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Respiratory diseases among union carpenters: Cohort and case-control analyses

1998; Wiley; Volume: 33; Issue: 2 Linguagem: Inglês

10.1002/(sici)1097-0274(199802)33

1097-0274

Hester J. Lipscomb, John M. Dement,

Occupational exposure and asthma

American Journal of Industrial MedicineVolume 33, Issue 2 p. 131-150 Article Respiratory diseases among union carpenters: Cohort and case-control analyses Hester J. Lipscomb PhD, Corresponding Author Hester J. Lipscomb PhD Department of Community and Family Medicine, Division of Occupational and Environmental Medicine, Duke University Medical Center, Durham, North CarolinaHester J. Lipscomb, PhD, Department of Community and Family Medicine, Division of Occupational and Environmental Medicine, Duke University Medical Center, Box 3834, Durham, NC 27710Search for more papers by this authorJohn M. Dement PhD, CIH, John M. Dement PhD, CIH Department of Community and Family Medicine, Division of Occupational and Environmental Medicine, Duke University Medical Center, Durham, North CarolinaSearch for more papers by this author Hester J. Lipscomb PhD, Corresponding Author Hester J. Lipscomb PhD Department of Community and Family Medicine, Division of Occupational and Environmental Medicine, Duke University Medical Center, Durham, North CarolinaHester J. Lipscomb, PhD, Department of Community and Family Medicine, Division of Occupational and Environmental Medicine, Duke University Medical Center, Box 3834, Durham, NC 27710Search for more papers by this authorJohn M. Dement PhD, CIH, John M. Dement PhD, CIH Department of Community and Family Medicine, Division of Occupational and Environmental Medicine, Duke University Medical Center, Durham, North CarolinaSearch for more papers by this author First published: 06 December 1998 https://doi.org/10.1002/(SICI)1097-0274(199802)33:2 3.0.CO;2-0Citations: 15AboutPDF ToolsRequest permissionExport citationAdd to favoritesTrack citation ShareShare Give accessShare full text accessShare full-text accessPlease review our Terms and Conditions of Use and check box below to share full-text version of article.I have read and accept the Wiley Online Library Terms and Conditions of UseShareable LinkUse the link below to share a full-text version of this article with your friends and colleagues. Learn more.Copy URL Abstract Lung diseases, defined by ICD-9 diagnoses on medical insurance claims, were studied through the combined use of administrative records, private health insurance, and workers' compensation claims for a cohort of 10,938 active union carpenters between 1989 and 1992. The cohort defined the study base for a nested case-control study, in which cases (n = 220) were initially identified by an ICD-9 code for asthma in private health insurance or workers' compensation files. A questionnaire was used to collect information on respiratory history and potential home and workplace exposures. Questions used by Burney et al. to define a discriminant function predictor (DFP) of a bronchial response to histamine were used to reclassify cases and controls for further exploratory analyses. Bronchitis accounted for over 50% of the lung disease cases among this cohort followed by asthma, chronic obstructive airway disease, and chronic bronchitis. Incidence density rates of asthma, chronic bronchitis, and chronic obstructive airway disease adjusted for age, sex, and time in the union increased with increasing age. Using Surveillance, Epidemiology, and End Results (SEER) Program data to estimate expected lung cancer cases in our cohort, an elevated standardized incidence rate (SIR) was seen among male carpenters between the ages of 45–54. Smoking history was not available for the entire cohort. Using the ICD-9 or Burney case definition of asthma, odds ratios were significantly elevated for exposure to hay, epoxy paints, enzymes, animals, and molds. Additional exposures associated with asthma using Burney's definition, are ones to which a majority of these carpenters were exposed including cement, drywall, and demolition dusts. Am. J. Ind. Med. 33: 131–150, 1998. © 1998 Wiley-Liss, Inc. 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