Occupational exposures associated with work-related asthma and work-related wheezing among US workers
Occupational exposures associated with work-related asthma and work-related wheezing among US workers
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DOI：
10.1002/ajim.10291
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发表时间：
2003-10-01
影响因子：
3.5
通讯作者：
Lee, ES
中科院分区：
文献类型：
--
作者：
Arif, AA;Delclos, GL;Lee, ES
背景：美国职业性哮喘（OA）的全国性估计很少。利用1988-1994年第三次全国健康与营养调查（NHANES III）的数据，我们分析了美国工人中职业和工作相关性哮喘和工作相关性喘息之间的关系。这项研究确定了几种有患工作相关哮喘和/或喘息风险的职业，清洁工和设备清洁工的风险最高。确定的其他主要职业是农场和农业;娱乐;保护性服务;建筑;机械和修理工;纺织;制造商和装配工;其他运输和材料移动职业;货运，股票和材料搬运工;以及机动车操作员。工作相关性哮喘和工作相关性喘息的人群归因风险分别为26%和27%。这项研究为文献提供了证据，将工作相关性哮喘确定为一个重要的公共卫生问题。有几个职业是进一步评价和研究的对象。特别令人感兴趣的是清洁工，越来越多的报道称他们是哮喘的风险群体。未来的干预策略需要制定有效的控制和预防工作场所哮喘。(C)2003 Wiley-Liss，Inc.
Background National estimates of occupational asthma (OA) in the United States are sparse.Methods. Using data from the Third National Health and Nutrition Examination Survey (NHANES III) 1988-1994, we analyzed associations between occupation and work-related asthma and work-related wheezing among U.S. workers.Results. This study identified several occupations that were at risk of developing work-related asthma and/or wheezing, with cleaners and equipment cleaners showing the highest risks. Other major occupations identified were farm and agriculture; entertainment; protective services; construction; mechanics and repairers; textile; fabricators and assemblers; other transportation and material moving occupations; freight, stock, and material movers; and motor vehicle operators. The population attributable risks for work related asthma and work-related wheezing were 26% and 27%, respectively.Conclusions. This study adds evidence to the literature that identifies work-related asthma as an important public health problem. Several occupations are targeted for additional evaluation and study. Of particular interest are cleaners, which are being increasingly reported as a risk group for asthma. Future intervention strategies need to be developed for effective control and prevention of asthma in the workplace. (C) 2003 Wiley-Liss, Inc.