OCCUPATIONAL DISEASE AMONG CARPENTERS

建议进行流行病学研究，以调查发病率和 世界卫生组织成员职业性呼吸系统疾病患病率 华盛顿州木匠联合兄弟会(UBC)工会。这个 拟议研究的主要目标是：1)将几个 现有数据库(即会员档案、医疗索赔、工人的 补偿、伤残和养恤金)，以便制定全面的 研究木匠呼吸紊乱的数据系统，2)至 开发分析医疗索赔数据的流行病学方法，3) 根据发病率和流行率分析这些综合数据 年木工肺部恶性和非恶性疾病的患病情况 华盛顿州，以及4)进行哮喘病例对照研究 用于确定可能的病因关联的木匠 有特定的职业接触。工伤补偿和医疗保险 华盛顿州UBC成员1988-1992年的申领将用于 这些研究。对医疗索赔数据的初步分析表明 1988-1992年期间提出索赔的工人人数如下：L)恶性肺病 疾病-149例，2)慢性阻塞性肺疾病-2796 5例和尘肺-58例。这一数量的案例应该能提供 识别高风险行业和/或的有用信息 交易。除了队列分析，还将进行一项病例对照研究 对150例新诊断的哮喘患者和450例匹配的患者进行了调查 控制。关于呼吸道症状和职业接触的数据 将获得病例和控制，并分析可能的情况 病因学与职业暴露的关系。数据派生自 木匠在确定其他人的呼吸危险方面将是有价值的 建筑业。

An epidemiological study is proposed to investigate the incidence and prevalence of occupational respiratory diseases among members of the United Brotherhood of Carpenters (UBC) union in Washington State. The major objectives of the proposed research are: 1) to integrate several existing databases (i.e. membership files, medical claims, worker's compensation, disability and pension) in order to develop a comprehensive data system for study of respiratory disorders among carpenters, 2) to develop epidemiological methods for analyses of medical claims data, 3) to analyze these integrated data with respect to the incidence and prevalence of malignant and non-malignant lung diseases among carpenters in Washington State, and 4) to conducted an asthma case-control study of carpenters for purposes of identifying possible etiologic associations with specific occupational exposures. Worker's compensation and medical claims for Washington State UBC members for 1988-1992 will be used for these studies. preliminary analyses of the medical claims data show the following number of workers with claim during 1988-1992: l) malignant lung diseases -149 cases, 2) chronic obstructive pulmonary diseases - 2796 cases and pneumoconioses - 58 cases. This number of cases should provide useful information for identification of high risk industries an/or trades. In addition to cohort analyses a case-control study will be conducted using 150 newly diagnosed cases of asthma and 450 matched controls. Data concerning respiratory symptoms and occupational exposures will be obtained for cases and controls and analyzed for possible etiological associations with occupational exposures. Data derived for carpenters will be valuable in defining respiratory hazards for other construction trades.