work aptitude
||Germany; long-term study; cohort study; statistical evaluation; dose-response relationship
||D - Periodical articles
|Broad subject area(s)
||Occupational medicine, epidemiology
||Construction industry and civil engineering