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Restrictive spirometry pattern among construction trade workers.

Publication ,  Journal Article
Hines, SE; Dement, J; Cloeren, M; Cranford, K; Quinn, PS; Ringen, K
Published in: Am J Ind Med
June 2023

BACKGROUND: Spirometry-based studies of occupational lung disease have mostly focused on obstructive or mixed obstructive/restrictive outcomes. We wanted to determine if restrictive spirometry pattern (RSP) is associated with occupation and increased mortality. METHODS: Study participants included 18,145 workers with demographic and smoking data and repeatable spirometry. The mortality analysis cohort included 15,445 workers with known vital status and cause of death through December 31, 2016. Stratified analyses explored RSP prevalence by demographic and clinical variables and trade. Log-binomial regression models explored RSP risk factors while controlling for important confounders such as smoking, obesity, and comorbidities. Cox regression models explored mortality risk by spirometry category. RESULTS: Prevalence of RSP was very high (28.6%). Mortality hazard ratios for RSP were 1.50 for all causes, 1.86 for cardiovascular diseases, 2.31 for respiratory diseases, and 1.66 for lung cancer. All construction trades except painters, machinists, and roofers had significantly elevated risk for RSP compared to our internal reference group. RSP was significantly associated with both parenchymal and pleural changes seen by chest X-ray. CONCLUSIONS: Construction trade workers are at significantly increased risk for RSP independent of obesity. Individuals with RSP are at increased risk for all-cause mortality as well as mortality attributable to respiratory diseases, cardiovascular diseases, and lung cancer. RSP deserves greater attention in occupational medicine and epidemiology.

Duke Scholars

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Published In

Am J Ind Med

DOI

EISSN

1097-0274

Publication Date

June 2023

Volume

66

Issue

6

Start / End Page

484 / 499

Location

United States

Related Subject Headings

  • Spirometry
  • Respiration Disorders
  • Obesity
  • Lung Neoplasms
  • Humans
  • Environmental & Occupational Health
  • Construction Industry
  • Cardiovascular Diseases
  • 4206 Public health
  • 4202 Epidemiology
 

Citation

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ICMJE
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Hines, S. E., Dement, J., Cloeren, M., Cranford, K., Quinn, P. S., & Ringen, K. (2023). Restrictive spirometry pattern among construction trade workers. Am J Ind Med, 66(6), 484–499. https://doi.org/10.1002/ajim.23474
Hines, Stella E., John Dement, Marianne Cloeren, Kim Cranford, Patricia S. Quinn, and Knut Ringen. “Restrictive spirometry pattern among construction trade workers.Am J Ind Med 66, no. 6 (June 2023): 484–99. https://doi.org/10.1002/ajim.23474.
Hines SE, Dement J, Cloeren M, Cranford K, Quinn PS, Ringen K. Restrictive spirometry pattern among construction trade workers. Am J Ind Med. 2023 Jun;66(6):484–99.
Hines, Stella E., et al. “Restrictive spirometry pattern among construction trade workers.Am J Ind Med, vol. 66, no. 6, June 2023, pp. 484–99. Pubmed, doi:10.1002/ajim.23474.
Hines SE, Dement J, Cloeren M, Cranford K, Quinn PS, Ringen K. Restrictive spirometry pattern among construction trade workers. Am J Ind Med. 2023 Jun;66(6):484–499.
Journal cover image

Published In

Am J Ind Med

DOI

EISSN

1097-0274

Publication Date

June 2023

Volume

66

Issue

6

Start / End Page

484 / 499

Location

United States

Related Subject Headings

  • Spirometry
  • Respiration Disorders
  • Obesity
  • Lung Neoplasms
  • Humans
  • Environmental & Occupational Health
  • Construction Industry
  • Cardiovascular Diseases
  • 4206 Public health
  • 4202 Epidemiology