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COPD risk among older construction workers-Updated analyses 2020.

Publication ,  Journal Article
Dement, JM; Cloeren, M; Ringen, K; Quinn, P; Chen, A; Cranford, K; Haas, S; Hines, S
Published in: Am J Ind Med
June 2021

BACKGROUND: A 2010 study of construction workers participating in medical screening programs at the Department of Energy (DOE) nuclear facilities demonstrated increased chronic obstructive pulmonary disease (COPD) risk. The current study of a larger worker cohort allowed for a more nuanced analysis of COPD risk, including for employment beginning after the mid-1990s. METHODS: Study participants included 17,941 workers with demographic and smoking data and spirometry with a minimum of three recorded expiratory efforts and reproducibility of forced vital capacity (FVC) and forced expiratory volume in 1 s (FEV1 ) of 0.2 L or less. COPD was defined as a FEV1 /FVC ratio below the lower limit of normal using established prediction equations without use of bronchodilation. Stratified analyses explored COPD prevalence by demographic variables and trade. Logistic regression analyses assessed risks by trade and time periods of trade and DOE site work, controlling for age, gender, race/ethnicity, body mass index, and smoking. RESULTS: Overall COPD prevalence was 13.4% and 67.4% of cases were classified as moderate to severe. Compared to nonconstruction workers, construction trade workers were at significantly increased risk of all COPD (OR = 1.34, 95% CI = 1.29-1.79) and even more so for severe COPD (OR = 1.61, 95% CI = 1.32-1.96). The highest risk trades were cement masons/bricklayers (OR = 2.36; 95% CI = 1.71-3.26) and roofers (OR = 2.22; 95% CI = 1.48-3.32). Risk among workers employed after 1995 was elevated but not statistically significant. CONCLUSIONS: Construction workers are at increased COPD risk. Results support the prevention of both smoking and occupational exposures to reduce these risks. While the number of participants employed after 1995 was small, patterns of risk were consistent with findings in the overall cohort.

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Published In

Am J Ind Med

DOI

EISSN

1097-0274

Publication Date

June 2021

Volume

64

Issue

6

Start / End Page

462 / 475

Location

United States

Related Subject Headings

  • Vital Capacity
  • Spirometry
  • Smoking
  • Risk Factors
  • Respiratory Function Tests
  • Reproducibility of Results
  • Pulmonary Disease, Chronic Obstructive
  • Prevalence
  • Occupational Exposure
  • Occupational Diseases
 

Citation

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Chicago
ICMJE
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Dement, J. M., Cloeren, M., Ringen, K., Quinn, P., Chen, A., Cranford, K., … Hines, S. (2021). COPD risk among older construction workers-Updated analyses 2020. Am J Ind Med, 64(6), 462–475. https://doi.org/10.1002/ajim.23244
Dement, John M., Marianne Cloeren, Knut Ringen, Patricia Quinn, Anna Chen, Kim Cranford, Scott Haas, and Stella Hines. “COPD risk among older construction workers-Updated analyses 2020.Am J Ind Med 64, no. 6 (June 2021): 462–75. https://doi.org/10.1002/ajim.23244.
Dement JM, Cloeren M, Ringen K, Quinn P, Chen A, Cranford K, et al. COPD risk among older construction workers-Updated analyses 2020. Am J Ind Med. 2021 Jun;64(6):462–75.
Dement, John M., et al. “COPD risk among older construction workers-Updated analyses 2020.Am J Ind Med, vol. 64, no. 6, June 2021, pp. 462–75. Pubmed, doi:10.1002/ajim.23244.
Dement JM, Cloeren M, Ringen K, Quinn P, Chen A, Cranford K, Haas S, Hines S. COPD risk among older construction workers-Updated analyses 2020. Am J Ind Med. 2021 Jun;64(6):462–475.
Journal cover image

Published In

Am J Ind Med

DOI

EISSN

1097-0274

Publication Date

June 2021

Volume

64

Issue

6

Start / End Page

462 / 475

Location

United States

Related Subject Headings

  • Vital Capacity
  • Spirometry
  • Smoking
  • Risk Factors
  • Respiratory Function Tests
  • Reproducibility of Results
  • Pulmonary Disease, Chronic Obstructive
  • Prevalence
  • Occupational Exposure
  • Occupational Diseases